小儿静脉输液引发护患纠纷的调查分析(1)
【摘要】 目的：分析小儿静脉输液引发护患纠纷的原因，探讨优质护理防范及管理措施。方法：采用自行设计的《小儿静脉输液引发护患纠纷的原因分析表》，以回顾性调查方式统计2012年1月-2014年4月156例小儿静脉输液引发的护患纠纷。结果：156例护理纠纷和投诉：男89例(57.1%)，女67例(42.9%)；多次穿刺28例(17.9%)；沟通不善22例(14.1%)；服务态度生硬19例(12.2%)；药液错输16例(10.3%)；药液内有橡皮塞、杂质、变色等11例(7.1%)；液体外渗11例(7.1%)；管理体系不健全11例(7.1%)；法律知识缺乏11例(7.1%)；滴速过快或过慢6例(3.8%)；输液反应6例(3.8%)；操作技术不熟6例(3.8%)；输液泵使用不当5例(3.2%)；PICC置管阻塞4例(2.6%)。结论：以患儿为中心，加强安全管理，增强法律意识，注重护理人才的培养，提高护理人员的沟通力，提高护理质量，防范护理纠纷，是护理工作永恒的主题。
【关键词】 儿科； 护患纠纷； 不安全因素； 对策
, 百拇医药
中图分类号 R473.72 文献标识码 B 文章编号 1674-6805(2014)29-0084-02
Investigation and Analysis of Children Caused by Intravenous Infusion Nurse-patient Disputes/LAN Ai-ting，ZHONG Qiu-xia.//Chinese and Foreign Medical Research，2014，12(29)：84-85
【Abstract】 Objective：To analyze the causes of pediatric nursing disputes caused by intravenous infusion， discusses quality care prevention and management measures.Method： A self-designed "pediatric intravenous infusion nursing disputes triggered cause analysis table" to the retrospective investigation statistics January 2012 to April 2014 and 156 cases of pediatric nursing disputes caused by intravenous infusion. Result： 156 cases of nursing disputes and complaints disputes： Men accounted for 89 cases(57.1%)， women accounted for 67 cases(42.9%)， repeatedly puncture 28 cases(17.9%)， poor communication 22 cases(14.1%)， attitude stiff 19 cases(12.2%)， liquid wrong lose 16 cases(10.3%)， had rubber stoppers， impurities， such as discoloration of 11 cases(7.1%) in the liquid； fluid extravasation 11 cases(7.1 %)， management system was not perfect in 11 cases(7.1%)， lack of legal knowledge 11 cases(7.1%)， drip too fast or too slow 6 cases(3.8%)， infusion reactions 6 cases(3.8%)， operating techniques unfamiliar 6 cases(3.8%)， infusion pump used improperly 5 cases (representing 3.2%)， PICC catheter occlusion in 4 cases(2.6%).Conclusion： The only patient-centered， strengthen safety management， enhance the legal awareness， focus on training of nursing personnel， improving communication skills and professional quality of nursing services in patient care can be effective in reducing defects and prevention of nursing disputes.
, 百拇医药
【Key words】 Pediatrics； Nursing disputes； Insecurity； Countermeasures
First-author’s address：Fuyong People’s Hospital of Bao’an District of Shenzhen City，Shenzhen 518103，China
独生子女盛行的社会，每个孩子都是大家的心肝宝贝，一个孩子身体不适，通常全家总动员陪伴看病，使患儿家属对医疗服务水平的要求增高；另外，儿科的患儿在逐年增加，输液量急增，使儿科的护理工作量不断加大，儿科护理纠纷在不断的上升[1]。本研究旨在分析小儿静脉输液引发护患纠纷与不安全因素的原因，探讨儿科护理安全的对策，现报告如下。, 百拇医药(蓝爱婷 钟秋霞)
【关键词】 儿科； 护患纠纷； 不安全因素； 对策
, 百拇医药
中图分类号 R473.72 文献标识码 B 文章编号 1674-6805(2014)29-0084-02
Investigation and Analysis of Children Caused by Intravenous Infusion Nurse-patient Disputes/LAN Ai-ting，ZHONG Qiu-xia.//Chinese and Foreign Medical Research，2014，12(29)：84-85
【Abstract】 Objective：To analyze the causes of pediatric nursing disputes caused by intravenous infusion， discusses quality care prevention and management measures.Method： A self-designed "pediatric intravenous infusion nursing disputes triggered cause analysis table" to the retrospective investigation statistics January 2012 to April 2014 and 156 cases of pediatric nursing disputes caused by intravenous infusion. Result： 156 cases of nursing disputes and complaints disputes： Men accounted for 89 cases(57.1%)， women accounted for 67 cases(42.9%)， repeatedly puncture 28 cases(17.9%)， poor communication 22 cases(14.1%)， attitude stiff 19 cases(12.2%)， liquid wrong lose 16 cases(10.3%)， had rubber stoppers， impurities， such as discoloration of 11 cases(7.1%) in the liquid； fluid extravasation 11 cases(7.1 %)， management system was not perfect in 11 cases(7.1%)， lack of legal knowledge 11 cases(7.1%)， drip too fast or too slow 6 cases(3.8%)， infusion reactions 6 cases(3.8%)， operating techniques unfamiliar 6 cases(3.8%)， infusion pump used improperly 5 cases (representing 3.2%)， PICC catheter occlusion in 4 cases(2.6%).Conclusion： The only patient-centered， strengthen safety management， enhance the legal awareness， focus on training of nursing personnel， improving communication skills and professional quality of nursing services in patient care can be effective in reducing defects and prevention of nursing disputes.
, 百拇医药
【Key words】 Pediatrics； Nursing disputes； Insecurity； Countermeasures
First-author’s address：Fuyong People’s Hospital of Bao’an District of Shenzhen City，Shenzhen 518103，China
独生子女盛行的社会，每个孩子都是大家的心肝宝贝，一个孩子身体不适，通常全家总动员陪伴看病，使患儿家属对医疗服务水平的要求增高；另外，儿科的患儿在逐年增加，输液量急增，使儿科的护理工作量不断加大，儿科护理纠纷在不断的上升[1]。本研究旨在分析小儿静脉输液引发护患纠纷与不安全因素的原因，探讨儿科护理安全的对策，现报告如下。, 百拇医药(蓝爱婷 钟秋霞)