急診科護理管理中護理風險管理的應用價值研究

王正

[摘要] 目的 探討護理風險管理于急診科護理管理中的應用價值。方法 以2018年5月—2019年5月將該院急診科收治的120例患者作為研究對象，按照護理管理方式的不同將其劃分成A組與B組。A組采用常規管理，B組在A組護理管理的基礎上，實施護理風險管理;比較兩組風險事件與醫療糾紛發生情況及護理質量。結果 B組風險事件、醫療糾紛發生率分別為2.00%、0.00%，顯著高于A組的18.57%、11.43%;B組分層考核、護理文書、護理人員技能、基礎護理評分顯著高于A組，兩組數據組間對比差異有統計學意義（P<0.05）。結論 護理風險管理在急診科護理管理中的應用價值較為顯著，可有效降低護理風險事件發生率和護患糾紛，護理質量較高。

[關鍵詞] 風險管理;護理;護理風險;急診科

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1672-5654（2020）02（c）-0092-03

[Abstract] Objective To explore the application value of nursing risk management in emergency department nursing management. Methods From May 2018 to May 2019， 120 patients admitted to the emergency department of our hospital were taken as the research objects， and they were divided into group A and group B according to different nursing management methods. Group A adopted routine management， and group B implemented nursing risk management based on the nursing management of group A; compared the occurrence of risk events and medical disputes between two groups and the quality of care. Results The incidence of risk events and medical disputes in group B were 2.00% and 0.00%， which were significantly higher than those of group A's 18.57% and 11.43%. The group B assessment， nursing instruments， nursing staff skills， and basic nursing scores were significantly higher than those of group A The difference between the two groups of data was statistically significant（P<0.05）. Conclusion The application value of nursing risk management in the nursing management of emergency department is more significant， which can effectively reduce the incidence of nursing risk events and nursing disputes， and the quality of nursing is high.

[Key words] Risk management; Nursing; Nursing risk; Emergency department

急診科室作為醫院重要組成部分，其對醫院良好運營發揮著重要作用。近年來，因環境的變化，疾病的種類越來越多，且越來越復雜，急診工作量隨之增加[1]。但由于急診科室所接收的都是病情較為嚴重、需及時治療的患者，若判斷失誤或護理不當，將會造成較大損失，并且無挽回余地。所以，需規范急診急救流程，提高風險管理力度。該研究2018年5月—2019年5月間對該院50例急診患者實施護理風險管理，取得較好效果，現報道如下。

1? 資料與方法

1.1? 一般資料

將該院急診科所收治的120例患者作為研究對象，入選標準：患者意識清楚能正常溝通并書寫文書，家屬及患者均對該研究之情和并同意參加，住院時間≥1個月。排除嚴重器質性疾病及意識障礙患者。按照管理方式的不同將其劃分為兩組，即A組與B組。A組共有70例，男性41例，女性28例;年齡20～48歲，平均（34.56±4.68）歲;疾病類型：呼吸系統17例、心腦血管疾病30例、內分泌疾病19例、其他類型4例。……