Comparative analysis of nursing adverse events between psychiatric and general departments with SHEL model
10.3760/cma.j.issn.1672-7088.2011.10.029
- VernacularTitle:采用SHEL模式对精神科与综合科护理不良事件的对照研究
- Author:
Caiwen ZHU
;
Yali WANG
;
Changquan HUANG
;
Qiong GUO
;
Na SU
;
Yuxiu WANG
;
Lihua ZHANG
- Publication Type:Journal Article
- Keywords:
SHEL models;
Nursing adverse events;
Security management;
Different specialties
- From:
Chinese Journal of Practical Nursing
2011;27(10):58-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and analyze the causes that occurred in psychiatric and general department using SHEL models, in order to provide evidence of preventing nursing adverse events.Methods We analyzed causes of 136 nursing adverse events using SHEL models, and compared the classification, causes, incidence of nursing adverse events between psychiatric and general departments. Results The first three nursing adverse events in psychiatric department were medication error,going outside, suicide and self harm, and those in general department were medication errors, specimens being wrong, improper operation and pipeline off. 91.18% of nursing adverse events accounted for quality of nursing services, 43.38% accounted for nursing environment, 41.18% accounted for clinical environment,and 57.35% accounted for parties and others. Incidence of nursing adverse events in psychiatric department were higher than that in general department. Conclusions SHEL model can objectively and comprehensively analyze the causes of nursing adverse events, and make nursing managers take the appropriate management strategy and the best safeguard against the risk of development of response.
