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目的:分析儿科临床用药安全管理的现状,探讨护理风险管理在儿科临床用药中的应用效果。方法:成立儿科护理用药风险管理小组,回顾性分析用药流程的不安全因素,实施护理风险管理,完善用药安全流程,对全科护士进行临床用药安全的培训,加强质量控制与管理。比较实施护理风险管理前后风险发生率、患儿家属满意度。结果:在儿科实施护理风险管理后,护理用药差错发生率显著低于实施前,且药物过期发生率显著低于实施前,差异均具有统计学意义(P<0.05);患儿家属满意度也有了显著提高(P<0.05));结论:在儿科实施临床用药安全的护理风险管理,完善安全用药流程,规范了护理管理,减少用药差错,保障患儿的用药安全。
Objective: To analyze the current status of pediatric clinical drug safety management and to explore the application effect of nursing risk management in pediatric clinical drug use. Methods: The pediatric nursing drug risk management team was set up to retrospectively analyze the unsafe factors in the medication process, implement nursing risk management, improve the medication safety procedures, train clinical nurses on clinical medication safety and strengthen quality control and management. Compare the incidence of risk before and after nursing risk management, family satisfaction of children. Results: After pediatric nursing risk management, the incidence of errors in nursing medication was significantly lower than that before implementation, and the incidence of drug expiration was significantly lower than that before implementation (P <0.05). There was also a significant difference in satisfaction among family members (P0.05) .Conclusion: The nursing risk management of clinical medication safety in pediatric department was improved, the safety medication procedure was improved, the nursing management was regulated, the medication errors were reduced and the medication safety of children was protected.