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目的:探讨儿科门诊静脉输液护理风险管理的作用。方法:选取2013年4月至2014年4月在我院儿科门诊进行静脉输液治疗的患儿472例,其中2013年4月至2013年10月入院治疗的236例患儿为对照组,2013年11月至2014年4月入院治疗的患儿236为观察组。对照组静脉输液采用常规护理,观察组静脉输液采用系统化风险管理,对两组患儿在输液过程中静脉输液不良事件、危险事件发生情况以及两组患儿家属对护理的满意度进行评价。结果:对照组反复穿刺、纠纷发生率显著高于观察组(P<0.05);对照组针头脱落、刺伤发生率与观察组比较差异无统计学意义(P>0.05)。两组给药错误发生率比较差异无统计学意义(χ2=1.011,P>0.05);对照组静脉炎、感染、液体渗漏发生率显著高于观察组(P<0.05)。结论:通过对儿科门诊静脉输液实施系统化风险管理措施,可显著降低各类静脉输液不良事件、危险事件发生率,提高护理满意度。
Objective: To explore the role of risk management of intravenous infusion therapy in pediatric outpatients. Methods: From April 2013 to April 2014, 472 children were enrolled in our hospital pediatric outpatient department. Among them, 236 children admitted to hospital from April 2013 to October 2013 were control group. In 2013 From November to April 2014, 236 children admitted to hospital were observed. The control group intravenous infusion routine care, observation group intravenous infusion of systematic risk management, the two groups of children in the infusion of intravenous infusion of adverse events, the occurrence of dangerous events and two families of children with nursing satisfaction ratings. Results: In the control group, the incidence of repeated puncture and dispute was significantly higher than that of the observation group (P <0.05). There was no significant difference between the control group and the observation group (P> 0.05). There was no significant difference in the incidence of medication errors between the two groups (χ2 = 1.011, P> 0.05). The incidence of phlebitis, infection and fluid leakage in the control group was significantly higher than that in the observation group (P <0.05). Conclusion: Systematic risk management measures for intravenous infusions in pediatric outpatient clinics can significantly reduce the incidence of adverse events and dangerous events of various types of intravenous fluids and improve the satisfaction of nursing.