493例次临床护理缺点分析及防范对策.docVIP

精品论文 参考文献 493例次临床护理缺点分析及防范对策 施惠碧 黄开群 （广西北海市人民医院北海536000） 作者简介：施惠碧（1966-），女，四川人，内科科护士长，副主任护师，研究方向：护理管理。 【摘要】目的:分析护理缺点发生的相关因素，制定防范对策，使护理缺点消灭在萌芽状态，杜绝差错事故的发生。方法:选取2009年度内科493例次用药以外护理缺点，按护士职责、护理记录书写、基础护理、医嘱处理四个方面分类，并进行分析；按不同班次、不同工作年限及不同职称护理缺点的情况进行比较分析。结果:护理缺点发生从高至低依次为护士职责、护理记录、基础护理、医嘱处理；班次分布依次为日班、夜班、中班；不同工作年限依次为5年内、10年内、10年以上；不同职称依次为护士、护师、主管护师。结论:倡导预防为主，加强护理缺陷管理，合理调配和使用护理人力资源，对低年资护士进行规范化培训，严格执行各项职责、制度和操作规程等，可有效预防或杜绝护理缺点的发生。 【关键词】护理缺点；原因分析；防范对策 【中图分类号】R47【文献标识码】A【文章编号】1008-6455（2010）08-0009-02Causative Analysis and Its prevention Countermeasures on Nursing Defects of 493 cases of clinical medicine. Shi HuibiHuang Kaiqun 【Abstract】Objectives:To analyze relative factors occurred in nursing defects and formulate preventive measures, so that nursing defecs could be nipped in the bud and prevent the occurrence of medical mistakes and accidents. Methods: We analyzed 493 cases of internal medicine nursing defects outside medication occurred in 2009 according to classification of nursing duties,nursing records writing,basic nursing care and medical order processing; and compared situation of nursing defects according to different schedules, different working years and different titles. Results: Nursing defects occurred from high to low order was nursing duties, nursing records writing,basic nursing care and medical order processing;The order from high to low according to schedule was day shift,night shift,evening shift;According to working years was within 5years,within 10 years,more than 10 years；The order from high to low according to titles was nurse,nurse prapractitioner,nurse-in-charge. Conclusions: Advocating prevention first, Strengthening nursing defects management, rational allocation and use of nursing human resources, giving standardized training to low seniority nurses, rigorous implementation of the duties,systems and operating procedures, etc., which could effectively prevent or eliminate the occurrence of nursing defects. 【Key words】Nursing defects; Causative ana