基于休哈特质量控制图的安全预警系统对护理安全不良事件的管理效果

目的研究基于休哈特质量控制图的安全预警系统在护理工作应用中对护理安全不良事件的管理效果。方法 2013年12月至2015年12月,便利抽样法选择108名进行护理安全不良事件管理的护士,按照随机数字表法分为研究组(54名,采用基于休哈特质量控制图安全预警系统管理)和对照组(54名,采用常规护理安全不良事件管理);对比两组护理综合质量评分、护理安全质量检查评分以及护理安全不良事件发生率。结果研究组护理综合质量评估中基础理论、专科理论、基础操作、专科操作的单项评分以及护理安全质量检查中病区管理、安全用药、护理安全、文件书写等单项评分均高于对照组,护理满意度中一般满意度、外在满意度、内在满意度等单项评分亦高于对照组,给错药、跌倒、坠床、药物外渗、管路滑脱等不良事件发生率则低于对照组,差异均有统计学意义(均P0.05)。结论基于休哈特质量控制图的安全预警系统护理管理方法在护理安全不良事件管理中的应用中,可保证系统稳定性,并对护理安全评定有良好的界限控制,安全信息报告准确,有助于提升护理管理质量,值得在临床中推广应用。

Analysis on the Management Effect of the Safety Early Warning System Based on Hugh Hart Quality Control Chart for Nursing Safety Adverse Events

Objective To study the quality control chart based on Hugh Hart -security early warning system in nursing application effect on the management of nursing safety and adverse events.Methods By convenience sam-pling,108 nurses in nursing safety management of adverse events were selected and randomly divided into study group (n=54,security early warning system for quality control chart based on Hart-management)and the control group (n=54,the conventional nursing security management of adverse events).The general nursing quality eval-uation,nursing safety quality inspection,and nursing safety incidence of adverse events were compared between two groups.Results The nursing comprehensive quality assessment of basic theories,specialized subj ect theory, basic operation,the specialized operation of single score in experimental group were higher than that of control group.Nursing safety quality inspection in the ward management,safe medication,nursing safety,documents writing and other individual scores in experimental group were higher than that of control group.The nursing satis-faction in general satisfaction,extrinsic satisfaction,inner satisfaction,such as single score in experimental group were higher than that of the control group;and the incidence rate of giving the wrong medicine,falling,falling bed,drug extravasation,tube removal lower incidence of adverse events in experimental group were less than which in control group (all P<0.05).Conclusions Quality control chart based on Hart-safety early warning sys-tem for nursing management method in the application of nursing security management of adverse events to ensure system stability,and has good line control to the nursing safety evaluation.Accurately safety information report can significantly improve the quality of nursing management,and it has a broad application prospect in clinic.