关键词: 清单；风险管理；护理管理；循证护理；护理信息化

Abstract: Objective: To construct, analyze and assess the information platform for nursing risk management based on checklist management, in order to provide reference for nursing risk prevention and control. Methods: Clinical nursing risk points were found under the guidance of 4R crisis management theory. Then evidence was systematically retrieved and integrated combining with clinical situations to form a risk management checklist to finally build the information management platform, which was applied to practice from January 2021. The differences between the number of adverse nursing events, service efficiency, nurse satisfaction were compared before and after the application of the platform. Results: A total of 342 checklists were established and implanted into the information platform referring to 8 aspects, including high-risk drugs, instruments and equipment, high-risk nursing practices, disease complications, education and nurse-patient communication, risks of specialized wards, nursing-sensitive indicators, etc. After the application, the incidence of nursing adverse events decreased from 246.74/100,000 to 42.48/100,000, and the annual percentage change was -61.50% (P<0.001); the service efficiency and nurse satisfaction increased steadily with remarkable effects. Conclusion: The information platform for nursing risk management based on checklist can effectively reduce the occurrence of nursing adverse events and improve their service efficiency to provide certain reference for clinical practice.

Key words: list; risk management; nursing management; evidence-based nursing; nursing informatization