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目的回顾性分析某三级医院护理不良事件发生的特点及原因，探讨减少不良事件发生的对策。方法分析215例护理不良事件的类型、特点等。结果发生率居前三位的护理不良事件分别是管路滑脱、给药错误、跌倒；不同工作时段，不同年资护士对护理不良事件发生有不同的影响，差异有统计学意义（<0.01)。结论三级医院护理不良事件发生有相应的规律及特点，管理者应根据其发生的特点，加强护理不良事件管理，保障患者安全。“,”Objective To find the strategy of reducing adverse events in nursing,a retrospective analysis on the features and causes of adverse events in nursing in a class-3 hospital were performed. Methods The types and features of 215 adverse events in nursing were analyzed.Results The top three adverse events in class-3 hospital were tube slipping,wrong dispensing,fal ing.The ef ects of dif erent work shifts and nurse-seniority on the adverse events were significantly dif erent ( <0.01).Conclusion These adverse events in nursing in a class-3 hospital had their own rules and features. The administrators should strengthen the management of these adverse events according their rules and features to ensure the safety of patients.