肿瘤科护理不良事件的原因分析与管理对策

摘要

Objective: To analyze the causes of adverse events in nursing and discuss the measures to decrease nursing badness events. Methods: There were 37 cases of nursing adverse events in the tumor-associated department, which were analyzed retrospectively. Results: The 3 main adverse events were administration of medications error, therapy-associated events, mistakes in the transmitting and receiving information. The staple causes of adverse events in nursing could be defect in system management,failure to implement strictly check regulations,the information technology lag and the safety control problem. Conclusion:Prevention of adverse events should improve system management,implement strictly check regulations,develop information technology comprehensively and strengthen the safety awareness.%目的 分析肿瘤科护理不良事件发生的原因,探讨减少不良事件的管理对策.方法对肿瘤科37例护理不良事件进行回顾性分析.结果护理不良事件前3位分别是给药错误、治疗相关事件、信息传递与接受错误.主要原因是系统管理缺陷、查对制度执行不力、信息化建设滞后与安全意识不到位.结论医院要改进系统管理,严格执行查对制度,全面信息化建设与管理,强化安全意识,以预防不良事件的发生.