Nurse's nursing error accident case _ case analysis of nursing adverse events

Nurses' mistakes and accidents are the most sensitive indicators to measure nurses' quality. A medical staff, a ward or even a hospital may have serious consequences because of a major medical accident, which will not only cause huge losses to patients and their families, but also reduce their social reputation and lose their sense of security. The following is a typical nursing error accident case I brought to you for your reading!

Cases of nursing errors and nursing accidents 1

A 6-month-old baby went to the pediatrics department of Fangcheng County People's Hospital to treat diarrhea. The nurse in this hospital put a tourniquet on the child's arm for a day and a half when she gave the child an infusion needle, resulting in half of the child's arm being black. At present, the child has been transferred to the First Affiliated Hospital of Zhengzhou University for hospitalization. The attending doctor said that amputation was not ruled out. The person in charge of Fangcheng County People's Hospital said that the hospital will help the children recover at all costs.

Cases of nurses' nursing mistakes and accidents II

Before giving birth, Wu Ling was arranged for infusion in the waiting room. Mei Ying, the nurse on duty, should have given her normal saline, but accidentally gave her nearly 100 ml of alcohol. What Wu Ling is most worried about now is that this mistake will have a lifelong impact on her daughter's health. To this end, Chengdu Women and Children Central Hospital invited experts from West China Second Hospital of Sichuan University for consultation. Pengzhou Health Bureau has dealt with this matter: ordered Pengzhou Maternal and Child Health Hospital to suspend Mei Ying, the head nurse, and transfer her post to study for one year; The director of nursing department has a large administrative record; The dean and the deputy dean in charge have recorded serious demerits.

Cases of nurse's nursing mistakes and accidents 3

Case 1: The nurse did not check the name of sodium chloride during the skin test, resulting in potassium chloride mixed into the skin test solution.

Case 2: The nurse did not check the drainage of the urine bag of the surgical patient during the shift. In fact, the urine bag was not put away when the surgical patient returned to the hospital bed, but the nurse didn't find it. When it was found, the sheets and bedding were all wet.

Case 3: Give heparin to patients after consultation. The heparin ampoule was marked 12500U, and the doctor prescribed 25mg for intramuscular injection. The nurse did not know the relationship between MG and u, and after consulting the doctor, she gave heparin 4ml intramuscular injection.

Case 4: During abdominal surgery, the visiting nurse didn't count the number of instruments before closing the abdominal cavity, which led to serious mistakes and accidents.

Cases of nurse's nursing mistakes and accidents 4

One day, an intern? According to the doctor's advice (5%GS500ml+V Jialin 2+ insulin 4 units), because the dosage of insulin was not calculated carefully, 1 bottle (400 units) was mistakenly inhaled as 4 units, and it will be added to the medicine bottle soon. Fortunately, the teaching teacher found out in time and immediately stopped the operation, avoiding a serious case.

The occurrence of nursing errors.

cause analysis

1. interns lack clinical experience and theoretical knowledge: they don't realize the particularity of insulin drugs and the serious consequences that may be caused by improper dosage.

2. Poor awareness of nursing safety: This student has added insulin many times under the guidance of the teacher and learned how to calculate the dose of insulin. This mistake was simply caused by the lack of awareness of nursing safety and desertion at that time (according to the classmate's recollection afterwards, she didn't realize that she was pumping insulin at that time, but thought she was pumping V Jialin).

Lessons learned and corrective measures

1. Inform this matter at the meeting of general nurses, and strengthen the training of nursing students' awareness of safety nursing.

2. Emphasize that teachers should persist in the teaching process? Let go of it? The principle of. Have a strict teaching attitude.

3. Instruct nursing students to have a serious and responsible learning spirit in the process of clinical practice.

Cases of nurses' nursing mistakes and accidents 5

The baby's half arm is black and is in danger of amputation.

Big river. Com month 1 1 It is reported that a 6-month-old baby went to the pediatrics department of Fangcheng County People's Hospital to treat diarrhea. The nurse in this hospital stuck a tourniquet on the child's arm for a day and a half, which caused the child's half arm to be black. At present, the child has been transferred to the First Affiliated Hospital of Zhengzhou University for hospitalization, and the attending doctor said that amputation is not ruled out. The person in charge of Fangcheng County People's Hospital said that the hospital will help the children recover at all costs.

The poor baby was hurt by a tourniquet.

According to the introduction of the child's grandfather Cha, the child was hospitalized in Fangcheng County People's Hospital because of diarrhea. On the morning of February 4, the nurse gave the child an infusion. At first, the nurse wanted to stick a needle in the child's arm, so she tied a tourniquet on the child's arm. Because the child was only 6 months old, and there were no blood vessels on his arm, the nurse finally put an infusion needle on his head, but forgot to take off the tourniquet tied to his arm. From the morning of the 4th to the evening of the 5th, the child was crying all the time, and the family always thought that diarrhea caused the child to have a stomachache. Until the evening of the 5th, when the grandfather coaxed the child, he accidentally found that one of the child's little hands was cold. He quickly pulled the child's arm out for inspection and found that the half arm tied by a tourniquet was black. The child's family immediately reported the situation to the doctor, and the doctor said that it was enough for the family to apply a hot towel. Nearly 40 minutes later, another relative of the child heard the news and rushed to the hospital. When he saw that the situation was serious, he immediately questioned the doctor. The hospital began to pay attention to it and sent nurses to give children arms to promote blood circulation.

The child's aunt said that when giving the child an injection, the nurse carried the child to another cot, so the family didn't know about the tourniquet. Now the weather is cold, and the children who are several months old don't take off their clothes when they sleep, so their families have never found the tourniquet tied to their arms.

According to reports, the child's family is in the rural area of Qinghe Township, Fangcheng County. The parents of the child are people with low IQ and can only take care of themselves. When the child is hospitalized, he is mainly taken care of by his grandfather who is nearly seventy years old, and his parents are not around.

The conditions for transferring to Zhengzhou have improved.

On February 5th, Fangcheng County People's Hospital sent an ambulance to transfer the baby to Nanyang Hospital. The doctor in Nanyang Hospital said that time had been delayed and there was nothing he could do, so he was transferred to the First Affiliated Hospital of Zhengzhou University. The child was transferred to the First Affiliated Hospital of Zhengzhou University overnight. Professor Wu, an expert from the hospital, performed an open operation on the baby for the first time, with the aim of relieving necrosis and congestion. Professor Wu said that there is no other way at present, and it can only be resigned after the operation, and the possibility of amputation is not ruled out. On February 10, Grandpa Cha, who is taking care of the child in Zhengzhou, said in an interview that the child recovered well after the operation and his skin color began to turn rosy, which is developing in a benign direction, but at least two more operations are needed.

The hospital expressed its willingness to take full responsibility.

According to the reporter's understanding, the leaders of Fangcheng County People's Hospital said that they are willing to take full responsibility for this incident and are willing to bear all the medical expenses of the children, including the care of family members in Zhengzhou, so as to ensure the timely supply of funds.

The family members of the children were very satisfied with the attitude of the hospital leaders. Regarding the responsibility of the nurse, the child's family said that they would not pursue it in depth. After all, the nurse is still young. I hope she can take a warning.

On the afternoon of February 7, the person in charge of Fangcheng County People's Hospital rushed to the First Affiliated Hospital of Zhengzhou University to visit the children. The person in charge said:? Our hospital will be responsible for this matter to the end. ?

Fangcheng County Party Committee attached great importance to this matter and instructed Fangcheng County Health Bureau to investigate this matter. Fangcheng county health bureau has made an investigation report on this matter. According to the investigation report, the child was admitted to the pediatric ward of Fangcheng County People's Hospital at about 3 pm on February 3, and a tourniquet was put on his left forearm on the morning of the 4th. It was not until around 7 pm on the 5 th that the relevant personnel found that the tourniquet was still stuck in the child's left forearm.

According to the investigation, Fangcheng County Health Bureau instructed the county people's hospital to deal with the responsible person seriously, and actively treat the children and bear the medical expenses of the children.