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患者安全护理管理屏障及实体防护屏障的设计及应用
引用本文:施雁,段霞,毛雅芬,沈昌亮. 患者安全护理管理屏障及实体防护屏障的设计及应用[J]. 中华护理杂志, 2009, 44(12). DOI: 10.3761/j.issn.0254-1769.2009.12.022
作者姓名:施雁  段霞  毛雅芬  沈昌亮
作者单位:同济大学附属第十人民医院护理部,上海市,200072
基金项目:上海市申康医院发展中心资助项目 
摘    要:目的 建立患者安全护理管理屏障及实体防护屏障,保障患者在接受医疗护理过程中避免不必要伤害.方法 建立患者安全管理制度、安全护理作业流程、安全质量监控系统等管理屏障;设计高危药物障碍、三原色警示标识、预警报警系统等实体防护屏障.结果 护理不良事件发生率下降,护理人员工作过程中的纠错能力增强,患者不安全风险达到预控.结论 建立多重屏障可提高患者安全系数,故护理人员在工作中要不断地发现护理安全屏障的缺如及失效,并有效地加固.

关 键 词:安全管理  病人

The design and application of management and protecting barrier to ensure patient safety
SHI Yan,DUAN Xia,MAO Ya-fen,SHEN Chang-liang. The design and application of management and protecting barrier to ensure patient safety[J]. Chinese Journal of Nursing, 2009, 44(12). DOI: 10.3761/j.issn.0254-1769.2009.12.022
Authors:SHI Yan  DUAN Xia  MAO Ya-fen  SHEN Chang-liang
Abstract:Objective To construct safety management barriers and protecting barriers to ensure patient safety.Methods The management barrier including the safety management system,work flow of safety nursing,and quality supervision system,as well as the protecting barrier including the hazardous medicines obstacle,three colored marks,and predicted alarm systems were developed and applied in clinical practice.Results This practice reduced the rate of adverse nursing events,enhanced nurses' ability to detect and correct errors,and controlled the risk factors of patient safety.Conclusion Constructing multiple barriers can ensure patient safety.It is suggested that nurses should detect the defects and consolidate the barriers consistently.
Keywords:Safety Management  Patients
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