Nursing safety is related to patient safety, medical quality and hospital reputation, and is an important link in nursing management. The following is the nursing safety paper I compiled for you for your reference.

Model essay on nursing safety: Discussion on nursing safety management in emergency department Abstract: Objective To analyze many hidden danger factors and management countermeasures of nursing safety in emergency department, improve the quality of emergency nursing, reduce the risk of emergency nursing, and provide patients with safe, fast, high-quality and multi-level services. Methods Reasonable deployment of human resources, strengthening safety awareness, strengthening nursing safety education and personnel quality management, compiling nursing safety management files, standardizing work processes, strengthening standardized training, attaching importance to nursing records, establishing emergency nursing safety teams, strengthening emergency materials and pre-hospital emergency management, strictly controlling nursing quality and effectively controlling the occurrence of nursing risks. Results Nursing safety was guaranteed, the frequency of nursing safety incidents decreased, nursing disputes and complaints decreased obviously year by year, and the satisfaction of emergency patients with nursing service increased greatly. Conclusion The effective implementation of nursing unsafe factors management measures can eliminate nursing unsafe factors to the maximum extent and play an extremely important role in preventing nursing disputes and nursing safety hazards.

Keywords: emergency care; Safety management nursing;

Safety management is a link that nurses in any hospital attach great importance to. * * * Autonomous Region People's Hospital is a three-level first-class comprehensive hospital integrating medical treatment, teaching, scientific research, first aid, prevention and health care, located in the city of * * * on the roof of the world. At present, like the third-class first-class hospitals in many cities in China, the emergency department is not only responsible for all kinds of first aid in the hospital, but also undertakes the tasks of pre-hospital first aid and first aid. The task is arduous and difficult, and naturally it becomes the department with the most security risks. The common hidden dangers of nursing safety in our department are analyzed as follows:

1 Common nursing safety hazards in emergency department

1. 1 staffing factors: the number of nurses in emergency department is seriously insufficient, the ratio of beds to nurses is uncoordinated, and the echelon structure is unreasonable. Most of the nursing staff in our department are newly graduated nurses with low qualifications. Due to the lack of comprehensive ability and clinical experience, when encountering unexpected events, it is easy to have a "lucky" mentality, act rashly according to one's own habits and impressions, and not strictly follow the operating procedures. The implementation of "three checks and ten pairs" is not in place, which is prone to clinical nursing loopholes and causes serious unsafe hidden dangers. There are very few people on duty at night, and the two nurses on duty have several duties, including general emergency, observation, rescue, home visits, fees, escorting critically ill patients to check in and stay in hospital, etc. , resulting in a shortage of nursing manpower, unable to rescue. However, a critically ill patient needs at least one nurse to rescue him at his bedside. In case of patient concentration, increased workload or * * *, the nurses on duty lack coping ability, and it is difficult for more medical staff to arrive in time in a short time, which will inevitably lead to a decline in the quality of nursing services, leading to many nursing safety loopholes and great nursing safety risks.

1.2 technical factors of nursing staff: The emergency patients' condition is complicated and changeable, and many diseases are involved in the consultation, which puts forward higher requirements for the comprehensive quality of nurses, such as clinical work experience, relevant professional knowledge and nursing first aid skills. Individual nurses lack knowledge and can't combine theory with practice well, which leads to the inability to effectively improve the level of emergency nursing, thus affecting the safety of emergency nursing.

1.3 potential legal factors with the development of the whole society and the continuous improvement of people's legal awareness, individual medical staff in our department have poor communication with patients and their families, weak legal awareness and self-protection awareness, irregular writing of medical documents and nursing documents and pre-hospital emergency medical records, and the recording time is quite different from the actual time, so they cannot provide effective information in emergency medical disputes, thus being in a passive position.

1.4 Pre-hospital emergency factors

1.4. 1 The dispatcher has not received professional training, and his awareness of first aid is weak, and the situation of answering the call for help is unknown. The patient's condition and residence address were not asked in detail, resulting in inadequate preparation of rescue items and the ambulance driving empty; Do not have the professional knowledge of first aid, and can not give effective telephone guidance in time when the patient has an emergency; Or because the driver is unfamiliar with the driving route or the ambulance has a flat tire during driving, he can't arrive at the scene for help within the expected time or delay the patient on the way, thus delaying the rescue opportunity.

1.4.2 The number of visiting doctors is not fixed, most of them are non-general practitioners, their knowledge is not comprehensive enough, their pre-hospital first aid experience, first aid skills and adaptability are insufficient, the visiting doctors are not timely, and their physical examination is not serious after arriving at the scene, which leads to inaccurate condition assessment. If the nurses are inexperienced, their condition changes suddenly during the process of receiving and transporting, and effective first-aid measures cannot be taken in time, it will easily lead to adverse consequences. During the rescue outside the hospital, the doctor's oral doctor's advice was carried out, and the empty ampoule was not left and discarded at will. Because the methods and techniques are not in place, there are some falls and injuries in the process of transporting patients.

1.4.3 the first-aid articles and equipment in the ambulance are not perfect, or the visiting nurse is not familiar with their placement position, or the equipment is damaged due to vehicle bumps, which delays the rescue; Patients are injured due to poor fixation during transportation; Road bumps, loose infusion bottles or instruments hurt patients and cause disputes.

1.4.4 Failing to fulfill the obligation of informing in advance before transporting the patient, and failing to explain to the patient or his family in time the matters needing attention related to transportation, possible changes in the condition and potential risks, such as shock, asphyxia, blood pressure drop, respiratory and cardiac arrest, etc. , did not sign the transfer agreement, and the medical staff did not have a strong sense of responsibility during the transfer process, did not observe the patient's condition changes in time, did not ask the patient's discomfort in time, resulting in swelling of the patient's limbs due to fluid extravasation.

2. Nursing safety management countermeasures

2. 1 Strengthen safety awareness, nursing safety education, nursing staff's nursing safety education and risk prevention awareness education, strengthen safety awareness and responsibility awareness, establish and improve various nursing safety systems and emergency plans in emergency departments, organize general nursing staff to seriously study, discuss and constantly improve various rules and regulations and emergency plans, so that all staff can master them skillfully and prevent unnecessary medical disputes.

2.2 Ensuring the rational allocation of manpower Whether the allocation of nursing safety and nursing human resources is reasonable is directly related to the quality and efficiency of nursing work, and also to the health level of all people [3]. Hospitals and personnel departments should gradually consider supplementing the establishment of nurses to achieve a reasonable ratio of medical care. At the same time, the hospital nursing department should reasonably and flexibly control personnel according to the actual situation of patients and departments to ensure the orderly operation of clinical frontline nursing work and ensure nursing safety. In the nursing management of emergency department, some non-nursing staff should be properly deployed to reduce the waste of nursing human resources in emergency department [4]. In conjunction with the relevant departments of the hospital, rationally allocate nursing staff, strengthen the echelon construction of nursing staff in departments, and arrange shifts reasonably and flexibly. According to the particularity of emergency work, considering the knowledge, ability, specialty, age and other factors comprehensively, the night shift system is implemented, and the combination of old and new, strong and weak, and Tibetan and Chinese is emphasized to achieve the best combination of duty personnel, which not only improves the skills and abilities of junior nurses, but also avoids the communication obstacles between nurses and patients due to language barriers, greatly reducing the occurrence of nursing risks. In the peak period of emergency treatment, arrange shifts reasonably and increase nursing staff in time.

2.3 Strengthen business study and training, ensure the quality and safety of nursing, formulate grading training plans and learning objectives for nursing staff, carry out classified education for nurses with different levels and different technical levels, designate special personnel to be responsible for implementation, organize general nurses to carry out business study regularly, focus on strengthening job training and assessment for junior nurses, and strengthen nursing cooperation in cardiopulmonary resuscitation, tracheal intubation and routine nursing operations for common critical diseases, so as to reduce the occurrence of nursing technical risks. Ask doctors to regularly introduce the new trends and progress of emergency medical knowledge, update their professional knowledge in time, and improve their own quality to meet the growing needs of work. At the same time, actively build a learning platform for nurses, encourage and support nurses to learn professional knowledge in their spare time, participate in various academic education, improve the comprehensive quality of all nurses, and enhance the comprehensive strength of emergency nursing. And constantly send nursing staff to major hospitals in the mainland for further study and participate in various classes and academic exchanges, so as to broaden their horizons, expand their knowledge, improve the quality of development and strengthen their development strength.

2.4 Strengthen the management of first-aid articles, instruments and devices. According to the requirements of the hospital, do a good job in the management of first-aid articles, instruments and devices, ensure the safety of the first-aid process, implement the working system of the emergency department, ensure that all first-aid equipment and medicines in the rescue room and ambulance are in good condition and have good efficiency, and conduct inspection and handover in each shift to prevent damage and loss, and earnestly achieve the "three noes" of "four determinations", classification, fixed storage, regular disinfection, no expiration and no vacancy. All kinds of instruments are attached with clear operating procedures, and operate normally according to the procedures. Relief items are generally not lent out to ensure emergency use.

2.5 standardize the writing of nursing documents, strengthen the communication between nurses and patients, and strengthen the training of writing ability of nursing documents. It is required to write nursing records in a timely, continuous and serious manner, with true content, precise and specific words and consistent medical care, and accurately record the rescue measures, the implementation of doctor's orders, the nursing measures taken and the detailed evolution of the patient's condition after arrival. Under special circumstances, the signature of the patient or his family is required. It is illegal to add, delete or modify the original records after a dispute arises. Enhance nurses' awareness of evidence, respect patients' right to informed consent, earnestly fulfill their obligation to inform and take risks for possible problems. At the same time, strengthen the publicity of first aid work, gain the understanding and support from all walks of life, get the understanding and cooperation of patients and their families, strengthen communication and exchanges with patients and their families, and explain the risks of first aid work.

2.6 Set up a safety management team to ensure the implementation of safety management. Nurses with high ideological level, strong professional ability and solid theory are selected to form a nursing safety and quality control management team, and strict and formal supervision and inspection are carried out every month according to the regulations, and opportunities such as morning shift, nursing rounds and business study are used to discuss, analyze and summarize nursing defects and errors, find out the reasons and make continuous improvement. Especially in holidays, night shifts and other error-prone time periods, give full play to the backbone role of the management team and strictly control the quality.

2.7 Strengthen pre-hospital emergency management, establish and improve the pre-hospital emergency work system, formulate pre-hospital emergency plans, improve the transfer process, and rationally allocate pre-hospital emergency personnel. Regular first-aid knowledge and skills training and assessment for medical staff, relevant knowledge and working system training for dispatchers and drivers, to enhance their awareness and ability of first aid, to improve the dispatcher's ability to guide patients by telephone in case of emergency, to require drivers to maintain vehicles regularly or in time, to change tires in time, to improve the level of judging or troubleshooting, and to organize pre-hospital first-aid personnel to conduct simulation drills. Spot check the equipment, articles and medicines of ambulances to ensure that they are in good standby condition. Perfecting the transfer and handover records of critically ill patients, carefully evaluating patients' vital signs and possible disease changes on the way before transfer, making corresponding first aid preparations, rationally deploying medical staff, and requiring medical staff to sit in the medical cabin to accompany patients all the time will help reduce the occurrence of unsafe medical incidents on the way. At the same time, strictly fulfill the obligation of informing, so that patients and their families can understand that they have to accept the possible risk of damage if they want to receive medical services, so that their families are psychologically prepared to establish a new doctor-patient relationship with doctor-patient interaction and risk sharing, and reduce medical care disputes.

3 abstract

To sum up, the emergency department is facing dying patients, complicated and changeable diseases, as well as various emergencies, which is the first line to save lives. There are many factors that change the condition, and the heavy and difficult work determines that emergency nursing is a high-risk job. Nursing safety is an important content of nursing quality management, the foundation of nursing work, the premise of high-quality nursing service, and an important index to evaluate nursing work, which can bring good social benefits and patient satisfaction. As an emergency nursing manager, only by strengthening nursing safety management and actively taking measures to avoid all kinds of nursing risks can we effectively control the occurrence of unsafe nursing events, fundamentally improve the quality of nursing services and ensure nursing safety.

refer to

[1] Wang Fang, Ye Zhihong, Ge Xuedi. Research and progress of nursing safety management [J]. Chinese Journal of Nursing, 2008,431:1053-1055.

[2] Zhang Hailin. Practice and experience of introducing evidence-based thinking into nursing safety management [J]. Journal of Nursing Management, August, 200811:50-51.

[3] Liu Xiaorong. Study on the application of linear programming model in clinical nurse allocation [J].*** Journal of Nursing, 2003,206: 69-70.

[4] Li Jinna. Study on the allocation of emergency nurses [J]. Journal of Nursing Science, 2003, 188: 576-577.

[5] Miao. Problems and countermeasures of nursing risk management in emergency department [J]. Nursing Research, 2007,21c: 264-265.

Nursing safety model II: Gynecological perioperative nursing safety management Abstract: Through the study of 60 gynecological perioperative patients, it was found that the infection rate and nursing defect rate in the experimental group were lower than those in the control group (P

Key words: gynecological patients; Surgical period; Nursing safety management

The diversity and complexity of gynecological diseases bring difficulties to nursing work. During the perioperative period, any nursing work will have an impact on the curative effect, and nursing disputes will easily occur frequently during this period [1]. Therefore, how to do a good job in perioperative nursing safety management of gynecological patients is a subject that medical workers have been studying. In recent years, after the introduction of nursing safety management mode in our hospital, the clinical infection rate and nursing defect rate have decreased. The clinical data of 60 patients are analyzed and summarized as follows.

1 data and methods

1. 1 general information

60 cases of gynecological perioperative patients in our hospital from February 20 14 to June 20 15 were selected as the research object. According to the order of admission, they were divided into control group and experimental group, with 30 cases in each group. According to the general data at the time of admission, the age of the control group was 265,438 0 ~ 49 years old, with an average age of 34 65,438 0.2 years old. The surgical situation was: 65,438+05 cases of curettage, 65,438+02 cases of myomectomy and 3 cases of total hysterectomy. The experimental group was 22 ~ 52 years old with an average age of 351.1year. This operation was performed in 14 cases of curettage, 14 cases of myomectomy and 2 cases of total hysterectomy. There was no significant difference in general data between the two groups (P > 0. 05). 0.05。

1.2 method

The control group received general nursing, while the experimental group implemented nursing safety management, as follows.

1.2. 1 Analyze the problems existing in nursing.

1 nurse-patient disputes: due to the lack of positive communication between nurses, patients and their families, family members can't fully understand the work of nurses, which is prone to nursing disputes.

Problems of nursing staff: Nurses lack a sense of responsibility, have a weak sense of law, can't strictly abide by the hospital system, can't follow the doctor's advice, and are prone to sloppy attitudes and nursing disputes in practical work.

Problems of the hospital's own system: the imperfection of nursing management system will reduce the execution of medical staff, which will lead to a series of nursing disputes.

1.2.2 Implementing nursing safety management

1 Introducing humanized nursing: Introducing humanized nursing into nursing safety management, promoting the communication between medical staff and patients and their families, and helping medical staff to establish the concept from the perspective of patients.

2 Regular training: In order to meet the needs of the development of medical technology and nursing mode, our hospital will organize regular training for nursing staff, such as training for head nurses every Monday afternoon and training for nurses every Wednesday.

3. Improve the hospital nursing management system: to improve the missing part of the hospital nursing management system, we can introduce the nursing staff responsibility system and incentive system to ensure that the responsibility can be implemented to everyone when nursing incidents occur.

4. Improve the quality of medical staff: regularly carry out moral education and nursing safety education for medical staff at all levels, and strictly abide by the safety matters in the operating room.

Application of 1.3 statistical method

SPSS 13.0 statistical software was used for analysis, and x2 test was used for counting data, P

Two results

The infection rate and defect rate of the experimental group were lower than those of the control group (P

3 discussion

Through the study of 60 cases of gynecological perioperative patients, it was found that the infection rate and nursing defect rate of the experimental group were lower than those of the control group (P

refer to

1. Discussion on nursing safety management strategy in the new period: China Hospital February 2006 -0 1

2, nursing safety management Yang Shunqiu Southern Nursing Journal on July 30, 2004.