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目的:探讨手术室常见的护理差错原因及预防对策。方法:对2012~2015年浙江省瑞安市人民医院手术室发生的70例护理差错及相关60名护理人员进行回顾性分析,探讨发生护理差错的原因,制定并采取相应的防范措施。结果:发生差错的原因包括责任心不强、对专业技术的生疏、未认真执行操作规程、标本管理不善等;差错发生率随护理人员工作年限的增加相应减少。结论:手术室必须强化护理人员的责任意识,提高全体护理人员对护理安全的认识,制定严格、切实可行的护理差错防范措施,进一步降低手术室护理差错的发生率。
Objective: To probe into the causes and preventive measures of common nursing errors in operating room. Methods: A retrospective analysis of 70 nursing errors and 60 nursing staffs occurred in the operating room of Ruian People ’s Hospital of Zhejiang Province from 2012 to 2015 was conducted to investigate the causes of nursing errors and to develop and take corresponding preventive measures. Results: The causes of errors include lack of conscientiousness, unfamiliarity with professional skills, poor implementation of operating procedures, poor specimen management and so on. The incidence of errors decreased correspondingly with the increase of nursing staff working years. Conclusion: The operating room must strengthen the sense of responsibility of nursing staff, raise the awareness of nursing staff on nursing safety, formulate strict and practicable nursing error prevention measures, and further reduce the incidence of operating room nursing mistakes.