主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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• 护理安全 • 上一篇    下一篇

前馈控制在护理不良事件管理中的应用

刘金莲   

  1. 北京大学第三医院护理部
  • 出版日期:2014-11-25 发布日期:2014-11-25
  • 基金资助:
    卫生部临床重点专科建设项目(55405-01)

Application of feedforward control in management of nursing adverse events

  • Online:2014-11-25 Published:2014-11-25

摘要: 目的:探讨前馈控制在护理不良事件管理中的应用效果。方法:运用前馈控制对护理不良事件进行管理,同时将护理隐患和不良事件进行分类。分析前馈控制应用前后,不良事件上报情况及其对患者产生的影响。结果:运用前馈控制对护理不良事件进行管理后,2012 年全院上报护理隐患(A 类事件)625 例,2011 年与2010 年无A 类事件上报记录;2012 年上报护理不良事件(B 类和C 类事件)总例数为44 例,较前增加(2011 年36 例、2010 年39 例);2012 年对患者产生影响的护理不良事件(C 类事件)占比为25.00%,较前降低(2011 年为52.78%、2010 年为61.54%)。结论:运用前馈控制对护理不良事件进行管理,可鼓励护士对不良事件进行上报,降低不良事件对患者产生的影响。

Abstract: Objective: To study the effect of applying feedforward control theory in nursing adverse events management.Method: In 2012, we used feedforward control theory in the management of nursing adverse events, and classified nursing hidden trouble events (type A events) and adverse events based on the original nursing adverse events classification. Then, we analyzed the number of reported adverse events and their impact on patients. Results: After using feedforward control in the management of nursing adverse events, 625 nursing hidden trouble events (type A events) were reported in 2012. While there were no type A events reported before 2012. In 2012, there were 44 type B and type C nursing adverse events reported, which were more than 36 cases and 39 cases reported in 2011 and 2010 respectively. Type C events accounted for 25.00% of all nursing adverse events in 2012, which was lower compared to those of 52.78% in 2011 and 61.54% in 2010. Conclusion: Application of feedforward control in management of nursing adverse events can enhance nursing adverse events reporting rate and reduce their impact on patients.