The reasons for the occurrence of medical errors and accidents mainly come from human factors, mainly in four aspects.
1.1.1 Sense of mission and responsibility is not strong
A small number of medical personnel lack of a sense of mission to save lives and help the injured, no sense of enterprise and responsibility for the work, negligence and carelessness in the work, the performance of their duties is not conscientious, the implementation of the rules and regulations and medical operating procedures are not rigorous, AWOL, diagnosis and treatment is not serious, the inspection and observation of the patient is not meticulous, the disposal of the treatment in a timely manner resulting in the patient's condition aggravation and The body of the damage.
1.1.2 Poor sense of responsibility for safety, lax implementation of the system
In recent years, although the hospital has developed a series of rules and regulations in the area of safety management, but many of the core system of medical safety implementation is not strict. Such as the first diagnosis is responsible for the system, the three-level physician room system, difficult case discussion system, consultation system, critical patient rescue system, which in turn led to the occurrence of medical errors and accidents.
1.1.3 Insufficient motivation to study the business, the technical level is not high
Medicine is a comprehensive, practical and strong science, the knowledge of the rapid update, requiring medical personnel to continue to learn and summarize, both solid medical theory and superb clinical operation technology. However, a few medical personnel learning business is not serious, do not seek progress, sloppy work, encountered difficult problems both do not consult the information, and shy to consult others, the technical level is not high, resulting in misdiagnosis and misdiagnosis of the patient.
1.1.4 "people-oriented" concept is weak, doctor-patient communication is not in place
Patients in the acceptance of medical services they need to be cared for, respected, accepted, need to understand his condition and diagnosis and treatment program, need to feel safe and eager to get well soon. This requires serious communication and explanation of medical staff, but a few medical staff "patient-oriented" concept is weak, self-centered, lack of basic quality of the patient's responsibility, communication awareness is not strong, the attitude is not positive, the way inappropriate, the explanation is not in place, the content of the patient should know not seriously teach, the patient should not know the content of the arbitrary nonsense, and some of the content of the patient should not know! The content of the content of the random nonsense, there are medical personnel service consciousness fade, hard words, rude attitude, and triggered the patient's resentment, suspicion and take a non-cooperative attitude, easy to lead to the occurrence of doctor-patient conflicts.
1.2 The safety hazards of medical equipment
There are three main aspects of the performance: First, improper use of medical equipment to bring the hidden danger. Mainly manifested in the use of instruments and equipment is not in strict accordance with the operating procedures, did not do the necessary adjustments and inspections, so that the equipment electrical safety, mechanical safety, physical safety and other risks are controlled in an acceptable range, otherwise it will bring serious harm to the patient. According to the survey, in the application of emergency equipment, the failure rate of equipment due to improper operation of the medical staff itself accounts for 60% to 70%. The resulting physical damage to the patient also occurs frequently. Secondly, the hidden danger of poor maintenance. Medical instruments in the use of the process requires regular maintenance, but the instrument maintenance technology is insufficient, the level is low. According to statistics, about 30% of the medical equipment "with disease" work, increasing the medical risk. Thirdly, the safety index of medical devices is not clear. Such as protection against grounding, leakage, electric shock and so on. Exceeding the standard value of energy is easy to patients and operators to bring the potential danger of not easy to detect.
1.3 Safety hazards in the management of drugs
With the gradual improvement of China's drug standards, the requirements for drug storage conditions are also increasingly high. Sunlight, air, humidity, time are important factors affecting the quality of drugs, drugs due to improper storage, not only lead to reduced efficacy, but also make the drug toxic side effects increase. Some drugs need to be stored under refrigerated conditions, in the high temperature season, such as not taking the necessary refrigeration measures, can lead to drug deterioration. Such as vitamin C, vitamin K1 is easy to decompose and discoloration, the effect is reduced, A.P.C deliquescence increase gastrointestinal *** sex, cod liver oil oxidation toxicity, etc.. This is also a safety hazard of drugs. In the rational use of drugs still exists "on paper" phenomenon. Compounding contraindications unreasonable use of drugs in the prescription of a certain proportion, resulting in a decrease in drug safety; according to statistics, the hospital's antibiotic use rate of more than 50%, indicating the existence of the phenomenon of abuse of antibiotics. In addition, there are loopholes in the management of expired drugs. Especially some infrequently used emergency medicines, often appear expired phenomenon, is a major hidden danger of drug safety.
1.4 Medical management of the existence of security risks
1.4.1 The management of the troops wounded and sick have certain difficulties
The reason is that most of the troops wounded and sick young, light condition, and the psychological pressure and ideological burden is heavier, there are a small number of grass-roots troops to the ideological mood of the heavy, mild condition, difficult to manage the soldiers sent to the hospital hospitalization in order to manage the medical, plus ...... >>
Question 2: What are the safety hazards in clinical work The drug must be whole to understand what the patient's illness
Question 3: Medical safety Hidden dangers are those medical hidden dangers as follows:
1. Individual departments of medical documents are not standardized in the writing, the main reason for this is that the scribbling of handwriting is not easy to recognize.
2. Individual outpatient clinics do not write outpatient medical records according to regulations, the content is too simple.
3. Certain medical staff do not pay attention to medical safety, lack of awareness of the current medical environment, and lack of communication with patients, so that they can not protect themselves well.
4. There are deficiencies in the writing of medical prescriptions.
Question 4: What are the potential fire hazards in the hospital Fire escapes, fire stairs, fire elevators, emergency lighting, fire hydrant systems, evacuation lights, safety lights, automatic alarm systems and other facilities are available, perfect and bluffing work. All will become a hospital fire safety hazards.
Question 5: Combined with the clinical care safety hazards include what the continuous development of medical and health science and technology and the improvement of the standard of living of the public, so that patients and their families have a deeper understanding of the legitimate rights and interests of medical treatment and familiarity with the quality of medical care, quality of care, medical and nursing care and safety has put forward a higher demand. The author 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 nursing 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 common safety hazards of the cause analysis and the corresponding preventive measures 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 have 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, etc. This is 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, patients' comfort needs and resulting in unreasonable facilities, poor conditions. For example: 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 rules to follow, the organization of 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 study, 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 6: What are the safety hazards of the hot pot restaurant, how to deal with There are safety hazards in ventilation and exhaust.
The hospital will always admit some of the people who eat hot pot and lead to carbon monoxide poisoning. Experts remind, eat hot pot, eat barbecue, try to use less charcoal stove, pay attention to ventilation.
Question 7: I am responsible for fire safety in a state-owned hospital, the inspection found that there are very serious fire hazards, asked how to push out the responsibility? 50 points You write all the fire safety hazards into a report information (electronic and hard copy, pay attention to the bottom and signature date). The title is ** hospital fire safety inspection report or hidden danger inspection report.
The content is best combined with text and photos, problem points and recommendations for improvement should be clearly stated.
You can also according to different aspects, divided into categories, and in each problem point are marked after the degree of urgency.