普外科病房药物配置中护理中断事件现况调查及分析

摘要

目的 调查普外科病房护士在药物配置时护理中断事件的现况,并分析引起护理中断事件的原因,为临床护理安全给药提供参考.方法 2016年3—4月对天津医科大学总医院普外科护士药物配置进行105次观察,记录护理中断事件的次数、持续时间、来源及结局.结果 实际观察药物配置过程合计39 h,发现护理中断事件402例次(10.3例次/h);每次观察中,发现中断事件(3.83±1.92)例次,中断事件持续(4.70±2.50)min;不同时间护理中断事件的次数、频率及持续时间的差异有统计学意义(P<0.05);中断事件的首要来源及原因是护士同事(34.8%)及给予信息(23.8%).结论 普外科护士药物配置时护理中断事件发生率高、来源多,结局多为消极.应采取措施减少药物配置中不必要的护理中断,保障护理用药安全.%Objective To investigate the incidence of nursing interruptions in medication preparation in general surgical wards,and analyze the reasons,so as to provide reference for dosing safety in clinical nursing.Methods From March to April 2016,nurses in department of general surgery of Tianjin Medical University General Hospital were observed for 105 times about interruptions in medication preparation,and the number of times,duration,sources and outcome of the interruption were recorded.Results Totally 402 times of interruptions occurred in 39 hours' observation,with 10.3 interruptions per hour. (3.83±1.92) interruptions occurred and lasted for (4.70±2.50) minutes in each observation. The number of times,frequency and duration of interruptions were significantly different at different times (P<0.05). The main sources and reasons of interruption were nurse colleagues (34.8%) and giving information (23.8%).Conclusions Interruptions occurres frequently during medication preparation in general surgical department,with various sources and negative outcomes. Strategies should be taken to reduce unnecessary interruptions,so that medication safety in nursing can be secured.