摘要
目的 探讨ICU 危重症患者静脉用药的护理安全管理办法及效果。方法 选取我院 ICU 收治的226例危重症患者（2020.12-2021.12），应用计算机抽样法分为研究组（n=113，静脉用药采取护理安全管理）和对照组（n=113，常规管理），对比两组管理效果。结果 研究组静脉用药不安全事件发生率、一次性静脉穿刺成功率显著优于对照组（P<0.05）。结论 通过护理安全管理 ICU 危重症患者可有效减少不良事件风险，临床应用效果可靠。
关键词： ICU 危重症；静脉用药；护理安全管理
Abstract
Objective To explore the nursing safety management methods and effects of intravenous medication for critical patients in ICU. Methods 226 critically ill patients (December 2020-december 2021) admitted to the ICU of our hospital were selected and divided into the study group (n = 113, nursing safety management for intravenous drug use) and the control group (n = 113, routine management) by computer sampling to compare the management effects of the two groups. Result The incidence of unsafe events and the success rate of one-time venipuncture in the study group were significantly higher than those in the control group (P < 0.05). Conclusion The risk of adverse events can be effectively reduced by nursing safety management for ICU critically ill patients, and the clinical application effect is reliable.
Key words： ICU critical illness; Intravenous administration; Nursing safety management
参考文献 References
[1] 李虹芬,张娟. PDCA 循环在综合 ICU 静脉治疗安全管理中的运用[J].现代医院,2019,16(8):1211-1213.
[2] 王婷,朱明丽,马建萍. ICU 患者静脉用药潜在风险因素与安全管理[J].中医药管理杂志,2019,24(21):61-62.
[3] 罗利雄,欧阳勇征,彭宣艳,等.标识管理用于静脉用药调配中心精细化管理实践与体会[J].中国药业,2019,23(6):58-59.
[4] 刘继平,杨敏,张秀玲,等.目视管理在静脉用药调配中心护理管理中的应用[J].护理研究,2018,32(8):1320-1322.
[5] 何小玲,苏志仙,李家乐. ICU 危重症患者静脉用药潜在风险因素与安全管理[J].中医药管理杂志,2019,24(23):72-73.
[6] 严玲微,林丛,林中,等.重症医学科高警讯药物的管理现状及对策[J].护士进修杂志,2018,28(2):308-310.
[7] 陈玉峰,佘秋熳. ICU 危重症患者静脉用药的护理安全管理措施[J].中医药管理杂志,2019,27(19):172-173.
[8] 周海月,夏玲飞. ICU 危重症患者静脉用药的护理安全管理措施[J].中医药管理杂志,2019,27(18):167-168.