2021年最新护理不良事件成因分析及讨论记录本.pdf
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1、护理不良事件成因分析及讨论记录本病区二 0 一六年护理不良事件报告制度精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 1 页,共 6 页1.护理不良事件分为护理差错、护理事故、在院跌倒、护理并发症、护理投诉及其他意外或突发事件。2.护理部及各科室具备防范、处理护理不良事件的预案,并不断修改完善。3.发生护理过失后,当事护士应立即报告护士长和当班医生,立即采取抢救措施,以减少和降低由于过失造成的不良后果。4.护士长要逐级上报不良事件的经过、原因、后果,并按规定填写对应的登记表。情节严重的差错、投诉或病人自杀等突发事件立即上报护理部,护理部及时了解情况,给予处理意见,尽量降低对病
2、人的损害。5.发生护理过失的各种有关记录、检验报告、药品、器械等均应妥善保管,不得擅自涂改、销毁,必要时封存,保留标本,以备鉴定之用。6.护理不良事件发生后,按性质、情节、后果轻重分别组织全科、全院有关人员进行讨论,分析原因,提高认识,吸取教训,改进工作。7.护理质量管理委员会每季度对上述事件汇总进行讨论,从制度合理性、制度执行、环节管理、工作流程、职业道德、主观态度等方面综合分析,根据事件的情节及对病人的影响,确定性质,提出奖惩意见和改进措施,在全院护士长会上传达,共享经验教训,不断提高护理工作质量。护理不良事件分级级事件(警告事件):非预期的死亡,或是非疾病自然进展过程中造成永久性功能丧失
3、。级事件(不良后果事件):在疾病医疗过程中是因诊疗活动而非疾精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 2 页,共 6 页文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10
4、HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D
5、10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4
6、 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8
7、E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2
8、文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:C
9、V5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2病本身造成的病人机体与功
10、能损害。级事件(未造成后果事件):虽然发生了错误事实,但未给患者机体与功能造成任何损害或有轻微后果而不需要任何处理可完全康复。级事件(隐患事件):由于及时发现并修正错误,未形成事实。不良事件报告与处理流程发评估发生原因、过程及结果等。精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 3 页,共 6 页文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J
11、10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2
12、K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S
13、2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF
14、7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K
15、7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编
16、码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X
17、5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2生不良事件逐级上报1.报告形式:口头、书面、网络。2.报告内容:时间、地点、当事人、事件发生经过、原因、后果、报告人等。3.报告时间:严重的不良事件立即报告护士长、科主任,同时向护理部及相关部门报告,讨论结果 3 日内上报护理部;一般不良事件 24小时内上报护理部,讨论结果7 日内上报护理部。采取补救措施1.积极采取有效措施,降低或控制损害程度,减轻或消除不良后果。2.妥善保管有关证据,不得擅自涂改、销毁。3.安抚患者,维持科室秩序,必要时报告保
18、卫科控制事态发展。记录事件经过原因及后果等。讨论分析填写不良事件报告表1.严重不良事件发生后1-3 日内、一般不良事件发生后7 日内组织全科人员进行分析讨论,查明原因,提出处理意见及防范措施。2.填写“护理不良事件报告单”,一式两份,一份报护理部,一份科室保存。持续改进1.科室组织质控人员每月检查整改后的效果,及时调整完善各项制度。2.护理部每月对上报的不良事件组织分析讨论,提出整改与防范措施,记录存档。护理不良事件成因分析及讨论记录时间地点不良事件类型参加人员:精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 4 页,共 6 页文档编码:CV5X5K6S9J10 HK2K1D
19、10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4 ZF7F8E9K7L2文档编码:CV5X5K6S9J10 HK2K1D10S2E4
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