PDCA循环在护士临床给药安全管理中应用观察.docVIP

PDCA循环在护士临床给药安全管理中应用观察 　　doi：10.3969/j.issn.1007-614x.2014.14.99 　　摘 要 目的：探讨PDCA循环在护士临床给药安全管理中的应用效果。方法：2011年1月-2014年1月患者在住院期间发生给药错误不良事件、风险事件80例。未实施PDCA循环期间发生的给药错误不良事件、风险事件为对照组（2011年1月-2012年6月），实施PDCA循环后发生的给药错误不良事件、风险事件为观察组（2012年6月-2014年1月）。对照组按照常规护理方式进行给药与观察，观察组严格按照PDCA循环进行操作。结果：对照组期间出院患者5 636例，发生给药错误不良事件、风险事件60例，发生率1.06%，观察组期间出院患者6 977例，发生给药错误不良事件、风险事件20例，发生率0.29%，两组比较差异有统计学意义（P0.05）。结论：实施PDCA循环管理，可以有效提高临床正确给药，降低给药错误不良事件、风险事件发生率。 　　关键词 PDCA循环管理 临床给药 给药错误 不良事件 风险事件 　　Observation of PDCA cycle applications in clinical nurse administering safety management 　　Zhang Yumei 　　Community Health Center of Shidong Street Office of Bincheng District in Binzhou City，Shandong Province，256600 　　Abstract Objective：To investigate the effect of PDCA cycle applications in clinical nurse administering security management.Methods：80 adverse and risk events of medication errors occur during hospitalization from January 2011 to January 2014.According to the PDCA cycle implementation time，the adverse and risk events of medication errors occuring in this period as the control group.From 2012 June to January 2014，the adverse and risk events of medication errors as the abseration group occurring in after the PDCA cycle implementated.Control group administered and observation with routine care，while the observation group to operate accordance with the PDCA cycle strictly.Results：Discharged 5636 patients in the control group，adverse and risk events of medication errors was 60 cases，and the incidence is 1.06%.6977 cases of patients discharged in the observation group，adverse and risk events of medication errors was 20 cases，and the incidence is 0.29%.There was statistically significant between the two groups（P0.05）.Conclusion：The implementation of the PDCA cycle management can effectively improve the clinical proper administration，and can reduce the incidence of adverse and risk events of medication errors. 　　Key words PDCA cycle management；Clinical administration；Medication errors；Adv