四川省综合医院住院患者非计划拔管风险监控现状调查

目的了解四川省二级及以上综合医院住院患者非计划拔管风险监控管理现状,为建立和完善非计划拔管风险管理模式提供参考。方法采用自行设计的住院患者非计划拔管风险监控调查问卷,对四川省171所二级及以上综合医院进行调查。结果 161所(94.15%)医院开展非计划拔管风险监控,其中157所(97.52%)医院设置有监控机构,均有护理部参与;153所(89.47%)医院有对住院患者非计划拔管的风险评估,160所(93.57%)医院开展非计划拔管风险质量管理督查;10所(5.85%)医院未建立非计划拔管上报机制,36所(21.05%)医院发生非计划拔管后无预警机制,17所(9.94%)医院未开展非计划拔管事件追踪评价。结论四川省二级及以上综合医院开展住院患者非计划拔管风险监控管理相对较好,但在监控机构组成人员、管道监控范围、风险评估工具、风险督查、上报机制、预警机制、追踪评价机制等方面还需进一步完善,以保障非计划拔管管理质量,防范非计划拔管事件发生。

Risk monitoring of unplanned extubation in hospitalized patients in general hospitals of Sichun province

Objective To describe the current status of unplanned extubation (UE) risk monitoring and management for hospitalized patients in secondary and tertiary general hospitals in Sichuan province, and to provide reference for establishment and improvement of UE risk management model. Methods A self-designed questionnaire regarding UE risk monitoring for inpatient was used to investigate 171 secondary and tertiary general hospitals in Sichuan province. Results One hundred and sixty-one hospitals (94.15%) conducted UE risk monitoring, of which 157 (97.52%) hospitals set up monitoring agencies with nursing department involving in. A total of 153 (89.47%) hospitals performed UE risk assessment, and 160 (93.57%) hospitals supervised quality of UE risk management. Ten (5.85%) hospitals did not establish UE reporting mechanism, 36 (21.05%) hospitals did not have an early warning mechanism after UE, and 17 (9.94%) hospitals did not carry out the follow-up evaluation of UE. Conclusion UE risk monitoring for inpatients in secondary and tertiary general hospitals in Sichuan province is relatively well, but the personnel in monitoring agency, catheter type under monitoring, risk assessment tool, risk supervision, reporting mechanism, early warning mechanism, and tracking /evaluation mechanism still need to be improved to ensure quality of UE management and prevent UE.