摘要
目的通过分析1例眼科口服给药错误的根本原因,制订安全给药护理措施,优化给药流程,防范给药错误的发生。方法成立眼科安全给药管理团队,采用根本原因分析法(RCA)对事件进行系统分析。结果安全给药管理措施应用后,护士口服给药改进措施执行率显著提高(P<0.05),护士口服给药危险行为发生率及给药错误发生率均明显下降(P<0.05)。结论基于RCA方法,分析给药错误发生的根本原因并制订有效措施应用于安全给药管理中,可有效降低给药错误发生率,提升医疗质量,确保患者安全。
Objective To analyze the root cause of a case of oral medication error in ophthalmology,formulate safety medication nursing measures,optimize the medication process,and prevent medication errors.Methods An ophthalmology medication safety management team was established,and the root cause analysis(RCA)method was used to conduct a systematic analysis of the incident.Results After the application of medication safety management measures,the implementation rates of nurses'oral medication improvement measures increased significantly(P<0.05),and the incidence of nurses'oral medication dangerous behaviors and medication errors decreased significantly(P<0.05).Conclusion Based on RCA method,analysis on the root cause of medication errors and formulating effective measures to apply to medication safety management can effectively reduce the incidence of medication errors,improve medical quality and ensure security of patients.
作者
李幸
邹萍萍
李腾
胡明芳
王彦艳
蒋婷婷
张晴
秦明明
李冬冬
李晓
LI Xing;ZOU Pingping;LI Teng;HU Mingfang;WANG Yanyan;JIANG Tingting;ZHANG Qing;QIN Mingming;LI Dongdong;LI Xiao(The First Affiliated Hospital of Zhengzhou University,Zhengzhou City,Henan Province,China450000)
出处
《卫生职业教育》
2025年第14期59-63,共5页
HEALTH VOCATIONAL EDUCATION
关键词
根本原因分析法
给药错误
眼科
护理风险管理
Root cause analysis method
Medication errors
Ophthalmology
Nursing risk management
作者简介
李幸(1993—),女,主管护师。研究方向:眼科护理学;通信作者:邹萍萍(1982—),女,副主任护师。研究方向:眼科护理学。
