风险因素管理在发热门诊护理中的应用

目的 探讨风险因素管理在发热门诊护理工作中应用的可行性。方法 将2009年5～12月发热门诊收治的患者145例作为对照组，将2010年1～5月发热门诊收治的患者157例作为观察组。对照组实施一般常规护理，观察组采用风险因素管理措施。比较2组患者对发热门诊风险因素的认知，对护理的满意度，风险事件发生率，护理人员差错发生率及对护理人员投诉率。结果 观察组患者认知发热门诊风险因素的得分(85.4±2.7)分，显著高于对照组的(73.2±3.9)分。观察组患者满意度84.7％，显著高于对照组的67.6％。观察组风险事件发生率1.3％，显著低于对照组的6.2％。观察组护理人员差错发生率为0.6％，显著低于对照组的4.1％。观察组患者对护理人员投诉率为1.3％，显著低于对照组的5.5％。结论 在发热门诊实施风险因素管理可以减少医疗事故，提高护理工作质量，因此该管理模式在临床上值得推广与应用。

Application of risk factor management in nursing of the fever outpatient

Objective To investigate the feasibility of apphcation of risk factors management in nursing of the fever outpatient. Methods 145 patients from May to December 2009 admitted to fever clinic was defined as the control group, 157 patients from January to May 2010 admitted to fever clinic were set as the observation group. The control group was given routine nursing, while the observation group adopted risk factor management measures. The management indices of the two groups were compared. Results The patients' recognition score of risk factors of fever clinic was (85.4 ± 2.7)in the observation group, higher than(73.2 ± 3.9)in the control group. Patients' satisfaction degree was 84.7％ in the observation group, higher than 67.6％ in the control group. Rate of risk event of the observation group was 1.3％, lower than 6.2％ in the control group, the incidence of nursing errors was 0.6％ in the observation group, lower than 4.1％ in the control group, rate of patients' complaints of nurses was 1.3％ in the observation group, lower than 5.5％ in the control group. Conclusions The implementation of risk factors management in fever clinics can reduce medical accidents, improve nursing quality, so this clinical management mode deserves promotion and application.