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
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39例温针灸烫伤的原因分析及管理改进建议

庄君贤 钟印芹 刘牧军   

  1. 深圳市福田区中医院门诊部
  • 出版日期:2015-01-25 发布日期:2015-01-25

The application of Root Cause Analysis on the management of 39 burns in acupuncture with warming needle

  • Online:2015-01-25 Published:2015-01-25

摘要: 目的:探讨温针灸烫伤根本原因及管理改进措施。方法:应用根本原因分析法对39 例温针灸烫伤事件进行原因分析,识别风险因素,找出根本原因,制订整改措施,并与整改措施实施后的温针灸烫伤率进行对比分析。结果:整改措施实施前后烫伤发生率比较差异有统计学意义,整改措施实施后温针灸烫伤率明显降低,差异有统计学意义(P <0.01)。结论:进行温针灸烫伤的原因分析,有助于制定整改措施,降低了温针灸烫伤的发生率,促进了温针灸治疗的安全管理和护理质量的持续改进。

Abstract: Objective: To explore the effect of Root Cause Analysis on the management of burns in acupuncture with warming needle. Methods: We analyzed the reasons of 39 burns in acupuncture with warming needle by Root Cause Analysis,identified the risk factors, found out basic reason, took corrective measures, and compared the effect before and after the implementation of the corrective measures. Results: The incidence of burns reduced significantly after the implementation of corrective measures (P<0.01). Conclusion: Root Cause Analysis and corrective measures are effective for safety management of burn in acupuncture with warming needle and help to reduce the incidence of burn and to improve nursing quality continuously.