Strengthening nursing risk management and improving the quality of emergency nursing
加强护理风险管理提高急诊护理质量研究

摘要

目的 分析加强护理风险管理对提高急诊护理质量的临床应用效果。方法 本次实验为对照实验，研究对象选择于2019年5月至次年1月在我院急诊科接受治疗的患者作为研究对象，共78例，入组后按照护理方法的不同将患者随机分配为对照组和观察组，每组39例患者，其中对照组采用急诊科常规护理干预，观察组在常规护理方法的基础上增加护理风险管理，对比两种不同急诊护理干预模式下的护理质量评分、风险发生情况。结果 使用护理风险管理的观察组，基础护理（95.74±2.13）分，急救设备药品管理（96.51±2.93）分，技术操作（97.51±3.05）分，消毒隔离（93.28±0.51）分，护理文书（95.28±0.54）分；使用常规急诊护理干预的对照组，其基础护理、急救设备药品管理、技术操作、消毒隔离、护理文书等护理质量评分分别为（84.26±2.36）分、（86.28±3.19）分、（89.75±3.52）分、（84.26±3.09）分、（91.08±3.56）分，观察组护理质量评分明显高于对照组，数据间存在统计学意义，（P＜0.05）。其次，观察组出现1例护理差错情况，护理风险发生率（2.56%），对照组出现2例护理缺陷，2例护理差错以及1例护理投诉，风险发生率（12.82%），观察组护理风险发生率明显低于对照组，（P＜0.05）。结论 将护理风险管理应用于急诊护理干预中能够有效提升护理针对性，对护理质量的提升有积极意义。

Abstract

Objective: To analyze the clinical application effect of strengthening nursing risk management on improving the quality of emergency nursing.
Methods: This experiment is a controlled experiment. The research subjects selected patients who were treated in the emergency department of our hospital from May 2019 to January next year, a total of 78 patients. After enrollment, the patients were randomized according to different nursing methods. It is divided into a control group and an observation group,with 39 patients in each group, of which the control group adopts emergency nursing intervention in the emergency department, and the observation group increases nursing risk management on the basis of conventional nursing methods, and compares the quality of nursing under two different emergency nursing intervention modes score, and risk occurrence.
Results: Using the observation group of nursing risk management, basic nursing (95.74 ± 2.13) points, emergency equipment drug management (96.51 ± 2.93) points, technical operation (97.51 ± 3.05) points, disinfection isolation (93.28 ± 0.51) points, nursing documents (95.28 ± 0.54) points; the control group using routine emergency nursing intervention, the basic nursing, first aid equipment drug management, technical operation, disinfection and isolation, nursing documents and other nursing quality scores were (84.26 ± 2.36) points, (86.28 ± 3.19 ) points, (89.75 ± 3.52) points, (84.26 ± 3.09) points, (91.08 ± 3.56) points, the nursing quality score of the observation group was significantly higher than that of the control group, and there was statistical significance between the data (P <0.05). Secondly, there were 1 nursing error in the observation group, and the incidence of nursing risk (2.56%), 2 nursing defects in the control group, 2 nursing errors, and 1 nursing complaint, the incidence of risk (12.82%). The incidence of nursing risk in the observation group was significantly lower than that in the control group (P <0.05).
Conclusion  : Applying nursing risk management to emergency nursing intervention can effectively improve the pertinence of nursing, and has a positive significance for the improvement of nursing quality.