2. Improve medication safety.
3, establish and improve the effective communication between medical staff under special circumstances, so as to correctly implement the doctor's advice.
4, the establishment of clinical laboratory "critical value" reporting system
5, strictly prevent the patient's surgical site and operation errors.
6, strict hand hygiene, in line with the basic requirements of medical valve infection control.
7. Prevent and reduce the occurrence of patients' falls.
8, prevent and reduce the occurrence of pressure ulcers.
9. Encourage voluntary reporting of medical safety (adverse) incidents.
10, encouraging patients to participate in medical safety.
Question 2: What are the main contents of nursing safety hazards? Nursing safety hazards mainly include:
1, nurses' self-protection consciousness is not strong, and their legal consciousness is weak;
2. Nurses' sense of responsibility is not strong, and their service concept lags behind;
3. Nurses' comprehensive knowledge level is low, and their professional and technical level is not high;
4. The allocation of nursing staff is unreasonable and the quality management system is not perfect;
5. The nurse-patient relationship is not harmonious enough and there is no effective communication between them.
Question 3: What are the aspects of nursing safety education?
First, strengthen nursing safety education, establish a patient-centered service concept, and vigorously advocate the concept of changing passive service into active service. Specific measures:
1. Nurses must adhere to the system of weekly meeting, participate in weekly medical safety education and study, and be punished according to hospital rules and regulations once.
2. Combining with the "Demonstration Project of Quality Nursing Service" carried out in our hospital, we should establish a patient-centered service concept, take the initiative to serve, strengthen the sense of responsibility of nursing staff, advocate the "love, carefulness, patience and responsibility" of nursing staff to serve patients, and carry out the selection activities of advanced individuals for quality nursing service.
3. By strengthening clinical nursing work and consolidating basic nursing services, we will establish a good image of the medical and health industry serving the people wholeheartedly in the whole society, carry forward the humanitarian spirit of saving lives and promoting the harmonious relationship between doctors and patients.
Two. Establish and improve relevant rules and regulations, and clarify job responsibilities. Summarize experience, gradually explore and improve the hospital nursing management system suitable for our hospital, establish a long-term mechanism for continuous improvement of nursing quality, and continuously improve the level of nursing work.
Specific measures:
1. It is necessary to further implement the requirements of Nurses Regulations, Notice of the Ministry of Health on Strengthening Clinical Nursing in Hospitals, Guiding Principles of Graded Nursing in General Hospitals (for Trial Implementation), Basic Nursing Service for Inpatients (for Trial Implementation), Work Standard of Basic Nursing Service and Technical Service Standard of General Clinical Nursing, effectively strengthen nursing management, standardize nursing service and consolidate basic nursing.
2. Establish and improve relevant rules and regulations, and clarify job responsibilities.
1) Hospitals and wards have complete creation plans, objectives, tasks and implementation measures, and nursing staff are registered and standardized in practice.
2) Establish and improve clinical nursing rules and regulations, disease nursing routine and clinical nursing service norms and standards.
3) Establish the post responsibility system for nurses, formulate and implement the post responsibilities and work standards of nurses at all levels, and standardize clinical nursing practice.
4) Establish a performance appraisal system for nurses, and combine the assessment results with the promotion assessment of nurses according to the quantity and quality of clinical nursing work completed by nurses and the satisfaction of inpatients.
3. Clarify the basic nursing items and work norms that clinical nurses should be responsible for, and must perform basic nursing duties, standardize nursing behaviors and improve nursing services.
4. Clarify the connotation, service items and working standards of clinical nursing service. The service connotation and service items of graded nursing should include patient's condition observation, treatment and nursing measures, life nursing, rehabilitation and health guidance. And bring it into the hospital affairs disclosure, and introduce the evaluation mechanism of patients and society as the content to be disclosed to patients.
3. Strengthen the study of laws, regulations, rules and regulations and work norms.
Specific measures:
1. Learn laws and regulations such as Nurses Regulations, Notice of the Ministry of Health on Strengthening Clinical Nursing in Hospitals, Guiding Principles of Graded Nursing in General Hospitals (for Trial Implementation), Basic Nursing Service for Inpatients (for Trial Implementation), Basic Nursing Service and Common Clinical Nursing Technical Service at least once a month, so that nurses can master various rules and regulations and laws and regulations.
2. Establish and improve various rules and regulations, strictly implement operating procedures, constantly standardize nursing workflow, and formulate patient safety management plans. 3. Strengthen the management of quality monitoring measures, intensify key quality control, set up quality control teams in various departments, regularly check the implementation of the system and quality management in each link, nip quality problems in the bud, and eliminate and reduce hidden dangers.
4. Repeatedly strengthen nurses' legal awareness, use morning meetings and peacetime business study to teach legal knowledge and cases to prevent medical disputes, and tell nurses with specific cases that any negligence in a small link may cause irreparable losses. Hold regular safety analysis meetings, so that nurses can find the links that are prone to errors, especially the existing problems, analyze the reasons and formulate improvement measures. Update the management concept, encourage nursing staff to report potential safety hazards, and set up a reward system for self-inspection and reporting potential hazards. If they conceal it, they will be punished according to the corresponding system.
4. Strengthen the study and assessment of "three basics" and "three strictness" in nursing,
Specific measures:
1. There is a theoretical examination and a technical operation assessment every time.
2. Encourage nursing staff to participate in various forms of business learning and training inside and outside the hospital.
3. Formulate preferential policies to encourage nursing staff to participate in adult higher education and improve their professional skills and theoretical knowledge.
Please come in and go out to strengthen the study of new nursing business and technology once every two days ... >>
Question 4: Introduction to Nursing Safety 《 Nursing Safety 》 is a book devoted to nursing safety. This book has gone through a long time from planning to publishing. The authors of this book are mainly clinical nurses and nursing teachers. In the process of writing, after constantly adjusting the ideas and contents, the author team is constantly expanding and adjusting, and all the efforts are finally presented in this book.
Question 5: What are the unsafe factors in nursing? 1 the influence of unsafe nursing factors on nursing management.
There are many unsafe factors in nursing work, which will directly affect the nursing effect, affect the rehabilitation of patients, affect the image of the hospital in the eyes of patients and the public, have a negative impact on the reputation of the hospital, and even cause the increase of medical expenses, material consumption and patients' economic burden.
The so-called safety management refers to the effective control of various unsafe factors in order to protect the physical and mental health of patients [1]. Safety management is a necessary condition to ensure the life safety of patients, a key link to reduce quality defects and improve nursing level, and an objective need to control or eliminate unsafe factors and avoid medical disputes and accidents.
1. 1 quality monitoring management factors
Quality management is the management of functions and activities necessary to meet quality requirements. Quality management system is the core of nursing safety. Imperfect management system and inadequate quality control may be important factors that cause nursing insecurity. Lack of effective professional ethics education for nursing staff, imperfect rules and regulations, weak binding force, ineffective quality control measures, lack of foresight for potential unsafe factors of patients, insufficient nursing staff, imbalance between doctors and nurses and many other factors will lead to unsafe nursing results.
1.2 technical factors
Mainly refers to the low technical level, lack of experience and poor cooperation ability of nursing staff, which may pose a threat to the safety of patients. Especially with the introduction and development of new technologies and projects, there are more and more contents with high technical complexity and high technical requirements in nursing work, which not only brings great work pressure to nursing staff, but also may lead to an increase in technical risks in nursing work, thus affecting nursing safety. Nurses lack professional knowledge, work experience, low or unskilled technical level, poor cooperation with others, neglect study and professional technical training, and violate technical operation procedures, which will lead to operational errors or accidents due to operational errors.
1.3 Human factors
Mainly refers to the unsafe factors or hidden dangers caused to patients because of the quality of nursing staff and other reasons, which can not guarantee to meet the basic requirements of work. At present, the development of nursing specialty has greatly improved the quality requirements of nursing staff. If we can't investigate the technical progress and professional development in time, we can improve the quality of nursing staff and increase the number of staff reasonably through effective ways and methods.
1.4 Work sense of responsibility
Nurses have special professional contents, norms and standards of conduct. They have long been engaged in heavy nursing work, repetitive night shifts, multiple roles, and unreasonable post setting in some departments, which makes a few nurses physically and mentally exhausted, bored and afraid of difficulties, despise nursing work, and some even want to leave nursing posts. Therefore, the sense of responsibility is not strong, the attention is not concentrated, the mood fluctuates greatly, and the attitude towards patients is not good, which leads to disputes between doctors and patients, thus bringing unsafe consequences or unsafe factors to patients.
1.5 iatrogenic factors: the language, improper behavior or negligence of medical staff lead to patients' insecurity or unsafe results. These factors are often important factors that lead to medical disputes.
1.6 drug use and equipment and facilities factors
Improper drug compatibility, incorrect route of administration and improper use of equipment and facilities will all cause unsafe factors, especially the large use of disposable sanitary products and auxiliary inspection equipment.
1.7 patient behavior management factors
Patient management refers to the management of individuals who are physically diagnosed with diseases, and the physical and mental changes of individuals due to diseases are directly proportional to their understanding of diseases. Nursing is a management activity involving nurses and patients. The normal development of nursing work depends on the close cooperation and support of patients. If patients have poor psychological endurance and lack a correct understanding of the disease, they are prone to psychological phenomena such as anxiety, fear, distraction and anxiety. Therefore, factors such as distrust of doctors and suspicion of doctors' wrong diagnosis lead to man-made unsafe factors.
1.8 management factors
Imperfect management system, inadequate professional training, poor management of equipment and materials, insufficient professional ethics education, lax management supervision and other factors affect the management of nursing safety organizations, which are not only the main reasons for medical disputes and accidents, but also the biggest threat to patient safety.
2. Measures and suggestions to strengthen the management of unsafe factors in nursing.
2. 1 Establish a unified and perfect nursing safety and quality management.
In view of the problems existing in hospital nursing safety and quality, combined with the actual situation of the hospital, it is necessary to formulate ...
Question 6: What does nursing include? Examination courses: College English, VF programming, ideology and construction, including introduction to Socialism with Chinese characteristics Theory, basic principles of Marxism, physical education, college Chinese, human anatomy, pathogenic biology, physiology, pharmacology, nursing ethics, basic nursing, internal medicine nursing, surgical nursing, obstetrics and gynecology nursing and pediatric nursing.
Examination courses: English listening and speaking, computer culture foundation, ideological and moral cultivation and legal foundation, outline of modern history of China, career development and employment guidance, mental health education, medical organic chemistry, histology and embryology, medical immunology, biochemistry, pathology, pathophysiology, nursing psychology, introduction to nursing, health assessment, infectious disease nursing, nursing research, ent nursing, community nursing, geriatric nursing and nursing.
Question 7: With the continuous development of medical technology and the improvement of people's living standards, patients and their families have a deeper understanding and familiarity with the legitimate rights and interests of medical care, and put forward higher requirements for medical quality, nursing quality and medical safety. According to the author's clinical nursing and education practice for nearly 30 years, I know that nursing safety is an important indicator to measure nursing service, and it is also one of the most direct and important indicators for patients to choose medical treatment. As a gynecological nurse, we should standardize feasible safety precautions at any time, strengthen management, provide quality services for patients and reduce the occurrence of unsafe nursing. The author analyzed the causes of common security risks in nursing and discussed the corresponding preventive countermeasures.
1 analysis of the causes of potential safety hazards in clinical nursing
The professional quality and sense of responsibility of 1 need to be improved.
The quality of nursing staff is the primary factor related to nursing safety. Lack of professional knowledge and work experience is a common safety hazard in nursing work in some primary hospitals. Some nursing staff have low technical level or unskilled skills, do not cooperate well with others, do not pay attention to learning and professional technical training, and violate technical operation procedures, which often leads to operational errors or operational errors and nursing defects and accidents, thus leading to nursing complaints. Many cases, such as patients falling out of bed, falling, scalding, suicide, etc. It is all caused by nurses' off-duty, sleeping at work, delaying or omitting treatment, not making rounds on time, not carrying out doctor's orders correctly, and not finding out the patient's condition in time, which are all manifestations of nurses' weak sense of responsibility.
2 poor service attitude, lack of legal awareness
Poor service attitude is also a major safety hazard, such as using service taboos at work, not paying attention to the way and tone of conversation, and simply answering questions, which leads to misunderstanding of patients. If nurses lack understanding of patients and their families, ignore service attitude and psychological needs of patients, they will not meet patients' expectations and requirements. Patients are not ordinary consumers. Paying for medical treatment in the hospital shows that the hospital has established a contractual relationship with patients and formed a medical service contract. Hospitals provide medical care services for patients through medical staff. The nurse's behavior is not only a personal behavior, but also represents the hospital to perform the contract, and has the obligation to provide quality services to patients and safeguard their rights and interests. When nurses can't realize this and there is a gap between the actual work and the patient's requirements, it will lead to complaints.
3 nursing facilities are not standardized and lack of investment
In the construction and renovation of hospital facilities, the managers of this grass-roots hospital did not fully consider the requirements of nursing work and the comfort needs of patients, resulting in unreasonable facilities and poor conditions. For example, stairs and toilets have no handrails, and the ground is slippery and bright. Some hospitals only pay attention to the investment of large-scale equipment and facilities that can produce direct economic benefits, but ignore the basic investment of nursing equipment, resulting in the shortage and deficiency of nursing equipment, thus forming factors that affect nursing safety. For example, trolleys and stretchers are outdated, beds have no railings, and rescue instruments are poorly maintained. In particular, some rescue instruments that are not often used at ordinary times are too small to be used in rescue.
4 quality management system is not standardized
Governance is to determine the functions and activities necessary to meet the quality requirements. Quality management system is the core of nursing safety management. Imperfect governance system and inadequate quality control are all important factors that cause nursing insecurity. Nursing management is the core of nursing safety. Only when the treatment is in place can the nursing safety of patients be guaranteed. Under normal circumstances, nurses lack scientific management methods, which are mainly manifested in imperfect system, rules to follow, lax organization and management, and lack of management, supervision, inspection and guidance step by step. For example, there are drugs and articles in the rescue vehicle, which are placed in disorder, the location is not fixed, the rescue drugs are not counted, the labels are unknown, and the rescue instruments are not on standby.
2 safety concepts and countermeasures
1 Enhance the legal awareness of nursing staff
Strengthening the legal knowledge education of clinical nurses is an effective means to prevent nurse-patient disputes and reduce nursing insecurity. Through irregular legal lectures, combined with actual case analysis, nurses can understand the legal knowledge related to medical work, further analyze what is tort in clinical nursing work, make clear that nursing work is closely related to law, and safeguard the rights and interests of both nurses and patients according to law. For example, the Law on the Prevention and Control of Infectious Diseases and the General Principles of Civil Law clearly regulate and restrict nursing behavior. Nurses must be clear about the legal provisions and obligations related to nursing work, improve their awareness of self-protection, engage in nursing services according to law, correctly perform their duties and prevent disputes between nurses and patients. Let nurses be familiar with the adverse legal consequences caused by their illegal actions, strengthen their sense of responsibility, and let nurses know what they should do and how to do it, so as to safeguard patients and themselves ... >>
Question 8: What are the management factors that affect nursing safety?
(1) Nursing staff factors
Nurses have a weak sense of responsibility, lax implementation of rules and regulations, and do not seriously implement the handover system and check the system in their work. Insufficient nursing human resources. For a long time, due to the low social status, heavy work and irregular life of nurses, some nurses are not at ease with their work and try their best to transfer or leave their posts, resulting in a serious shortage of clinical nurses. The comprehensive quality of nurses is low. Due to social prejudice and environmental influence on nursing work, hospitals pay insufficient attention to nursing work and invest less, which makes nurses have fewer opportunities to participate in continuing education and their knowledge cannot be updated in time, resulting in poor adaptability of nurses and poor communication between nurses and patients. In addition, because most nurses working in the clinical front line are young nurses, they are inexperienced, lack of clinical experience, lack of solid professional knowledge and unskilled technical operation, and they can't integrate theory with practice in their work, which is prone to operational errors and nursing errors.
(2) Patient factors
Nursing is an activity that nurses and patients participate in together, and the normal development of nursing activities depends on the close cooperation and support of patients. Individual patients who don't follow the doctor's advice, use drugs irregularly or go out privately during hospitalization are also one of the factors that cause nursing safety incidents.
(3) Material factors
Nursing equipment is an important tool to complete nursing tasks. Whether the performance of equipment and instruments is in good condition and the quality is up to standard will affect the normal play of nursing technology and rescue and treatment work, which is one of the unsafe factors in nursing work.
(4) Environmental factors
Improper infrastructure and layout of hospitals also have potential unsafe factors. For example, the ground is too slippery to cause injuries, there is no guardrail at the bedside to cause bed fall, and improper use of hot water bottles leads to burns. Environmental pollution leads to cross-infection in hospital; Imperfect safety and dangerous goods management systems and measures are potential unsafe factors.
Question 9: What is the significance of nursing safety? Safety nursing means that nursing staff should strictly abide by the nursing system and operating rules, accurately execute the doctor's orders and implement the nursing plan, and ensure the physical and mental safety of patients in the process of treatment and rehabilitation.