门诊输液室静脉用药中安全隐患调查分析及对策.docVIP

门诊输液室静脉用药中安全隐患调查分析及对策 　　[摘要]目的：了解门诊输液室护士在静脉用药中存在的安全隐患，寻求适用于静脉安全用药的对策，帮助护士及护理管理人员提高安全护理的应对能力。方法：选择县级以上9所医院235名护理人员，分别按学历和职称分组，采用自制的问卷调查目前门诊输液室护理队伍中静脉用药不安全因素。结果：在静脉用药安全隐患因素综合得分方面，不同学历组间和不同职称组间差异有统计学意义。结论：高学历和高职称的护理人员在静脉用药中的安全方面优于低学历及职称者。护理人员必须加强静脉用药安全知识的学习，严格执行操作规程，建立健全静脉用药安全性应当遵循的工作方法和制度，有效防范护理差错事故，保障患者安全。 　　[关键词]静脉用药；安全隐患；对策 　　[Abstract]Objective: To investigate the hidden dangers of intravenous medication in the outpatient transfusion room, and seek the countermeasures suitable for the safe intravenous medication in order to help the nurses improve the ability of safe nursing．Methods:A total of 235 nurses in 9 hospitals above the county level were divided according educational background and professional title separatel．All were interviewed with the self-made questionnaire on the main insecurity factors of current intravenous medication in the outpatient transfusion room currently. Results:On the aspect to overall merit of hidden dangers existing in intravenous medication，there is statistical significance between the different educational background and professional title．Conclusions:The nursing staff with diplomas and high professional titles do better than those with low education and professional titles on the aspect to safety of intravenous medication . The nursing staff must reinforce learning intravenous medication， and execute standard operating procedure strictly. The approach and system on safe intravenous medication should be established to prevent the occurrence of nursing errors and ensure the safety of patient． 　　[Key words]intravenous medication；hidden dangers ；countermeasures 　　 　　 　　门诊输液室汇集了医院各科门诊输液病人，每天要接待大量的不同年龄、不同病情的病人以及不同的医师、数十种的静脉用药，护理工作量非常大，护士人力资源又相对紧张，有时静脉用??中难免存在着安全隐患。为了解门诊输液室护理人员在静脉用药中存在的安全隐患问题，寻求适用于安全静脉用药的对策，帮助护士及护理管理人员提高安全护理的应对能力，本文采用自制问卷调查法，以目前门诊输液室护理队伍中存在的静脉用药不安全因素为内容，抽样调查山东滨州县级以上9所医院门诊输液室235名护理人员在静脉用药中存在的安全隐患问题，进行统计学分析，现报告如下。 　　1对象与方法 　　1.1研究对象滨州县级以上9所医院门诊输液室护理人员，共抽取235人，年龄22～49岁，平均年龄（34.0±8.8）岁，工作年限1～29年，平均（12.5±7.8）年。学历构成：中