Question 1: What is nursing safety management? Nursing safety means that during the entire process of receiving care, patients will not suffer any psychological, physical structural or functional damage or disorder beyond the scope permitted by laws and statutory regulations. , defect or death. Nursing safety is an important symbol that reflects the quality of nursing care. It is the basis for protecting patients from receiving good care and high-quality services. It plays a vital role in maintaining the normal working order of the hospital and social security.
Question 2: Introduction to Nursing Safety "Nursing Safety" is a book dedicated to discussing nursing safety. This book took a long time from planning to publication. The authors are mainly clinical nurses and nursing teachers. During the writing process, after constantly adjusting ideas and content, the author team is also expanding and adjusting, and all the efforts are finally presented in this book.
Question 3: What are the unsafe factors in nursing? 1 The impact of unsafe factors in nursing on nursing management
There are many unsafe factors in nursing work, and these factors will directly affect nursing It affects the recovery of patients, affects the image of the hospital in the minds of patients and the public, has a negative impact on the reputation of the hospital, and even causes an increase in medical costs, increased material consumption, and increased financial burden on patients.
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 for ensuring the safety of patients’ lives and is an important step in reducing quality defects, The key to improving the level of nursing care is the objective need to control or eliminate unsafe factors and avoid medical disputes and accidents.
1.1 Quality monitoring and management factors
Quality management is the management of determining the functions and activities necessary to meet quality requirements. The quality management system is the core of nursing safety. If the management system is not perfect, Inadequate quality control may be an important factor in unsafe care. There is a lack of effective professional ethics education for nursing staff, well-established rules and regulations, weak binding force, ineffective quality control measures, lack of foresight of potential unsafe factors for patients, insufficient nursing staff, imbalanced medical-to-nurse ratio, and many other factors , there will be unsafe results of care.
1.2 Technical factors
Mainly refers to factors such as low technical level, lack of experience, and weak collaboration ability of nursing staff, which may pose a threat to patient safety. Especially with the large-scale introduction and development of new technologies and new projects, there are more and more contents with high technical complexity and high technical requirements in nursing work. This not only brings greater work pressure to nursing staff, but may also lead to the failure of nursing work. Risks increase with technology, impacting safety of care. Nurses lack professional knowledge and work experience, have low or unskilled technical skills, poor cooperation with others, do not pay attention to learning and professional technical training, and violate technical operating procedures, which will lead to operational errors or accidents.
1.3 Human factors
Mainly refers to unsafe factors or hidden dangers caused to patients due to the inability of nursing staff to meet basic work requirements due to factors such as the quality of nursing staff. At present, the development of the nursing profession has greatly improved the quality requirements of nursing staff. If we cannot conduct timely investigations based on technological progress and professional development, we can improve the quality of nursing staff through effective ways and methods and reasonably increase the number of staff.
1.4 Work Responsibility
Nurses have special professional content, norms and behavioral standards. They have been engaged in heavy nursing work for a long time, repetitive night shifts, multiple role burdens, and some department positions. Unreasonable settings and overloaded work make a small number of nurses physically and mentally exhausted, resulting in boredom and fear of difficulties. They despise the work of nurses, and some even hope to leave their nursing positions. Therefore, at work, they have a weak sense of responsibility, lack of concentration, large mood swings, and a bad attitude towards patients, which may lead to doctor-patient disputes, thus bringing unsafe consequences or unsafe factors to patients.
1.5 Iatrogenic factors: Medical staff’s language, inappropriate behavior or mistakes cause insecurity or unsafe results to patients. These factors are often important factors causing medical disputes.
1.6 Medication and Equipment and Facilities Factors
Improper drug compatibility, incorrect administration routes, improper use of equipment and facilities, etc. can cause unsafe factors, especially large amounts of disposable Hygiene products and extensive use of auxiliary inspection equipment.
1.7 Patient Behavior Management Factors
Patient management refers to the management of individuals who are physically determined to have diseases, and the physical and mental changes that occur to individuals due to the disease are related to the Directly proportional to disease awareness. Nursing work is a management activity in which both nurses and patients participate. The normal development of nursing work depends on the close cooperation and support of the patient. If the patient has poor psychological endurance and lacks a correct understanding of the disease, it is easy to produce anxiety, Fear, upset, worry and other psychological phenomena. As a result, factors such as distrust of doctors and suspicion of wrong diagnosis by doctors lead to the occurrence of man-made unsafe factors.
1.8 Management factors
Nursing safety organization is affected by factors such as imperfect management systems, inadequate business training, poor management of equipment and materials, insufficient professional ethics education, and lax management and supervision. Management is not only the main cause of 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 care
2.1 Establish a unified and improved nursing safety and quality management
To address the existing problems in hospital nursing safety and quality Problems, combined with the actual situation of the hospital, system...>>
Question 4: Rectification measures for nursing safety problems 1. Nursing hidden dangers and causes
1. Potential Nurse-patient disputes
Clinical nurses are younger, less experienced and skilled, unable to hit the nail on the head, have large amounts of fluids, few staff, and do not change fluids in a timely manner. It is easy for blood to return and block the infusion tube, and they cannot insert the needle in time after removing it. , a series of factors have led to a surge in the opinions of patients' families against nurses. Once a patient's condition worsens, it will directly lead to disputes.
2. Basic care is not in place
Because nurses are busy adding medicine and changing fluids, they have no time to take care of the patient’s basic care content, such as turning over, patting on the back, nasogastric feeding, high fever, diabetes insipidus, etc. Constipation, etc., are left to the family members to handle, and if there are any abnormalities, the nurse will be reported to the doctor for treatment. This cannot ensure that the condition is observed on time, and complications may easily occur or the best treatment opportunities may be missed. It’s not that I don’t do it, but that I don’t have time. I feel that the nursing work is only about quantity but not quality. I am always busy and do very little for the patients. Especially when I am on duty on weekends, many medical orders cannot be carried out on time. It can be executed after get off work. In short, with limited human resources, there is no scientific and coordinated management and distribution method to achieve perfection in nursing work.
3. There are many safety hazards
When changing liquids, take several bottles at a time, and change the wrong bed number if you are not careful; the infusion card is not clear,
Check It is inconvenient, firstly, it affects the speed of checking, and secondly, it is easy to get the wrong medicine; the bed is moved frequently during surgery, and it is easy to make mistakes; most of the night and consecutive shifts are young nurses who lack work experience and communication skills, and cannot detect changes in the patient's condition in time, which affects the rescue. Treatment; critically ill and surgical patients are placed in general wards. The distance is long and there are few personnel. It is inconvenient for observation and treatment, which increases the workload and difficulty of work. There are safety hazards of different degrees and nature in each shift, and medical care safety faces major challenges. .
4. The nurse is severely exhausted and mentally stressed
Due to the heavy workload, fear of making mistakes and high sense of responsibility for the work, the nurse is in a state of high mental stress and is under great psychological pressure. , physical strength is seriously exhausted, and if things continue like this, it is not conducive to physical and mental health. Loss of enthusiasm and enthusiasm for work, lack of love and sympathy for patients, lack of attractiveness in the department, and lack of cohesion in the team, which is not conducive to the stability and professional development of the nursing team.
5. There are many problems and difficulties in companion management
There are many critically ill, surgical, and comatose patients, and there are few nurses. They are tired of completing basic treatments every day, and there is no energy and manpower to provide the basis. Life care requires great assistance from companions, so the number of companions cannot be limited.
As companions stay in the department, water, electricity, heating and ward facilities are consumed a lot. They often smoke, sleep on the floor, chat, and hang clothes in the aisles at night. There are many opportunities for friction with doctors and nurses, which increases cross-infection. possible, and there are many safety hazards. Simply limiting the number of companions in the ward is not effective.
2. Preventive measures
1. Strengthening safety and quality education, improving nursing safety awareness, and eliminating hidden dangers in nursing work are the guarantee for avoiding risks
( 1) New nurses must study the "Medical Accident Handling Regulations" before taking up their posts and pass the assessment before they can enter clinical work. Rotating nurses must attend specialist training in the intensive care unit of our department for more than three months before they can work shifts with teachers. During this period, operational training and theoretical reinforcement will be carried out. They also teach basic communication skills with patients and their families, and have the basic ability to deal with disputes.
(2) Regularly organize nursing staff to conduct legal education, use safety examples to reason, analyze violation cases to sound the alarm, firmly establish the concept of "safety first, quality first", and enhance awareness of laws and regulations, Promote awareness of the consequences of unsafe conditions in care.
(3) The Nursing Department conducts nursing quality evaluation meetings and safety education every quarter at the hospital-wide nurse conference, and reviews the work situation at the monthly head nurse meeting, including problems at work
Unsafe hazards, nursing errors and defects, and major errors and accidents must be analyzed and criticized.
(4) The head nurse uses the morning shift handover time every day to give timely reminders and preventive measures for problems that may easily arise in the department's nursing work.
2. Adjusting shifts and refining work processes and work systems are the sure guarantee to reduce nursing risks.
Strengthen personnel during weak periods of care, such as adding more personnel at noon and weekends and matching old and young people, to improve work efficiency, observe conditions in a timely manner and handle emergencies, and nip disputes in the bud. The original all-night shift was adjusted to a double shift in both large and small nights, and helpers were retained. The increase in staff reduced the pressure and made work more enjoyable. Strengthen the staffing of the intensive care unit, refine the job responsibilities of each shift, clarify on-duty responsibilities, provide good care for critically ill patients, implement basic nursing responsibilities, and ensure nursing safety.
3. Strengthen communication with patients. Master communication skills, improve service attitude, standardize service behavior, and protect patients' privacy rights. This is an effective measure to reduce nursing disputes... >>
Question 5: What are the four elements of risk management in nursing safety education? The four elements of risk management include:
1. Education: Establish and improve the publicity and education system to popularize safety awareness;
2. Responsibility: Establish and improve the safety responsibility assessment system and insist on heavy rewards and penalties;
3. Implementation: Build A strong and effective responsibility implementation mechanism is to carry out a series of important deployment decisions for production safety, and to smoothly conduct various tasks and corresponding responsibilities to ensure that they are in place at all levels;
4. Safety: Establish and improve Safety assessment system to improve intrinsic safety.
Safety production refers to the adoption of corresponding accident prevention and control measures in production and business activities in order to avoid accidents that cause personal injury and property loss, so as to ensure the personal safety of employees and ensure that production and business activities can be carried out related activities that went smoothly.