Construction and application of non-punitive nursing adverse event management system in primary hospital

Abstract

Objective To construct a non-punitive nursing adverse event management system and explore the effects of the system in the management of adverse events in primary hospitals. Methods By convenient sampling, 71 967 patients who were hospitalized in the first 2 years of the introduction of the adverse event reporting system from January 2015 to December 2016 were selected as the control group, the Department of Nursing unified adverse event table was sent to the hospital OA system, adverse events are reported to the Department of Nursing; a total of 73 002 patients hospitalized after the direct reporting system was enabled from January 2017 to December 2018 were the experimental group. Comparing the reported rate of adverse events, adverse event grading, categories, and fall/falling injury rates between the two groups. Results A total of 811 adverse events were reported in the experimental group, which was higher than 715 in the control group, the difference between the two groups was statistically significant (χ2=5.685, P=0.017) . There was a statistically significant difference in the levels of adverse events incidence between the experimental group and the control group (P<0.05) . The number of cases of drug extravasation and specimen-related events increased in the experimental group, and the number of needlestick and scald events decreased, the difference between the two groups were statistically significant (P<0.05) . The incidence of Grade Ⅲ injury in the fall/fall of the test group was 3.1% (5/159) , which was lower than that of the control group (11.6%, 15/129) , the difference between the two groups was statistically significant (P<0.05) . Conclusions The non-punitive direct reporting system is conducive to creating a safe culture atmosphere for hospital care, increasing the active reporting rate of adverse events, reducing the level of adverse events and injury, changing the composition ratio of adverse events, thereby improving the efficiency of nursing management and continuously improving the quality of care. Key words: Nursing administration; Nursing adverse event; Non-punitive management system; Primary hospitals