无陪护新生儿病房护理风险管理程序探讨.docVIP

精品论文 参考文献 无陪护新生儿病房护理风险管理程序探讨 彭红 王桂兰（四川省自贡市第一人民医院儿科 四川自贡 643000） 【中图分类号】R473.72【文献标识码】B【文章编号】1672-5085（2012）24-0266-02 【摘要】目的 探讨无陪护新生儿病房护理风险管理的程序。方法 2011年3月～2012年2月（试验组）在无陪护新生儿病房实施护理风险程序化管理。成立护理风险管理小组，制定新生儿护理风险项目清单及其各种类型护理风险干预措施，入院首次护理风险评估由专业组长执行，各班风险评估及其管理责任由带班组长负责，登记此期间护理差错事故、护理缺陷及投诉情况，并与2010年3月—2011年2月做历史对照。结果 实验组发生护理缺陷12例，其中皮肤损伤3起，输液外渗8起，其他1起，护理投诉8起；对照组发生护理缺陷41例，其中皮肤损伤12起，输液外渗25起，其他4起，护理投诉25起。两组护理缺陷及投诉比较，Plt;0.05，差异有统计学意义。结论 无陪护新生儿病房实施程序化护理风险管理，可增加护理风险管理的预见性，避免风险评估的差异性，进一步明确风险责任，保证患者护理安全。 【关键词】护理风险 新生儿病房 管理程序 护理缺陷 Discuss nursing risk management program in the no accompanying neonata1 ward 【Abstract】　Objective To Discuss nursing risk management program in the no accompanying neonata1 ward.Methods To use nursing risk management pr℃edures from March 2011 to February 2012( test group) in unattended neonata1 ward.Estab1ishment of nursing risk management group，to formu1ate 1ist of neonata1 nursing risk and various types risk interventions，of nursing admitted to hospita1 for the first time nursing risk assessment by the professiona1 head of the c1ass imp1ementation，risk assessment and management reSPOnsibi1ity by shift incharge is reSPOnsib1e for the registration，during the period of nursing mistakes and accidents，nursing defects and comp1aints，and in 2010March-2011February history in contro1.Resu1ts There were 12 cases nursing defects in test group,in which the skin injury 3 cases，infusion extravasation 8,other1,nursing comp1aints in 8; nursing defects ℃curred in 41 cases in the contro1 group ，in which the skin injury in 12 cases，infusion extravasation in 25，other 4，nursing comp1aints in 25.the difference of nursing defects and comp1aints were statistica11y significant(Plt;0.05).Conc1usion nursing risk management pr℃edures can increase foresight of the nursing risk management，avoid the risk assessment of the differences，to further c1arify the risk 1iabi1ity，guarantee nursing safety in the no accompanying neonata1 ward 【Key words】　nursing risk neonata1 ward managem