[摘要] 目的:控制和减少门急诊不安全因素,提高护理安全水平和护理质量。方法:分析病人、药物、护士和环境方面的不安全因素,从管理机制、人员培养和病人管理方面采取相应措施,以降低不安全因素的影响。结果:患者满意率从两年前的87%提高到94%,减少了纠纷和差错事故的发生。结论:缺陷管理制度有利于提高门急诊输液观察室的护理水平,保证病人安全。

    [关键词] 门急诊;输液;不安全因素

    [Abstract] Objective: In order to improve the quality of nursing care and provide patients with high quality service, we controlled and decreased possible factors of insecurity in outpatient and emergency infusion observation room of our hospital. Methods: Factors of insecurity in aspects of patients, drugs, nurses and environment were analyzed, then solutions were found out in the management system, staff development and patient management. Results: Patient satisfaction rate was improved to 94% from 86% two years ago and the occurrence of disputes and medical errors was reduced. Conclusion: Defect management system will help improve?nursing quality in outpatient and emergency infusion observation room and ensure patient safety.

    [Keywords] Outpatient and emergency room;infusion;factors of insecurity

    我院急诊就诊病人多、病种复杂、病情重,大部分病人需留观输液,再加上急诊观察室还承担了门诊输液任务,日平均输液量在250人次以上 ......