2. Improvement of medication safety
3. Establishment and improvement of effective communication between medical staff in special circumstances to achieve the correct implementation of medical prescriptions
4. Establishment of a clinical laboratory "critical value" reporting system
5. Critical value" reporting system
5. Strictly prevent the surgical site of surgical patients and surgical errors
6. Strictly implement hand hygiene, in line with the basic requirements of infection control of medical valves
7. Prevent and reduce the occurrence of patient falls
8. Prevent and reduce the occurrence of pressure ulcers
9, Encourage the initiative to report medical safety (adverse) events
10, encourage patients to participate in medical safety
Question 2: What are the main nursing safety hazards Nursing safety hazards mainly include:
1, nursing staff self-protection awareness is not strong, legal awareness is weak;
2, nursing staff work is not strong sense of responsibility, the concept of lagging behind the service;
3, nursing staff work is not strong, the concept of service;
4, nursing staff work is not strong, the concept of service is lagging behind the service; <
3, the nurse's comprehensive knowledge level is low, the level of professional and technical level is not high;
4, the configuration of nursing staff is unreasonable, the quality management system is not sound;
5, the relationship between patients and nurses is not harmonious enough, and there is a lack of effective communication with each other.
Question 3: What are the aspects of nursing safety education Nursing safety education
First. Effectively strengthen the nursing safety education, set up a patient-centered service concept, and vigorously advocate the change of passive service for the idea of active service. Specific measures:
1. Nursing staff must adhere to the weekly meeting system, to participate in the weekly medical safety education and learning, and found that a failure to implement the hospital's rules and regulations penalties.
2. Combined with our hospital to carry out the "quality nursing service demonstration project" to establish the concept of patient-centered service, provide active service, strengthen the nursing staff's sense of responsibility, advocate nursing staff with "love, care, patience and responsibility". The company has been working on a number of projects, including the development of a new quality nursing service for patients.
3. Through the strengthening of clinical nursing work, solid basic nursing services, in the whole society to establish a good image of the medical and health care industry wholeheartedly for the people to serve, and carry forward the humanitarian spirit of saving lives and promoting the harmony of doctor-patient relations.
II. Establish and improve the relevant rules and regulations, clear job responsibilities. Summarize the experience, and 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 constantly improve the level of nursing.
Specific measures:
1. To further implement the "Nurses Regulations", "the Ministry of Health on strengthening the clinical nursing work of hospitals notice", "general hospitals hierarchical nursing guidelines (for trial implementation)", "inpatient basic nursing service projects (for trial implementation)", "basic nursing service work norms", "commonly used clinical nursing technical service norms," the requirements, and effectively strengthen the nursing The company's management, standardization of nursing services, and the consolidation of basic nursing care.
2. Establish and improve the relevant rules and regulations, and clarify the duties of the post.
1) Hospitals and wards have a complete plan to create, target tasks and implementation measures, nursing staff are registered, standardized practice.
2) The establishment of sound clinical nursing rules and regulations, disease care routines and clinical nursing service norms and standards.
3) the establishment of the post responsibility system for nurses, the development and implementation of all levels and types of nurses' post responsibilities and work standards, standardize clinical nursing practice.
4) To establish a performance appraisal system for nurses, combining the results of the appraisal with the promotion and evaluation of nurses according to the quantity and quality of clinical nursing work done by nurses and the satisfaction of hospitalized patients.
3. Define the basic nursing projects and work norms that clinical nurses should be responsible for, and must perform basic nursing duties, standardize nursing behavior, and improve nursing services.
4. Define the connotation of clinical nursing services, service programs and work standards. The service connotation of hierarchical care, service projects to include the implementation of the patient's condition observation, treatment and care measures, life care, rehabilitation and health guidance, and into the hospital affairs, as the content of the public to the patients, the introduction of patients and social participation in the evaluation mechanism.
III. Strengthen the study of laws and regulations and various rules and work norms.
Specific measures:
1. To carry out the "Nurses Regulations", "Ministry of Health on strengthening clinical nursing work in hospitals notice", "general hospital hierarchical nursing guidelines (for trial implementation)", "inpatient basic nursing service projects (for trial implementation)", "basic nursing service work norms", "commonly used clinical nursing technical service norms" and other laws and regulations of the study at least once a month, so that nursing staff master the rules and regulations, so that they have a good understanding of the work of the hospital and the work of the hospital. At least once a month, so that nursing staff to master the rules and regulations and laws and regulations.
2. Establish and improve the rules and regulations, strict implementation of operating procedures, and constantly standardize the nursing workflow, the development of patient safety management plan. 3. Strengthen the management of quality control measures, increase the key quality control efforts, the Department of the establishment of the quality control team, regularly check the implementation of the system and the quality of each link in the quality management, the quality of the problem nipped in the bud, eliminating and reducing the occurrence of hidden problems.
4. Repeatedly strengthen the legal awareness of nurses, the use of the morning meeting and the usual business learning for legal knowledge and prevention of medical disputes case lectures, with specific cases to inform nurses, any negligence in a small link, may cause irreparable damage. Regularly convene safety analysis meeting, let nursing staff combined with the work of the post, looking for error-prone links, especially for the emergence of the problem, analyze the reasons and develop improvement measures. Update the management concept, encourage nursing staff to report safety hazards, and set up a hidden danger self-reporting incentive system, such as concealment and non-reporting, will be punished according to the appropriate system.
IV. Strengthen nursing "three basic" "three strict" learning assessment,
Specific measures:
1. Each have a theoretical examination, a technical operation assessment.
2. Encourage nursing staff to participate in various forms of business learning and training inside and outside the hospital.
3. Develop preferential policies to encourage nursing staff to participate in adult higher education in order to improve the nursing staff's business skills and theoretical knowledge.
4. Adopt the method of inviting in and going out to strengthen the nursing new business new technology learning, every two ...... >>
Question 4: Brief description of the content of Nursing Safety Nursing Safety is a book dedicated to discussing nursing safety. The book has gone through a long period of time from planning to publication, and the authors of the book are mainly clinical nursing staff, but also nursing faculty. In the process of writing, after continuous adjustment of ideas, adjusting the content, and the team of authors is also expanding and adjusting, all the efforts are finally presented in this book.
Question 5: What are the contents of nursing insecurity factors 1 Nursing insecurity factors on nursing management
Nursing work in the existence of many insecurity factors, these factors will have a direct impact on the effectiveness of care, affecting the recovery of the patient, affecting the image of the hospital in the eyes of the patients and the public, to the hospital's credibility to create a negative impact, and even cause a rise in health care costs, increased consumption of material
The so-called safety management refers to the protection of the physical and mental health of patients, the effective control of a variety of insecurity factors [1], safety management is a necessary condition to protect the lives of patients, is to reduce the quality of defects, improve the level of care of the key links, is to control or eliminate insecurity, to avoid the occurrence of medical disputes and accidents of the objective needs.
1.1 Quality control management factors
Quality management is the management of functions and activities necessary to determine the achievement of quality requirements, quality management system is the core of nursing care safety, imperfect management system, poor quality control may cause nursing care insecurity is an important factor. The lack of effective professional ethics education for nursing staff, the establishment of sound rules and regulations, the binding force is not strong, the quality control measures are not effective, the lack of foresight on the potential unsafe factors for patients, as well as the lack of nursing staff, the ratio of health care disproportion, and many other factors, there will be the result of unsafe care.
1.2 Technical factors
This mainly refers to the fact that due to the low technical level of nursing staff, lack of experience, poor collaboration and other factors may pose a threat to patient safety. Especially with the introduction and development of new technologies and new programs in large quantities, the nursing work of high technical complexity, high technical requirements of more and more content, not only on the nursing staff to bring greater pressure on the work, but also may lead to increased risk of technical aspects of nursing work, thus affecting the safety of nursing. Nurses nursing lack of business knowledge, lack of work experience, low level of technology or unskilled, poor cooperation with others, do not pay attention to learning and business and technical training, violation of technical operating procedures, will lead to operational errors or operational errors and thus accidents.
1.3 Human factors
Mainly refers to the quality of nursing staff and other reasons can not guarantee to meet the basic requirements of the work and the patient caused by unsafe factors or hidden danger. At present, the development of the nursing profession on the quality of nursing staff are required to have a greater increase in the quality of nursing staff, if you can not be timely according to the technological progress and professional development of the investigation, through effective ways and means to improve the quality of nursing staff, and a reasonable increase in the number of personnel.
1.4 Work accountability
Nurses have special occupational content, norms and standards of behavior, long-term engagement in heavy nursing work, repetitive night shifts, the burden of multiple roles, as well as some departments with unreasonable job setups, overloaded with work, so that a small number of nurses physically and mentally fatigued, boredom and fear, belittling nurses' work, and some even hope to get out of the nursing position. As a result, the work of responsibility is not strong, attention is not focused, emotional fluctuations, bad attitude towards patients, so that the occurrence of doctor-patient disputes, thus bringing unsafe consequences or insecurity to the patient.
1.5 Medical factors The language and behavior of health care workers are inappropriate or negligent to patients, causing insecurity or unsafe results. These factors are often important contributors to medical disputes.
1.6 Medication and equipment and facilities
Improperly formulated drugs, incorrect route of administration, improper use of equipment and facilities can cause the occurrence of insecurity, especially the large number of disposable hygiene products and the large number of use of auxiliary inspection equipment.
1.7 Patient Behavioral Management Factors
Patient management refers to the management of those individuals who have been identified as having a disease in the body, and the physical and mental changes that occur in the individual due to the cause of the disease are directly proportional to the awareness of the disease. Nursing work is a nurse and patient *** with the participation of management activities, the normal development of nursing work depends on the patient's intimate cooperation and support, if the patient's psychological tolerance is poor, the lack of a correct understanding of the disease, it is very easy to produce anxiety, fear, upset, worried and other psychological phenomena. Thus, they do not trust the doctor and suspect that the doctor's diagnosis is wrong and other factors leading to the occurrence of artificial insecurity.
1.8 Management factors
Due to the management system is not sound, business training is not in place, poor management of equipment and materials, professional ethics education is not enough, management supervision is not strict and other factors affecting the management of nursing safety organization, which is not only the occurrence of medical disputes and accidents of the main reasons, at the same time, is the biggest threat to the safety of patients.
2 Measures and suggestions to strengthen the management of nursing insecurity factors
2.1 Establishment of a unified and perfect nursing safety and quality management
To address the problems in the quality of hospital nursing safety, combined with the actual situation of the hospital, the system ...... >>
Question 6: What does nursing include Examination courses: University English, VF Programming, *** Introduction to Thought and the Theory of Building Socialism with Chinese Characteristics, Basic Principles of Ridge Crest, Physical Education, University Language, Human Anatomy, Pathogenic Biology, Physiology, Pharmacology, Nursing Ethics, Basic Nursing, Medical Nursing, Surgical Nursing, Obstetrics and Gynecology Nursing, Pediatric Nursing
Examination Courses: Hearing and Speaking English, Basic Computer Culture, Foundation of Ideological and Moral Cultivation and Law, Outline of Modern Chinese History, Career Development and Employment Guidance, Mental Health Education, Medical Organic Chemistry, Histoembryology, Medical Immunology, Biochemistry, Pathology, Pathophysiology, Nursing Psychology, Introduction to Nursing, Health Assessment, Nursing Care, Nursing Research, Five Sundays and Five Weeks. Nursing, Nursing Research, Pentaclinic Nursing, Community Nursing, Geriatric Nursing, Nursing Etiquette and Aesthetics, Medical Statistics and Statistical Software Application, Fundamentals of Traditional Chinese Medicine, Nursing Management, Acute and Critical Care Nursing, Psychiatric Nursing, Nursing Pedagogy
Question 7: What are the contents of the hidden dangers of combining clinical nursing care The continuous development of medical and health care science and technology and the improvement of the standard of living of the people. Patients and their families have a deeper understanding and familiarity with the legitimate rights and interests of medical treatment, and have put forward higher requirements for medical quality, nursing quality, and medical and nursing safety. The author of nearly 30 years of clinical nursing and education practice, know that the current nursing safety is an important indicator of nursing services, but also the patient's choice of medical treatment is one of the most direct and important indicators. As a gynecological care workers, should be standardized at any time feasible safety precautions, strengthen governance, to provide patients with high-quality services, reduce the occurrence of unsafe nursing phenomenon, the author on the nursing of common safety hazards of the reasons for the analysis and the corresponding prevention countermeasures to make a discussion.
1 clinical care in the analysis of the causes of hidden security
1 business quality and responsibility to be improved
The quality of nursing staff is related to the primary factor of nursing safety. Lack of business knowledge and lack of work experience are common safety hazards in nursing in some primary hospitals. Some nursing staff with low technical level or unskilled, poor cooperation with others, do not pay attention to learning and business and technical training, violation of technical operating procedures, often leading to operational errors or operational errors and nursing defects and accidents, thus triggering nursing complaints. Such as patients falling out of bed, falls, burns, suicide, etc. Many cases are nursing staff work off duty, sleep on duty or delayed, omitted treatment, do not patrol the ward on time, the implementation of the doctor's orders wrong, the patient's condition changes can not be found in time and other reasons, which are the lack of responsibility of the nurses performance.
2 poor service attitude, lack of legal awareness
Poor service attitude is also the main safety hazards, such as the use of service taboos in the work, do not pay attention to the way the conversation and tone of voice, answering questions simply lead to patient misunderstanding. If the nurse lacks understanding of patients and their families, does not take into account the service attitude, ignoring the psychological needs of patients, will not meet the expectations and requirements of patients. The patient is not a general consumer, the patient to the hospital to pay for medical treatment marks the hospital and the patient to establish a contractual relationship, the formation of a medical service contract. The hospital is through the health care personnel to perform medical care services for patients, the nurse's behavior is not only individual behavior, but on behalf of the hospital to fulfill the contract, the obligation to provide patients with quality services, and safeguard the rights of patients. When nurses fail to realize this, and there is a gap between the actual work and the patient's requirements, complaints will be triggered.
3 Nursing facilities are not standardized and insufficient investment
In the construction and renovation of hospital facilities, one of this grassroots hospital governors did not fully consider the requirements of nursing, the patient comfort needs and cause the facilities are unreasonable, poor conditions. Such as: stairs, toilets without handrails, the ground is too slippery and too bright. Some hospitals in the equipment input decision-making only focus on large or can produce direct economic benefits of equipment and facilities input, while ignoring the basic input of nursing equipment, resulting in a shortage of nursing equipment, not in place, thus forming factors affecting the safety of nursing. Such as trolleys, stretchers are old, beds without bed rails, resuscitation instruments are poorly maintained and so on. Extraordinary some usually infrequent use of rescue instruments, the number is too small to cause the rescue can not be used.
4 quality governance system is not standardized
Governance is to determine the functions and activities necessary to meet the quality requirements of the governance, quality governance system is the core of nursing safety governance, governance system is not perfect, quality control is not in place, are important factors causing nursing insecurity. Nursing governance is the core of nursing safety. Only with governance in place can we ensure that patient care safety is guaranteed. In general, the lack of scientific governance of nursing staff is mainly manifested in the system is not sound, no chapter to follow, organization and governance is not strict, the lack of level by level governance, supervision, inspection, guidance and so on. Such as the existence of rescue car drugs, items placed in chaos, location is not fixed, rescue drugs without counting, labeling is not clear, rescue instruments are not in a state of readiness and so on.
2 Ideas and countermeasures for safety prevention
1 Enhance the legal awareness of nursing staff
Strengthening the legal knowledge education of clinical nursing staff is an effective means of preventing nurse-patient disputes and reducing nursing insecurity. Should be through occasional legal lectures and combined with practical case studies, so that nursing staff to understand the legal knowledge related to medical work, and further analysis of the clinical nursing work, which is a violation of the law, clear nursing and law are closely related to the rights and interests of both patients and nurses to rely on the law to maintain. Such as "Infectious Disease Prevention and Control Law" and "General Principles of Civil Law" and other laws, the nursing behavior of clear norms and corresponding constraints. Nursing staff must be clear about the legal provisions and obligations related to nursing, improve self-protection awareness, engage in nursing services in accordance with the law, and properly fulfill their duties to prevent the occurrence of nurse-patient disputes. Let nurses familiarize themselves with the adverse legal consequences of their own violations, strengthen the sense of responsibility, so that nurses know what they should do, how to do, so as to maintain the patients and their own ...... >>
Question 8: What are the management factors affecting nursing safety? The factors affecting nursing safety are:
(1) Nursing staff factors
Nurses are not strong in responsibility, the implementation of rules and regulations and operating procedures are not strict, and do not conscientiously carry out the shift handover system, checking the right system in the work. Insufficient nursing human resources, for a long time due to the low social status of nurses, heavy work, irregular life, some nurses do not feel at ease with their work, find ways to change jobs or leave the post, resulting in a serious shortage of clinical nurses. Nurses' own comprehensive quality is low, due to social prejudice against nursing and the influence of the environment, hospitals do not pay enough attention to nursing, less investment, so that the nurses to participate in continuing education opportunities are small, the knowledge can not be updated in a timely manner, resulting in nurses' poor resilience, poor communication between nurses and patients. In addition, because most of the nurses in the clinical line of work are young nurses, seniority is shallow, lack of clinical experience, professional knowledge is not solid medical education|net collection, technical operation is not skillful, the work of the theory can not be linked to practice, easy to lead to operational errors and nursing errors.
(2) patient factors
Nursing is a patient and nurse **** with the participation of the activities, the normal development of nursing activities depends on the patient's close cooperation and support. Individual patients' non-compliance with medical behavior, non-standard medication or going out privately during hospitalization is also one of the factors contributing to nursing safety incidents.
(3) material factors
Nursing equipment is an important tool to complete the nursing task, the performance of the equipment and instruments is intact, whether the quality is over the top, will affect the normal play of nursing technology, affecting the resuscitation and treatment work, is the existence of one of the factors of insecurity in the nursing work.
(4) environmental factors
The hospital infrastructure and improper layout is also potentially unsafe. Such as the ground is too slippery to cause injuries, the bedside without protection caused by the fall of the bed, the improper use of hot water bags lead to burns. Environmental pollution leads to hospital cross-infection; safety hazardous materials management system measures are not perfect, etc. are potential unsafe factors.
Question 9: What is the meaning of nursing safety Safety nursing refers to the nursing staff in the nursing work, to strictly follow the nursing system and operating procedures, accurate and error-free implementation of medical advice, the implementation of the nursing program, to ensure that the patient in the treatment and rehabilitation of physical and mental safety.