血液病区实施护理安全管理的效果

目的探讨患者安全管理的有效方法以及实施护理安全管理对防止患者发生不良事件的作用。方法选取2010年1—12月汕头市中心医院就诊的500例血液病患者作为对照组，2011年1—12月就诊的500例血液病患者作为观察组。对照组采用传统的护理方法，观察组根据医院管理“患者安全十大目标”，结合血液病专业的实际，查找可能存在的安全隐患，设置患者安全管理的危急值，制定并落实各项护理措施。监测两组患者护理不良事件及投诉发生情况。结果观察组用药错误发生率（2．0％）及患者跌倒率（0．4％）较对照组（2．4％，2．0％）明显降低，两组比较，差异有统计学意义（x2分别为7．24，7．45；P〈0．01）；观察组标本采集错误（0．6％），高危药品外渗（0．4％），压疮（O％），导管脱落（0．2％），患者投诉（0．2％）发生率与对照组比较（2．6％，1．8％，1．O％，1．2％，1．6％），差异有统计学意义（X2分别为6．35，4．50，5．03，4．54，5．49；P〈0．05）。结论血液病区实施护理安全管理能够有效地提高患者的安全因素，防止不良事件及纠纷发生。

Effect of the implementation of nursing safety management in hematology ward

Objective To explore the effective methods for patient safety management and the effect of nursing safety management on preventing the patients from adverse events. Methods Totals of 1000 patients with hematologic diseases in Department of Hematology between January 2010 and December 2010 were observed, with 500 cases in 2010 as the control group and other 500 cases in 2011 as the observation group. Patients in control group received the conventional nursing, while patients in observation group received the new nursing on the base of looking for safety hazards that may existing and set the critical value of patient safety management according to ＂10 goals for Patient Safety＂ initiated by hospital management and combined with the condition of hematology professional. The adverse events and patients＇ s complaints were evaluated. Results The incidence of medication error and tumble among patients in the observation group （2.0%, 0. 4% ） were significantly lower than those of control group （ 2.4% and 2.0% ） （ X2 = 7.24,7.45 ; P 〈 0.01 ）. Meanwhile, the incidence of specimen collection errors, high-risk drug extravasation, pressure ulcers, catheter falling off,and patients＇ complaints in observation group （ O. 6%, O. 4%, 0%, O. 2%, O. 2% ） were lower than that of control group （2.6%, 1.8%, 1.0%, 1.2%, 1.6% ）, and the differences were statistically significant （ X2 = 6. 35, 4.50,5.03,4.54,5.49, respectively ; P 〈 0.05 ）. Conclusions Nursing safety management can effectively improve patients＇ safety factors and prevent the oeeurrence of adverse events and disputes.