产科夜间护理风险管理思路与方法

目的探讨产科夜间护理存在的风险隐患,为提高护理安全提供有效的防范管理措施。方法对2004-2006年我院产科夜间医疗护理存在的高风险因素进行了统计分析。结果夜间阴道分娩率明显高于白天(P<0.01),夜间剖宫产率占夜间分娩率的45.0%。夜间新收孕产妇中高危孕产妇占42.3%,夜间新收高危孕产妇中胎膜早破占62.0%。产科病区低年资合同护士占夜班人数56%。结论针对夜间不安全因素或高风险问题,提出相应护理管理措施和方法,以确保母婴安全、减少医疗纠纷事故发生。

Risk Management Methodology in Night Nursing of Obstetrical Patients

Objective To discuss the potential risks in night nursing of obstetrical patients,improve the nursing safety,prevent errors and disputes and propose effective prevention measures.Methods The risks factors identified in the night nursing of obstetrical patients were analyzed based on the data collected between 2004 and 2006.Results The rate of vaginal delivery at night was significantly higher than that in daytime(P<0.01),and 45.0% of deliveries at night were through cesarean sections.Of the pregnant women admitted at night,42.3% were high-risk gravidas,among whom 62.0% experienced premature rupture of membrane.Less experienced nurses accouted for the majority of the night shift(56%) in department of obstetrics.Conclusion To better manage the potential risk factors in the night nursing of the obstetrical patients,effective measures should be postulated and implemented to ensure the maternal and neonatal safety and to reduce the disputes between the patients and the hospital.