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1. 广州中医药大学第二附属医院肝病科(邓燕妹
2. 罗利娟
3. 范井月
4. 莫淡斯
5. 邝彩梅
6. 张秋婷),护理部(丁美祝
7. 黄绮华)
纸质出版日期:2018,
移动端阅览
邓燕妹 丁美祝 黄绮华 罗利娟 范井月 莫淡斯 邝彩梅 张秋婷. 精细化管理在内科静脉输液安全建设中的应用[J]. 中华医学教育探索杂志, 2018,17(7).
Application of meticulous management in safety construction of intravenous infusion[J]. 2018,17(7).
针对内科静脉输液的安全问题开展精细化管理。主要从建立静脉输液安全管理质控体系,制定质控方案,搜集并分析大内科各科室静脉输液中潜在的不安全因素、静脉输液制度及流程的修订,制定静脉输液安全检查标准,规范护士准入制度,对护理人员进行静脉输液相关知识培训,对静脉输液环节实施精细化管理等方面着手,并积极开展学习交流。结果表明,护理人员的输液安全意识明显增强。对肝病专科的静脉输液安全指标进行初步汇总,安全型留置针使用率从30.60%升至92.30%,滴速适宜率从68.45%升至93.20%,三签字规范率从75.20%升至95.10%,病人对输液的满意度从85.60%升至96.82%,整体上提高了内科静脉输液的安全
For the safety problems of internal medicine intravenous infusion
we carry out meticu-lous management
establish quality control system of intravenous infusion safety management
and formulate quality control plan. We collect and analyse the potential unsafety factors in the various departments of internal medicine. We have revised the intravenous infusion system and procedures
formulated standards for safety inspection of intravenous fluids
and standardized the admission system for nurses. We carry out training on intravenous infusion related knowledge for nursing staff
carry out meticulous management of venous transfusion links
and actively carry out learning and communication. All these measures have greatly enhanced the safety awareness of the nursing staff. The safety index of intravenous infusion for liver diseases was preliminarily summarized. The use rate of the safe indwelling needle was increased from 30.60% to 92.30%
the rate of appropriate rate of drop speed increased from 68.45% to 93.20%
the three sign standard rate rose from 75.20% to 95.10%
and the patient’s satisfaction with infusion increased from 85.60% to 96.82%. Meticulous management can improve the safety of the internal medicine intravenous infusion as a whole.
隐患评估 精细化管理 静脉输液安全
Risk assessment Meticulous management Intravenous infusion safety
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