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根本原因分析法在非计划性拔管事件安全管理中的应用 被引量:7

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摘要 目的探讨根本原因分析法在非计划性拔管事件安全管理中的应用及效果。方法采用根本原因分析法,找出非计划性拔管事件安全管理问题的根本原因,实施改进计划,比较应用根本原因分析法的前后效果。结果应用根本原因分析法后,降低了非计划性拔管事件的发生例数及重置导管发生率(P<0.05)。结论运用根本原因分析法能有效保障置管患者安全,是非计划性拔管事件安全管理的有效方法。
出处 《当代护士(下旬刊)》 2016年第3期160-162,共3页 Modern Nurse
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  • 1Moons P, Sels K, De Becker W, et al. Development of a risk assessment tool for deliberate selfextubation in intensive care patients [ J ]. Intensive Care Med, 2004,30 : 1348-1355.
  • 2Bouza C, Gareia E, Diaz M, et al. Unplanned extubation in o- rally intubated medical patients in the intensive care unit: a prospective cohort study[J]. Heart Lung,2007,36:270-276.
  • 3Frezza EE, Carleton GL, Valenziano CP. A quality improve- ment and risk management initiative for surgical ICU patients : a study of the effects of physical restraints and seda- tion on the incidence of self-extubation[ J]. Am J Med Qual, 2000,15 : 221-225,.
  • 4Richiard J, Croteau MD. Root cause analysis in health care: Tools and techniques [ M ]. American : Joint Commission Re- sources, 2009 : 1-2.
  • 5杨勤荧.根本原因分析法在护理实践中的应用[J].中国护理管理,2012,12(1):17-19. 被引量:40
  • 6Richiard J, Croteau MD. Root cause analysis in health care: Tools and techniques [ M ]. American : Joint Commission Re- sources, 2009 : 1- 2.
  • 7Yeh SH, Lee LN, Ho TH,et al. Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units [ J ]. Int J Nurs Stud, 2004,41: 255-262.
  • 8蔡艳芳,程中才,林雅,陈素敏.451例护理不良事件现状调查分析[J].国际医药卫生导报,2012,18(2):289-292. 被引量:8
  • 9Chen CM, Chan KS, Fong Y, et al. Age is an important pre- dictor of failed unplanned extubation [ J ]. Int J Gerontol, 2010,4 : 120-129.
  • 10Chevron V, Menard JF, Richard JC, et al. Unplanned extu- bation: risk factors of development and predictive criteria for reintubation [ J ]. Crit Care Med, 1998:26 : 1049-1053.

二级参考文献17

  • 1陈倩维,陈丽萍.护理行为中“风险防范意识”的培养及对策[J].国际医药卫生导报,2006,12(1):62-63. 被引量:15
  • 2Neal LA,Watson D,Hicks T, et al.Root cause analysis applied to the investigation of serious untoward incidents in mental health services. Psychiatr Bull,2004(28):75-77.
  • 3Choksi VR,Marn C,Piotrowski MM,et al. Illustrating the rootpcause-analysis process:creation of a safety for the notification of critical findings in diagnostic imaging.J Am Coil Radiol,2005(2):768-776.
  • 4Perkin JD,Levy AE,Duncan JB,et al.Using root cause analysis to improve survival in a liver transplant program.J Surg Res,2005(129):6-16.
  • 5财团法人医院评鉴暨医疗品质策进会.根本原因分析法影片手册教材,2006—12-31.
  • 6Joint Commission on Accreditation of Healthcare Organizations.Root cause analysis in health care. Oakbrook Terrace:Joint Commission on Accreditation of Healthcare Organizations,2005.
  • 7Reason J.Human Error:models and management. BMJ,2000(320):768 -770.
  • 8Bagian JP, Lee C,Gosbee J, et al.Developing and deploying a patient safety program in a large health care delivery system:You can't fix what you don't know about. Joint Commission Journal of Quality and Patient Safety,2005,27(10):522-532.
  • 9纪雪云.“根本原因分析法教育训练影片制作”成果报告.财团法人医院评鉴暨医疗品质策进会,台北,2006.
  • 10张丽君 蔡宗益.运用根本原因分析改善病人手术安全的个案研究[J].辅仁医学期刊,2007,5(3):133-142.

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