Investigation and analysis of nursing adverse events and discussion on management strategies
10.3760/cma.j.issn.1674-2907.2013.14.036
- VernacularTitle:护理不良事件调查分析与管理策略
- Author:
Hui HAN
1
;
Bin-Quan WANG
;
Feng-Ying KANG
Author Information
1. 山西医科大学
- Keywords:
Safety management;
Nursing management research;
Nursing adverse event;
Management strategy
- From:
Chinese Journal of Modern Nursing
2013;19(14):1702-1705
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore analytical methods for nursing adverse events,in order to provide strategies for safe clinical nursing.Methods Root analysis and SHEL accident analysis were used to analyze 91 cases of adverse events from 2009 to 2011 in a three A level hospital,and to identify their characteristics.Results Nursing adverse events with the highest frequency included medication mistake (15.38％),pressure sore (14.29％) and fall (9.89％).Nurses with different qualifications had different rates of medication mistake and pressure sore,and the differences were statistically significant (x2 =9.55,9.55,respectively;P ＜ 0.05).Nurses of different educational levels had different rates of medication mistake,pressure sore,fall and accident events,and the differences were statistically significant (x2 =11.58,10.29,11.59,8.07,respectively; P ＜ 0.05).The top three factors which affected nursing adverse events were poor communication (14.10％),no strict enforcement of the check system (11.54％),and insufficient evaluation (11.54％).Conclusions Both the quality of nursing staff and the overall hospital nursing management level should be strengthened to enhance patients' safety.
