146例护理不良事件原因分析及对策

[摘要] Abstract：ABSTRACT: Objective To analyze the cause of 146 nursing related adverse events and to provide preventive measures. Methods A total of 146 nursing related adverse events reported between January 2014 and June 2015 were retrospectively analyzed, and the causes and features of adverse events were analyzed. Results Major adverse events included execution error of medical order, catheter removal or falling, falling and inaccurate operation. Execution error of medical order, accounting for 38.36% (56/146), was caused by lack of accurate execution, and violation of operative regulation. There were 30 cases with catheter removal or falling, accounting for 20.55 %( 30/146). Nursing related adverse events were more likely to occur during day shifts and in nurses with less than five occupational years. Conclusion Targeted nursing intervention implemented by 3 E concept can reduce adverse events and improve nursing quality.

[学科分类] 护理学

[关键词] 护理不良事件;原因分析;技术;管理;教育