根本原因分析法(RCA)在预防血透中心护理不良事件中的应用研究

摘要

目的 探讨根本原因分析(RCA)在血透中心护理不良事件管理中的临床应用和效果.方法 选取本院血透中心接受治疗的120例患者作为研究对象,于2016年1月开始在血透中心实施根本原因分析法进行管理,统计对比实施前、后血透中心不良事件的发生率、上报率以及患者相关护理满意度.结果 RCA实施后不良事件发生率低于实施前,不良事件的上报率较实施前提升(P ＜0.05);RCA实施后,血透中心的护患纠纷发生率相比实施前降低(P＜0.05);实施RCA后,患者对血透中心护理的满意度相较实施前提升(P＜0.05).结论 根本原因分析法对血透中心护理不良事件进行管理可有效改变传统管理理念,加强血透护理工作的安全性,持续提高护理人员的工作效率及护理质量,降低血透不良事件,减少护患纠纷,提高患者满意度,应用效果显著,值得临床推广.%Objective To explore the clinical effect of root cause analysis (RCA) in prevention of adverse events in hematodialysis center.Methods A total of 120 patients treated in our hospital carried out root cause analysis (RCA) management in hematology center from January 2016.The incidence of adverse events,the rate of reporting and nursing satisfaction were compared before and after RCA.Results After the implementation of RCA,the incidence of adverse events was significantly lower,and rate of reporting was improved than implementation before (P ＜ 0.05);After implementation of RCA,the incidence rates of nurse-patient disputes in hemodialysis center were significantly lower than that implementation before (P ＜ 0.05);After RCA,the patient's satisfaction with hemodialysis was significantly improved compared with treatment before (P ＜ 0.05).Conclusion RCA can effectively change traditional management concept,strengthen the safety of hemodialysis care,and improve working efficacy of nursing staff and nursing quality,reduce adverse events of hemodialysis and nurse-patient disputes,and enhance patients'satisfaction.