护理差错原因研究及防范对策.docVIP

护理差错原因研究及防范对策【摘要】 目的 降低护理差错的发生率，以提高护理质量，保障患者安全。方法 采用自行设计的护理差错原因调查表，对84名护士进行问卷调查。结果 48名护士发生护理差错及纠纷66人次，其中患者方面的原因（对医院期望值过高、逃费等）11人次，占16.67%；护士方面原因55人次，占83.33%。护士方面12项原因中执行制度不认真、责任心不强、工作时情绪差、语言修养差分列1~4位。低学历、低年资年轻护士易发生差错。结论 提出严格执行各项规章制度，加强职业素质教育，增强法制观念，规范服务行为，对不同学历、工龄、年龄段的护士给予针对性支持可望降低护理差错发生率。 【关键词】 护士；护理差错；原因；防范对策 Analysis of Nursing Errors and Countermeasures JIAN Yi ying.Lianping Guang Peoples Hospital of Obsterics and Gynecology Guangdong Province 517100,China 【Abstract】 Objective Lower the incidence of nursing errors to improve nursing quality and ensure the safety of patients.Methods Survey paper of nursing errors designed by ourselves was adopted to do the survey on 84 nurses.Results There were 48 nurses having nursing errors and 66 disputes.Among them 16.67%(11 people) was caused by factors related to patients (expectation on the hospital is too high and evasion of payment).83.33%(55 people) was caused by factors related to nurses.Among the twelve factors related to nurses,the ones ranking from the first to the forth are unserious implementation of the system,weak sense of responsibility,bad mood at work and poor language training.Young nurses with low qualification and less experience tend to make mistakes more easily.Conclusion It is suggested to strictly implement various regulations and rules,strengthen the quality of vocational education,strengthen the concept of the rule of law,have normative acts of service and give targeted support to nurses with different qualifications,working experience and ages to reduce the incidence of nursing errors. 【Key words】 Nurses;Nursing errors;Causes;Countermeasures 随着社会的进步，医学科学知识和法制观念的普及，患者的法律意识及经济意识不断增强，对涉及自身利益的医疗护理过程特别关注。2002年9月1日起国务院新的《医疗事故处理条例》开始施行，是社会迈向法制化的体现。然而，在临床护理工作中，稍有不慎，就会出现失误，怎样避免护理差错，把失误降低到零点，是摆在每个护理工作者面前的重要课题。本研究以调查问卷的方式，了解发生护理差错的原因，并提出针对性防范对策，旨在切实降低护理差错发生率。 1 对象与方法 1.1 对象 本院护士84名，均为女性，年龄18~46岁，平均32岁。工作年限1~27年，平均14年。其中大专及以上学历36名，中专48名；主管护师22人，护师32人，护士28人。48人发生1次差错，9人发生2次差错。 1.2 方法