检验医学与临床Issue(19)：2518-2519,2.DOI:10.3969/j.issn.1672-9455.2013.19.009
41例院内上报护理不良事件分析
Analysis of 41 cases of nursing adverse events reported through Intra-hospital Reporting System *
摘要
Abstract
Objective To analyze the causes and characters of adverse events reported through Intra-hospital Reporting System (IHRS) .Methods A retrospective study was conducted to analyze the adverse events collected through IHRS and statistical analysis was used to analyze items ,including patients'age and sex ,time distribution and location ,classification and outcome of the adverse events .Results Incidence in old patients was the highest (55 .6% ) .The top three kinds of nursing adverse events were fall ,pressure sores and medication errors .Department of Geriatrics ,Neurology and ICU had the top three adverse event report ratio .Adverse events happened more fre-quently in daytime (8 :00 am-12 :00 am) ,nighttime (0 :00 am-8 :00 am) and evening (6 :00 pm-0 :00 am) .Fall was the main reason causing severe injury in patients .Conclusion The fundamental way of reducing the incidence of adverse events could be the improvement of management system ,the definition of responsibilities ,the arrangement of re-sources and the nurse training to enhance risk awareness and general quality .关键词
患者安全/不良事件/安全管理Key words
patient safety/adverse events/safety management引用本文复制引用
官莉,李晓愚,廖璞..41例院内上报护理不良事件分析[J].检验医学与临床,2013,(19):2518-2519,2.基金项目
重庆市卫生局科研基金资助重点项目（2010-1-50）。 （）
