It is mostly that the procedure is not scientific to attend to mistake reasons

It is mostly that the procedure is not scientific to attend to mistake reasons
It is mostly that the procedure is not scientific to attend to mistake reasons
It is the bad incident that the nurse unavoidably happens at work that pottery Xiao's musical instrument of department's hospital of subsidiary brain of medical university of Nanjing attends to the mistake, for a long time, the domestic hospital has been continuing to use " working system and staff member's duty of the hospital " that Ministry of Public Health issued all the time in attending to the management of the mistake, the treatment to mistake relies mainly on finding out the person liable, carry on corresponding treatment to the person liable or department, the treatment method includes making a self-criticism, criticizing and educating, fining, prosecuting, degrading, suspending from the duty, even revoke practising certificate,etc.. Protect and suffer from and have different views on mistake it according to the investigation, 93.8% of the patients think the medical mistake can well be avoided, and think the emergence of the medical mistake is that the medical worker has no sense of responsibility, can avoid through the subjective factor. In order to reach the hospital of the first, second and third for every one hundred beds every year the number of times of the serious mistake does not exceed 0.5 times, the accident is standards of 0, the hospital must intend to reduce and report the number of times of the mistake. In order to prevent medicine from being at a disturbance of the conflict, the hospital tries one's best to hide from, try one's best to seal. So the hospital is to attending to often an internal account of registration of the mistake, have an account externally. This is obviously act of helplessness of deceiving oneself as well as others, it can not be really to attend to the number of times that the mistake reports on behalf of the intensity which the hospital patient attends to. A lot of mistakes happen repeatedly, the basic reason lies in the problem exists in way and nursing administrative system that attends to management, the existing mistake reports the scarce analysis on mistake materials of system and utilizes. After the mistake happens, should improve the link procedure through the network analysis incident, dispel and attend to the security system to slip, improve the nurse's alertness, does not allow the similar incident to reproduce, but not appraise the danger of the mistake simply. So, under most situations, we need to be improved to attend to the procedure, instead of the nurse. If there is relevant standardized scientific procedure in all nursing links, our nursing activities will be carried on in order, the wrong incidence will be diminished. Ministry of Public Health demands to set up the not punishing from " patient's safe goal in 2007 " to " patient's safe goal of 2010 ", to the personal system of reporting the bad incident of medical treatment actively, set up the reporting system of information, draw the lesson in the medical personnel's never good incident in order to make more, improve it through studying the mistake to wrong immune ability, make patient's security ensured. Nurse's investigation reveals too: Nearly 70% of the nurses think it is not obvious that the punishing mistake is managed to reducing function and positive meaning that the mistake happen, method this uncertain or can't restrain behavior of nurse, to take place behind the mistake needing to be punished and unsatisfied with economy nurse, economy is difficult to play a role in taking precautions against the mistake to punish, 75% of the nurses support to adopt and have no one that punished to report the office procedure of the mistake voluntarily. Establish typical drawback how related to mistake accident people becomes the reverse model backward, can only cause the increasingly many person to conceal the mistake accident. The nurse related to mistake becomes the reverse model, is reprimanded, forfeited, exposed etc., the main drawback that these methods produce is: First, the administrator thinks the mistake is mainly caused by nurse's personal reason, isolate the personal mistake and question of the whole system, does not pay attention to analysis on system question and improvement, even punished the wrong nurse, the same mistake may recur, this kind of phenomenon exists in every hospital. Second because nurse that make mistakes fear, blame or shame, conceal, come down mistake that can conceal probably, have to report the incident of the report that those have, make the relevant department or administrator lose and carry on the chance of study from the mistake like this. Appeal for creating safe nursing culture, employ the systematic view to manage in attending to the mistake, clarify nursing system what's happened, and why appear question these and cause nurse can make mistakes, help to lighten with the shame about personnel of mistake accident like this, discern and correct the systematic question of relating with nursery work. These questions include various factors attended to in the working environment, ones that mainly had for organizational management are improper, if writing fuzzy doctor's order, name or pack similar medicine, have potential dangerous medicine, check system to be imperfect, etc. Research indicates, the human resources are insufficient, the transition work will influence the medical worker judgement and work performance, this kind of phenomenon does very well in the nursery work. So, I think, set up and attend to mistake management, at first, should clarify the reason to happen, in order to stop the mistake from source, make the precautionary measures in terms of system; Secondly, must improve and report the channel, set up scientific nursing mistake reporting system; Unless moreover, being should implement by rewards and punishmentsed walk abreast, lay particular emphasis on not rewarding,for person who stops mistake should sex encouragements straight, should punish the mistake party on the lenient side according to the circumstances; Finally, one of the most essential points is improving and attending to the procedure to attend to the procedure with standardization, reduce wrong emergence by arrangement on links, and prevent and reduce and attend to the emergence of the mistake accident by updating and increasing and attending to security to the procedure. As attending to workers, we expect each link procedure of the nursery work is smooth and incomparable, it if you can't expect by every point, change it is can patient, to hospital, bring older security to oneself.


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