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目的:对妇产科急诊接诊过程中的护理风险进行分析,探讨危机管理的实施在规避护理风险、降低医疗事故及医疗纠纷事件发生率中的应用效果。方法:通过总结浙江省嘉兴市妇幼保健院妇产科急诊接诊过程中常见的护理风险,制定出相应的危机管理对策,并于危机管理实施前后各1年内,分别选取300例妇产科急诊接诊孕妇作为研究对象,实施前为对照组,实施后为观察组,比较两组孕妇护理风险事件发生情况、医疗纠纷发生率及孕妇对护理工作的满意度。结果:观察组接诊环节、问诊环节、护理操作环节、急救环节护理风险事件发生率,均显著低于对照组(P<0.05);观察组护理满意度为96.33%,明显高于对照组(P<0.01);观察组医疗纠纷发生率为0.67%,明显低于对照组(P<0.05)。结论:将危机管理应用于妇产科急诊接诊过程中,可有效降低护理风险事件发生率,减少医疗纠纷,提高孕妇的护理满意度。
OBJECTIVE: To analyze the nursing risk in obstetrics and gynecology emergency admissions, and to explore the application effect of crisis management in avoiding nursing risks and reducing the incidence of medical malpractice and medical malpractice. Methods: By summing up the common nursing risks in obstetrics and gynecology emergency department of Jiaxing Maternal and Child Health Care Hospital in Zhejiang Province, the corresponding crisis management strategies were formulated. Within one year after the implementation of crisis management, 300 cases of obstetrics and gynecology emergency Admissions pregnant women as the research object, before the implementation of the control group, after the implementation of the observation group, compared with two groups of pregnant women risk risk incidents, the incidence of medical disputes and pregnant women’s satisfaction with nursing. Results: The incidence of nursing risk events in the observation group was significantly lower than that of the control group (P <0.05). The satisfaction rate of nursing in the observation group was 96.33%, which was significantly higher than that of the control group (P <0.01). The incidence of medical disputes in the observation group was 0.67%, which was significantly lower than that in the control group (P <0.05). Conclusion: Applying crisis management to emergency department of obstetrics and gynecology can reduce the incidence of nursing risk events, reduce medical disputes and improve the nursing satisfaction of pregnant women.