基于灾害脆弱性分析的普外科急诊手术护理风险管理及效果分析.pdfVIP

医疗安全

基于灾害脆弱性分析的普外科急诊手术护理

风险管理及效果分析

Risk Management and Effect Analysis of Emergency Surgery Nursing 

in General Surgery Department Based on Hazard Vulnerability Analysis

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□王小敏WANGXiao-min陈晓萱CHENXiao-xuan尉碧瑶WEIBi-yao王婧玥WANGJing-yue

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夏丽敏XIALi-min

摘要Abstract

目的探讨灾害脆弱性分析(HVA)在普外科急诊手术护理风险管理中的应用及效果。方法运用灾害脆弱性分

析管理工具对普外科急诊手术护理风险进行系统分析，通过RISK风险值计算及矩阵分析，明确需要优先关注及

改进的风险事件，制定并实施前瞻性防控与改进措施。结果实施HVA及改进后，普外科急诊手术有5项高风险

事件的RISK风险值均明显下降，降幅均达到50%以上；护理安全事件发生例数减少了38.94%，其中投诉事件减

少了77.77%、管道相关事件减少了47.05%。结论采用HVA管理工具对普外科急诊手术护理风险进行分析与管控，

可提升科室应急管理能力，保障医疗护理安全。

ObjectiveToexploretheapplicationandeffectofhazardvulnerabilityanalysis(HVA)innursingriskmanagement

ofemergencysurgeryingeneralsurgerydepartment.MethodsHVAandmanagementtoolswereusedtosystematically

analyzethenursingrisksofemergencysurgeryingeneralsurgerydepartment.ThroughthecalculationofRISKvalueand

matrixanalysis,theriskeventsthatneedpriorityattentionandimprovementwereidentified,andprospectiveprevention

andcontrolandimprovementmeasureswereformulatedandimplemented.ResultsAftertheimplementationofHVAand

theimprovement,theRISKvalueof5high-riskeventsinemergencysurgeryingeneralsurgerydepartmentdecreased

significantly,andthedecreasewasmorethan50%.Thenumberofnursingsafetyeventswasreducedby38.94%,ofwhich

thecomplaintseventswerereducedby77.77%,andthepipelinerelatedeventswerereducedby47.05%.Conclusion

TheapplicationofHVAmanagementtooltoanalyzeandcontrolthenursingrisksofemergencysurgeryingeneralsurgery

departmentcanimprovetheemergencymanagementabilityofthedepartmentandensurethenursingsafety.

关键词 Key words：灾害脆弱性分析