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目的分析护理不良事件发生的原因及其相关因素。方法对2011年1月-2012年12月发生的64例护理不良事件进行回顾性分析。结果护理不良事件发生分类较高的是用药错误19起，（29.69%），投诉纠纷5起(7.81%），针刺伤5起，（7.81%），导管脱落5起，（7.81%）；高发科室：五官科、骨外科、内分泌科；高发人群依次为：工作3年以下的护士（31.08%）、工作3-5年的护士（40.58%）、工作5-10年护士（9.46%）、10年以上的护士（8.11%）、其他（10.81%）。结论加强对重点科室、重点环节、重点人群、重点时间段的管理，合理配置人力资源，可以有效减少护理不良事件的发生。“,” Objective To Objective to analyze the causes and related factors of nursing adverse events Methods a retrospective analysis was made on 64 cases of nursing adverse events occurred in January -2011 December to in 2012. Results Higher incidence in nursing adverse events classification are bel ow:medication errors, 19(29.69%), 5 (7.81%) co mplaints and disputes, needle stick injuries 5 cases (7.81%), catheter loss,5, (7.81%); higher incidence in departments as bel ow: surgery, bone surgery, Department of Endocrinology; high-risk population are: 3 years the nurse (31.08%), 3-5 years working nurses (40.58%), 5-10 years working nurses (9.46%), more than 10 years of nurse (8.11%), the other (10.81%). Conclusion in Strengthen the key departments, key links, focus groups, focus on time management, rational al ocation of human resources, can effectively reduce the occurrence of nursing adverse events.