|
|
Analysis of Status and Influencing Factors of Patients-identification with Correct Implementation before Pediatric Nursing Procedures |
XIONG Liang, ZHU Li-hui, XIE Jian-hui, et al |
Hunan Children's Hospital, Hu Nan changsha 410007 |
|
|
Abstract 【Objective】To investigate the status and influencing factors of patient-identification with correct implementation before pediatric nursing procedures in our hospital. 【Methods】A total of 300 nursing staff from emergency department, outpatient units and 32 wards in our hospital were selected by cluster sampling from September 2018 to December 2018. The survey covered 10 common nursing procedures (indwelling intravenous infusion, replacing liquid, blood collection/blood transfusion, intramuscular injection, intradermal injection, oral medication, aerosol inhalation, vital signs measurement, issuing checklists and instruments, and patients returning bed). The status of patient-identification before any of those operations by pediatric nurses was evaluated by wristband information viewing and patient's identity checking and asking. 【Results】Among the 300 nursing staff in our survey, patients' identification were correctly performed 232 times. The correct implementation rate was 77.33%. The total number of unqualified patient-identification before operations were 68 times (22.67%). Univariate analysis showed that the differences of correct implementation rate for patient-identification before operation among working years, job titles, investigation time period and department categories were statistically significant (P<0.05). Multivariate logistic analysis also showed that years of work, job title, investigation period, and department were independent risk factors that affected the correct identification of patients before operation (P<0.05). 【Conclusion】Pediatric nurses in our hospital still have room for further improvement in the identification of patients before any operations. The training of nursing staff at all levels should be emphasized, and the core system should be implemented. At the same time, the operational procedures should be standardized to strengthen the awareness of risk prevention of nursing staff.
|
Received: 25 September 2019
|
|
|
|
|
[1] 中国医院协会. 患者安全:CPSG.1正确识别患者身份[EB/OL].[2016-11-25]. http://www.360doc.com/content/16/1125/21/18-74340_609519571.shtml.
[2] 曹荣桂. 中国医疗质量与患者安全[J].中国医院, 2007, 11(11): 1-4.
[3] 张红梅, 焦静, 李艳, 等. 护理质量敏感性指标体系的构建[J].中华护理杂志, 2017, 52(7): 55-58.
[4] 陈少雄, 郑秀慧. 医疗安全不良事件的原因分析与管理对策[J].中国现代医生2018, 15(5): 143-145.
[5] Doran DM, Hirdes JP, Blais R,et al.Adverse events among Ontario home care clients associated with emergency room visit or hospitalization: a retrospective cohort study [J].BMC Health Serv Res,2013, 13: 227.
[6] 孔旭, 陈巧. 运用PDCA提高门急诊输液患者身份识别制度执行正确率[J].当代护士 (上旬刊), 2019, 26(2), 184-186.
[7] 杨晓荣, 黄园园, 李雪, 等.儿科身份识别腕带使用现状调查及原因分析[J].护理学杂志, 2018, 33(14): 75-77.
[8] 曹雅楠. 品管圈降低儿科住院患者腕带未佩戴率中的应用[J].检验医学与临床, 2016, 13(1): 363-366.
[9] 张玉, 袁娇, 龙宝贵, 等. I-PASS交接班模式对急诊儿科交接班质量及护理效果的影响[J].医学临床研究, 2019, 36(5): 1037-1039.
[10] 汤阿毛, 李益民, 陆骏, 等. 杭州300 名临床一线高年资护士自我效能现状及影响因素分析[J].护理学报, 2016, 23(18): 44-47.
[11] 张卫红, 何义凤, 王秀燕, 等.某三级甲等医院护理不良事件发生情况分析[J].中华现代护理杂志, 2015, 21(7): 842-844.
[12] 萧雪英, 杨少芳, 陈清钢, 等. 直观教育联合预见性护理对使用安全型专用针患者不良事件发生率舒适度及配合度的影响[J].医学临床研究, 2019, 36(5): 1000-1002.
[13] 胡露红, 席新学, 熊沫, 等. 住院患者参与用药安全核查认知及态度的质性研究[J].护理学杂志, 2019, 34(13): 11-14.
[14] 叶爱琴, 韩禄禄, 石楠, 等. APN排班模式下护理工作满意度与护士疲劳度相关性分析[J].齐鲁护理杂志, 2016, 26(20): 49-51.
[15] 陈红娟, 屈伟.某院2017年门诊、病区用药相关不良事件的调查研究[J].临床医药文献杂志, 2018, 5(76): 179-180. |
[1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2019, 36(8): 1658-1659. |
|
|
|
|