The types of nursing adverse events mainly include the following aspects:
1. Nursing accidents related to patients' safety, such as falls, medication errors, getting lost, accidental inhalation or suffocation, burns, etc.
2, diagnosis or treatment errors lead to serious complications, abnormal death, serious dysfunction, prolonged hospitalization or increased hospitalization expenses and other medical events.
3, serious drug or blood transfusion adverse reactions.
4. Damage caused by medical devices or medical equipment to patients or medical personnel.
5. Damage caused to patients by medical personnel or accompanying personnel.
6. Hospital infection.
7, emergencies, safety, information and other related adverse events.
Common causes of nursing adverse events
1, the inspection system is not in place.
Due to the lack of careful implementation of various inspection systems, the proportion of adverse events in actual nursing work is still high. The specific performance is that the medication check is not strict, and sometimes it depends on subjective impression, such as calling the bed number instead of the name when giving treatment to patients, and not comparing the name, drug name and infusion card when changing fluids, which leads to the wrong infusion or oral medication error.
2. Incorrect execution of doctor's advice
It is manifested in blindly executing the wrong doctor's advice, violating the provisions of oral doctor's advice, misreading the doctor's advice, and sometimes relying on subjective impression, failing to find the change of patient's dose in time and affecting patients.
3. The rules and regulations are not strictly implemented, which violates the operation process.
Due to more junior nurses, lack of work experience, poor mastery of some professional knowledge, basic common sense and operating procedures, unfamiliarity with working procedures, careless observation of patients and inadequate nursing measures.
4. The nursing grading system was not strictly implemented.
Patients were not observed and patrolled in strict accordance with the grading nursing system, and the patient handover system was not seriously implemented. Health education and education are not in place, and there is no foresight for possible adverse consequences, such as not repeatedly emphasizing safety hazards (falling down and falling out of bed) to patients.