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目的:探讨风湿免疫科风险管理的效果。方法:选择2012年8~12月丽水市人民医院风湿免疫科100例住院患者,所有患者在入组前已住院接受治疗1个月。入组后给予护理风险管理,主要针对患者、疾病、药物、护理人员及环境等危险因素进行风险管理。采用问卷调查法对护理风险管理实施前后病房管理、护理质量、消毒隔离质量及患者满意度进行评价,并对护理风险管理实施前后护理不良事件进行比较。结果:实施护理风险管理后,病房管理、护理质量、消毒隔离质量评分比实施前均较高(P<0.05),患者对护理服务质量满意度高达92%,显著高于实施前的76%(P<0.05);不良事件的发生情况为零,比实施前(4%)明显减少(P<0.05)。结论:风湿免疫科实施风险管理可有效预防和减少不良事件的发生,显著提高护理质量和患者满意度。
Objective: To investigate the effect of risk management in rheumatology department. Methods: A total of 100 inpatients admitted to the Department of Rheumatology, Lishui People’s Hospital from August to December 2012 were enrolled. All patients were hospitalized for 1 month prior to enrollment. After the group was given nursing risk management, mainly for risk management of patients, diseases, drugs, nursing staff and environmental risk factors. Before and after the implementation of nursing risk management, ward management, nursing quality, quality of disinfection and isolation and patient satisfaction were evaluated by questionnaire, and the nursing adverse events were compared before and after the implementation of nursing risk management. Results: After the implementation of nursing risk management, the scores of ward management, nursing quality and disinfection and isolation quality were higher than those before the implementation (P <0.05). The patients were satisfied with the quality of nursing service up to 92%, significantly higher than the 76% P <0.05). The incidence of adverse events was zero, which was significantly lower than that before implementation (4%) (P <0.05). Conclusion: The implementation of risk management in rheumatology department can effectively prevent and reduce the incidence of adverse events, and significantly improve the quality of care and patient satisfaction.