输液不良事件原因分析与对策

目的探讨输液不良事件的原因及解决方法。方法对某二甲医院某科室自报的59例次输液不良事件，按照根源性错误分类方法对其原因进行划分，寻找解决对策。结果输液不良事件的原因分别为医嘱处理不当，操作失误，巡视不及时及意外伤害和医护合作不协调。结论提高护理人员的业务素质，加强护理操作中的核对制度，合理排班，加强医护人员之间的沟通有助于减少输液不良事件的发生，促进患者康复。

Analysis on the reasons and Countermeasures of transfusion adverse events

Objective Based on the analysis of the reason infusion adverse events, find solutions. Methods Through department self-reported infusion of adverse events 59 patients＇ time＇s adverse events, according to root infusion of misclassification method will cause of adverse events division. Results The cause＇s infusion adverse events were orders of handling problems, operating problems, patrol problems and accident harm and medical co-operation. Conclusion To enhance nursing staff personnel＇s service quality and strengthen the nursing practice, properly arrange check system, strengthen the divisions of the communication between the medical staff to reduce adverse events.