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| 根本原因分析法在护理不良事件中的应用 | |
| 引用本文： | 乔艳,纪成莲. 根本原因分析法在护理不良事件中的应用[J]. 护理管理杂志, 2010, 10(10): 747-748 |
| 作者姓名： | 乔艳 纪成莲 |
| 作者单位： | 昆山市第三人民医院护理部,215300;昆山市第三人民医院急诊科,215300 |
| 摘 要： | 目的探讨根本原因分析法在护理不良事件中的应用及效果。方法对护理人员进行培训,成立根本原因分析小组;收集事件相关资料;找出近端原因;确认根本原因;制订和执行整改措施。结果护理不良事件上报率增加、发生率降低,差异均具有统计学意义(P0.01)。结论根本原因分析法是提高护理安全管理的有效保证。 |
| 关 键 词： | 根本原因分析法 护理不良事件 安全管理 |
Application of root cause analysis in the management of adverse nursing events |
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| QIAO Yan,JI Cheng-Lian. Application of root cause analysis in the management of adverse nursing events[J]. Journal of Nursing Administration, 2010, 10(10): 747-748 | |
| Authors: | QIAO Yan JI Cheng-Lian |
| Affiliation: | QIAO Yan ,JI Cheng - Lian( 1. Nursing Department;2. Department of Emergency, The Third People g Hospital of Kunshan City, Kunshan 215300, China) |
| Abstract: | Objective To explore the application and effect of root cause analysis in the management of adverse nursing events. Methods The measures included establishing and training the team of root cause analysis,collecting event - related information,identifying the proximal causes and root causes, developing and implementing the corrective measures. The incidicence and reporting rate was compared before and after the practice. Results The incidence and the reporting rate of adverse events both declined significantly（ P 〈 0.01 ）. Conclusion Root cause analysis is a kind of effective guarantee to improve the nursing safety management. |
| Keywords: | root cause analysis adverse nursing event safety management |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |