护理风险管理在重症病人院内转运中的应用

根据风险管理方法程序,找出重症病人院内转动中存在的和潜在的护理风险,评估重症病人转运过程中的安全隐患,制定护理标准制度,规范重症病人转运过程。实施有效地护理风险管理,对预防病人转运过程中的护理安全隐患,减少护理纠纷具有重要作用。     

急危重病人转运的护理风险及管理对策

随着社会经济的不断发展,医疗卫生体制改革的不断深入,《医疗事故处理条例》的出台,病人的法律意识和维权意识不断增强。由于急危重病人病情变化迅速,病情复杂,并发症多,家属的心理压力大,心理承受力差,情绪容易失控,在急危重病人转运过程中,护理人员承担着很大的风险。如何加强急危重病人转运过程中的风险管理,确保护理安全,成为护理管理者急需解决的问题。为了保障急危重病人的转运安全,减少护理纠纷,我院制定了一系列护理风险管理措施,取得了较好的效果,介绍如下。1急危重病人转运过程中的护理风险分析1.1院外接诊病人的护理风险1.1.1院…     

急危重患者院内转运的护理风险管理

探讨急诊科急危重患者院内转运中的护理风险和管理对策。针对急危重患者转运过程中存在和潜在的护理风险,制定了一系列护理风险管理措施:健全风险管理制度,完善转运工作流程;坚持预防为主,认真履行告知义务;加强理论技能培训,保证夜间急诊绿色通道通畅。作为护理管理者,在风险管理过程中应注重发现不安全因素,通过提高护理人员的抗风险意识和对风险事件的处理能力,从而降低护理风险发生率。     

医院搬迁中患者集体转运的护理安全管理

总结了某医院搬迁中患者集体转运的护理风险管理措施及安全对策。主要包括制定全面的转运方案及应急预案,对护理人员进行风险意识及急救技能培训,制定详细、科学转运流程,合理分类患者,严格实施转运流程。认为建立前瞻性风险管理机制,加强护理人员风险教育、抓好转运途中的风险管理,实施有效的患者安全转运护理管理策略能杜绝护理差错事件发生,降低转运途中风险及护理不良事件的发生,确保患者集体转运的安全。     

护理风险管理在老年病房搬迁转运及安置过渡期的运用

目的：观察护理风险管理在老年病房因改建两次搬迁转运时及临时安置病房6个月过渡期内的应用效果。方法 ：选择我院内一病区2015年9月至2016年3月两次搬迁转运时及临时安置病房6个月过渡期内实际开发68只床位收治的老年患者,在常规护理的基础上实施护理风险管理。并监测二次搬迁转运途中和临时病房安置期内的病人安全情况（跌倒、坠床、导管脱落、意外拔管、病人走失）,以及住院病人及家属的满意度。结果：在前后二次搬迁转运途中未发生跌倒、坠床、导管脱落、意外拔管、病人走失等护理不良事件;在6个月的临时安置病房过渡期内,跌倒的发生率为0.1‰,无坠床、导管脱落、意外拔管、病人走失等护理不良事件的发生。住院病人及家属满意度为98.29%（688/700）。结论：在老年病房改建搬迁转运及安置过渡期内,加强护理风险管理,重视搬迁过程中护理风险管理的全员性、全面性、全程性,可降低护理风险的发生,提高患者及家属的满意度。     

PDCA管理和护理风险管理在急诊科危重患者院内转运中的应用

目的探讨PDCA循环管理和护理风险管理在急诊科危重患者院内转运中的应用效果。方法 2014年10月~2015年10月,本院急诊科室对急诊危重患者院内转运过程中应用PDCA循环联合护理风险管理,观察对比PDCA循环联合护理风险管理实施前6个月及实施6个月后急诊患者护理质量、意外风险发生及患者满意度的情况。结果实施后急诊基础护理、专科护理、病房管理、文书管理、安全管理、急救药品器械管理及总护理质量评分高于实施前,差异有统计学意义(P0.05)。实施后接收科室满意率高于实施前,而意外发生率、转运死亡率及护理纠纷事件低于实施前,差异有统计学意义(P0.05)。结论 PDCA循环管理和护理风险管理能有效提高急诊科危重患者院内转运中护理质量,降低患者意外风险,提高患者满意度。     

急性颅脑外伤病人院内转运的风险分析和护理对策

总结138例急性颅脑外伤病人在院内转运中的风险和护理对策。认为未正确把握转运指征、准备不充分、安全措施不到位等为转运中的风险因素，全面评估病情、充分准备、预处理干预等护理措施能降低转运风险。     

风险管理在骨科病人长途转诊中的应用

总结582例骨科病人在长途转诊中存在或潜在的风险及应对措施。包括转运前做好急救物品准备和病人病情交接，增强护士的风险意识，完善相应转诊工作制度，制定系统和专科风险防范措施与预案，加大风险监控。认为加强风险管理是提高护理质量、保证护理安全的关键。     

护理风险管理在呼吸内科病房中的应用

[目的]观察护理风险管理在呼吸内科病房中的应用效果。[方法]将100例呼吸内科病人随机分为观察组和对照组各50例,对照组病人给予常规护理,观察组病人实施护理风险管理,比较两组病人的基础护理质量、病房消毒质量、护理满意度及护理风险发生率。[结果]观察组病人基础护理质量、病房消毒质量、护理满意度明显高于对照组(P<0.05);护理风险发生率明显低于对照组(P<0.05)。[结论]呼吸内科病房中应用护理风险管理可提高护理质量及病人满意度、降低护理风险。     

手术后患者转运途中潜在风险因素分析与对策

手术室护理工作的风险无处不在,医护人员对患者手术过程中的风险管理十分重视,而忽略了术后患者转运中潜在的风险因素存在.     

Visiting rights only: the diplomas in nursing in the UK in the interwar period

The aim of this article is to explore the institution and organisation of the diplomas in nursing at the universities of Leeds and London, which were established in 1921 and 1926, respectively. It will be argued that the success of these courses for the individuals who undertook them, and the profession as a whole was ultimately limited. It is accepted that the purpose of the diplomas was at least in part for the nursing elite to maintain their grip on the leadership. Nevertheless, the institution of the courses, when few women in general attended university, identifies a 'radicalness' within the profession, which has rarely been considered. Moreover, that there was a body of nurses capable of university level education challenges previous assumptions.     

Pitfalls in the Care of the Psychiatric Patient in the Emergency Department

Background

Care of the psychiatric patient in the Emergency Department (ED) is evolving. As with other disease states, there are a number of pitfalls that complicate the care of the psychiatric patient.

Objective

The purpose of this article is to update Emergency Physicians concerning the pitfalls in caring for the psychiatric patient, and possible solutions to deal with these pitfalls.

Discussion

The article will address the burden of the psychiatric patient, staff attitudes, medical clearance process, treatment of the agitated patient, suicidal patients, and admission decisions.

Conclusions

Alternative care resources, collaboration with Psychiatry, staff education, improvement in the medical clearance process, proper use of restraint and seclusion, and appropriate choice of medication for agitated patients can help avoid some of the top pitfalls in the care of the psychiatric patient in the ED.     

Changes in the parameters of the rhythms of the electrolyte-excreting function of the kidneys in women in relation to the seasons of the year

The characteristics (period, mesor, amplitude) of the rhythms of urinary excretion of sodium, potassium, chlorine, calcium, magnesium, and phosphorus were examined in normal women during various seasons. The urine was collected for 5 days with 4-hour intervals. The rhythms were detected and their parameters established with the use of mathematical methods for the assessment of the tested curve fragments repetitions and by the least squares nonlinear method. The rhythms of renal urinary and electrolyte excretion were found very smooth, particularly so in the fall and winter. The circadian rhythms have been found the most stable during all the seasons. Examinations of individual electrolyte excretion have shown that Na and K excretion is more stable all the year round and therefore this parameter is the most informative for the detection of disorders in renal electrolyte excretion.     

Choosing the choices in the USA: examples in the maternity area

The concept of choice has featured prominently in both the recent united Kingdom (UK) health care reforms and in the debate relating to the care of childbearing women. An invitation to the USA facilitated contemplation of the health care system on which the recent UK reforms have been modeled. The impact of the health system on mother's choices was a source of particular interest. The implications for midwives, their practice and their relationships with their clients and colleagues emerge clearly. It may be that the United States' model of health care does not answer the needs of the UK.     

Change in the drug-metabolizing function of the liver in patients in the postoperative period in relation to the type of anesthesia]

Anesthesia-dependent changes in pharmaco-metabolic liver function have been studied in patients operated on for cosmetic facial defects. It has been established that the postoperative period in patients subjected intraoperatively to general combined anesthesia and controlled lung ventilation was characterized by inhibited drug metabolism in the liver, which required correction of the drug doses to reduce the risk of side and toxic effects of pharmacotherapy. Patients operated on under local procaine anesthesia had no considerable changes in pharmaco-metabolic liver function in the postoperative period.