本文選題：Kaiser模型 + 災(zāi)害護(hù)理　； 參考：《護(hù)理學(xué)雜志》2016年03期

【摘要】：目的采用Kaiser模型進(jìn)行護(hù)理災(zāi)害脆弱性分析與改進(jìn),提高護(hù)理應(yīng)急管理的水平與效率。方法對護(hù)理工作中可能發(fā)生的8項(xiàng)自然災(zāi)害事件、16項(xiàng)技術(shù)故障災(zāi)害事件、20項(xiàng)人員損害事件、3項(xiàng)有害物質(zhì)災(zāi)害事件運(yùn)用Kaiser評估工具,由9名護(hù)理專家進(jìn)行評估后分析結(jié)果并對各類事件進(jìn)行危險值排名;針對排名前5位的事件進(jìn)行根本原因分析,改進(jìn)應(yīng)急流程并進(jìn)行演練。結(jié)果位于護(hù)理類災(zāi)害事件前5位的是跌倒及墜床、護(hù)理人員針刺傷、化療藥物外滲、用藥錯誤及信息系統(tǒng)故障災(zāi)害事件,改進(jìn)后較改進(jìn)前分別減少33.3%、30.8%、100%、22.2%、0。結(jié)論 Kaiser模型進(jìn)行災(zāi)害脆弱性分析對護(hù)理應(yīng)急管理具有較好的指導(dǎo)作用,能幫助管理者識別本系統(tǒng)中的薄弱點(diǎn)并提前預(yù)防。
[Abstract]:Objective to improve the level and efficiency of nursing emergency management by using Kaiser model to analyze and improve the vulnerability of nursing disasters. Methods the Kaiser assessment tool was used to evaluate the 8 natural disasters that may occur in nursing work, including 16 technical failures, 20 personnel damage events and 3 harmful material disasters. The results were evaluated by 9 nursing experts, and the risk values of all kinds of events were ranked, and the root causes of the top 5 events were analyzed, the emergency process was improved, and the exercise was carried out. Results the top 5 of nursing disaster events were falling and falling down bed, needle puncture injury, extravasation of chemotherapeutic drugs, medication error and information system failure disaster events. After improvement, 33.3% 30.810% and 22.22% were decreased respectively after improvement. Conclusion the analysis of disaster vulnerability based on Kaiser model has a good guiding effect on nursing emergency management and can help managers identify the weak points in the system and prevent them in advance.
【作者單位】： 華中科技大學(xué)同濟(jì)醫(yī)學(xué)院附屬協(xié)和醫(yī)院護(hù)理部;
【分類號】：R47;D63

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