Application of root cause analysis in prevention of adverse events in hematodialysis center
10.7619/jcmp.201718010
- VernacularTitle:根本原因分析法(RCA)在预防血透中心护理不良事件中的应用研究
- Author:
Lanping HU
1
;
Yanmei LIANG
Author Information
1. 四川省绵阳市中心医院 血液透析中心
- Keywords:
root cause analysis;
hemodialysis center;
nursing;
adverse events
- From:
Journal of Clinical Medicine in Practice
2017;21(18):30-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of root cause analysis (RCA) in prevention of adverse events in hematodialysis center.Methods A total of 120 patients treated in our hospital carried out root cause analysis (RCA) management in hematology center from January 2016.The incidence of adverse events,the rate of reporting and nursing satisfaction were compared before and after RCA.Results After the implementation of RCA,the incidence of adverse events was significantly lower,and rate of reporting was improved than implementation before (P ＜ 0.05);After implementation of RCA,the incidence rates of nurse-patient disputes in hemodialysis center were significantly lower than that implementation before (P ＜ 0.05);After RCA,the patient's satisfaction with hemodialysis was significantly improved compared with treatment before (P ＜ 0.05).Conclusion RCA can effectively change traditional management concept,strengthen the safety of hemodialysis care,and improve working efficacy of nursing staff and nursing quality,reduce adverse events of hemodialysis and nurse-patient disputes,and enhance patients'satisfaction.
