Explore the causes of emergency nursing risk and the practice and effectiveness of nursing risk management
探讨急诊护理风险的原因及护理风险管理的实践与成效

摘要

目的 分析急诊护理风险的原因并展开护理风险管理实践，统计降低急诊护理风险的成效。方 法 分两个时段进行研究对比，随机抽取 2020 年急诊收治 50 例患者与 2021 年收治的 50 例进行资料回顾， 2020 年施行急诊常规风险护理，视为对照组；2021 年施行精细化急诊风险护理，视为观察组，对比两个年 度（两组）感染风险、置管风险、沟通矛盾、机械性/放射性损伤风险的占比；对比两组急诊护理中，急诊 护理团队量表评估、并发症与预分析、紧急处理、急诊秩序维护的评分；结合急诊护士量化考核表，对急 诊护士医德医风、岗位职责、专科护理/技能、护理文件进行评分。结果 观察组护理风险占比偏低，观察组 急诊护理评分偏高、量化考核评分偏高，（P<0.05）。结论 急诊护理中因病情危急、操作急切容易发生风 险，基于原有管理对策精细化管理内容，可降低风险，提高急诊科护士专业水准。

Abstract

Objective To analyze the causes of emergency nursing risk and develop nursing risk management practice, statistics of the effect of reducing emergency nursing risk.
Methods The study was compared in two time periods, Randomly selected 50 emergency patients admitted to the ED in 2020 and 50 emergency patients admitted in 2021 for data review, Emergency routine risk care in 2020, Treat it as a control group; Fine emergency risk care in 2021, As an observation group, Compare the proportion of the risk of infection, tube management risk, communication conflict, and mechanical / radioactive injury risk in the two years (two groups); Comparing the two groups of emergency care patients, Emergency care team scale assessment, complications and pre-analysis, emergency treatment, emergency order maintenance score; Combined with the quantitative assessment form of emergency nurses, Medical ethics, job responsibilities, specialized nursing / skills, and nursing documents were scored.
Results The proportion of nursing risk in the observation group was low, the emergency nursing score was high, and the quantitative assessment score was high, (P <0.05).
Conclusion   In emergency nursing, the fine management content based on the original management countermeasures can reduce the risk and improve the professional level of emergency department nurses.