根因分析法在新生儿腕带管理中的应用

doi:10.3969/j.issn.2095-5340.2019.01.010

发育医学电子杂志

2019, Vol. 7

Issue (1): 43-46 DOI: 10.3969/j.issn.2095-5340.2019.01.010

围产医学临床经验交流｜新生儿

根因分析法在新生儿腕带管理中的应用

何海燕　董建英　李婷　商明霞　王贝贝

1. 解放军总医院第七医学中八一儿童医院　足月新生儿重症监护病房，北京　100700；2. 解放军总医院第七医学中心八一儿童医院　护理办公室，北京　100700）

The application of root cause analysis in the management of wearing wrist band in neonates

HE Hai-yan DONG Jian-ying LI Ting SHANG Ming-xia WANG Bei-bei

1. Term Neonatal Intensive Care Unit, BaYi Children’s Hospital, The Seventh Medical Center, General Hospital of PLA, Beijing 100700, China; 2. The Nursing Office, BaYi Children’s Hospital, The Seventh Medical Center, General Hospital of PLA, Beijing 100700, China)

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摘要 【摘要】目的　探讨根因分析法（root cause analysis ，RCA）在新生儿腕带管理中的应用及效果。方法
将 2015 年 10 月至 2016 年 3 月入住解放军总医院第七医学中八一儿童医院足月新生儿重症监护病房
的 1 476 例患儿作为对照组，该组患儿未应用 RCA 对新生儿腕带进行管理；2016 年 4 月至 2017 年
10 月入住的 1 316 例患儿为研究组，应用 RCA 方法对患儿佩戴腕带缺陷事件进行分析。比较两组患儿
腕带缺陷事件的发生率。采用 χ² 检验进行统计学分析。结果　通过对近端原因进行更深层次地探索和
挖掘，确认了两个根本原因：①缺乏完整的佩戴腕带流程；②护理人员对新生儿腕带的重要性认识不足，
思想不够重视。研究组佩戴腕带缺陷的发生率明显低于对照组［0.61%（8/1 316）与 2.85%（42/1476）］，差异有统计学意义（χ² =19.135，P<0.05）。结论　应用 RCA 进行新生儿腕带管理，可以分析发生缺陷的根本原因，从而有的放矢地制定整改措施，降低护理缺陷发生率，保证患儿安全，提高护理质量。

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	何海燕　董建英　李婷　商明霞　王贝贝

关键词: 腕带')" href="#">腕带新生儿根因分析护理缺陷

Abstract: 【Abstract】 Objective　To explore the application of root cause analysis（RCA）in the management
of wearing wrist band in neonates. Methods From October 2015 to March 2016, 1 476 cases in the term
neonatal intensive care unit of BaYi Children's Hospital, The Seventh Medical Center, General Hospital of
PLA were included in the control group without using RCA to manage the newborn wrist band. From April
2016 to October 2017, 1 316 cases were admitted to the hospital and were analyzed for RCA as the study
group. The incidence of wristband defects was compared between the two groups .The statistical analysis
was performed by χ² test. Results　Two root causes were confirmed through further exploration of the
proximal causes. One was the lack of a complete wearing wrist band procedure; the other one was that the nursing staff had insufficient understanding and paid insufficient attention to the importance of neonatal wrist band. The incidence of wearing wrist band defects in study group was significantly lower than that in control group ［0.61% (8/1 316) vs 2.85% (42/1 476)］, and there were statistically significant differences (χ² =19.135，P<0.05). Conclusion The application of RCA in the management of newborn wrist band can analyze the underlying causes of defects, so as to make creative measures purposefully to reduce the incidence of nursing defects, ensure the safety of neonate and improve the quality of care.

Key words: Wrist band ')" href="#">Wrist band Neonate Root cause analysis Nursing defects

收稿日期: 2018-01-22 出版日期: 2019-01-30 发布日期: 2019-02-02 期的出版日期: 2019-01-30

基金资助: 深圳市三名工程（2016SZSM201606088）

通讯作者: 董建英https://baike.baidu.com/item/%E8%91%A3%E5%BB%BA%E8%8B%B1/2167026?fr=aladdin E-mail: marrydong@sina.com.cn

引用本文:

何海燕　董建英　李婷　商明霞　王贝贝. 根因分析法在新生儿腕带管理中的应用[J]. 发育医学电子杂志, 2019, 7(1): 43-46.
HE Hai-yan DONG Jian-ying LI Ting SHANG Ming-xia WANG Bei-bei. The application of root cause analysis in the management of wearing wrist band in neonates. Journal of Developmental Medicine(Electronic Version), 2019, 7(1): 43-46.

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