儿科护理不良事件发生情况的原因分析

目的:统计住院患儿护理不良事件的发生率,分析住院患儿护理不良事件发生的原因。方法:采用回顾性研究,对某三级甲等专科医院2010年1月至2012年9月上报的172例不良事件进行分析。结果:儿科护理不良事件每百张床年上报率为10.41%;不良事件的种类及所占比例主要为:坠床/跌倒41例(23.8%),液体外渗28例(16.3%),给药错误26例(15.1%);不良事件的级别主要为未造成后果事件(60.5%);不良事件的高发时段为8:00-11:59,高发年龄段为<3岁(45.9%);工作时间<3年的护士值班期间不良事件的发生率最高(41.9%)。结论:护理管理者应根据儿科护理不良事件发生的原因采取有针对性的护理措施,以降低不良事件的发生率,提高医疗护理质量,确保患儿住院期间的安全。

Incidence rate and cause analysis of adverse events in pediatric nursing

Objective：To calculate the incidence rate of nursing adverse events in hospitalized pediatric patients and analyze the causes of these events.Methods： Totally 172 adverse events occurred from January 2011 to September 2012 in a tertiary ClassA special hospital by the retrospective study.Results： The incidence rate of one hundred bed was 10.41%.Among the 172 adverse events,falls,liquor leakage,and medication error was 41（23.8%）,28（16.3%）,and 26（15.1%） respectively.About 60.5% of the adverse events did not lead to serious consequence.Most events occurred from eight to twelve in the morning and in patients less than 3 years old（45.9%）.The nurses with 0~3 working years were more responsible for the event（41.9%）.Conclusion： According to the these features,nursing manager should take corresponding measures to decrease the incidence rate,improve the medical and nursing quality,and ensure the safety of the hospitalized pediatric patients.