黄爱龙　杨玉凤

[摘要] 目的 探讨床头标识牌改革设置在护理安全管理中的应用效果。 方法 选取我院2010年9月～2012年10月床头标识改革设置前300例患者为对照组，2012年11月～2014年11月床头标识改革设置后患者300例为观察组，两组患者均采用常规三级护理管理方法，观察组患者在此基础上实施床头标识改革设置。比较两组的效果。 结果 观察组患者护理安全不良事件发生率（3.7%）远远低于对照组患者（14.3%），观察组患者医学安全知识平均测试得分[（85.6±8.5）分]明显高于对照组患者[（67.7±7.8）分]，观察组患者及家属护理满意度（92.3%）明显高于对照组（74.7%），差异均有统计学意义（P<0.05）。 结论 床头标识牌改革设置可以有效预防和减少护理安全不良事件的发生，提高患者及家属医学安全知识水平，更符合患者及家属对于护理服务的需求，具有更高的护理安全管理应用价值。

[关键词] 床头标识牌；护理安全；护理质量；满意度

[中图分类号] R472 [文献标识码] A [文章编号] 1674-4721（2015）08（c）-0141-03

[Abstract] Objective To investigate the effect of reform design of bedside alert signage in nursing safety management. Methods Three hundred patients from our hospital from September 2010 to October 2012 before reform design of bedside alert signage were enrolled as controls in the study，while 300 cases were enrolled in the observation group from November 2012 to November 2014 after reform.Both groups were given routine tertiary care management，while observation group patients were given bedside alert signage reform design based on it. The effect of two groups was compared. Results The adverse events incidence of nursing in observation group was 3.7%，which was significantly lower than 14.3% in control group （P<0.05）.The medical safety knowledge average scores in observation group of （85.6±8.5） scores were higher than those in control group of （67.7±7.8） scores evidently （P<0.05）.The satisfaction of patients and their family members was 92.3%，which was remarkably higher than 74.7% in control group （P<0.05）. Conclusion Reform design of bedside alert signage can effectively prevent and reduce the adverse events of nursing safety，improve the medical safety knowledge of patients and their family members.Besides，it is more in line with the requirements of the modernization of medical service for patients and their family members，and has a higher application value in nursing safety management.

[Key words] Bedside alert signage；Nursing safety；Nursing quality；Satisfaction

护理安全是指患者在护理的全过程中，不发生心理、机体结构功能在允许范围内的损害、缺陷、障碍，甚至死亡，是反映护理质量的主要标志，是患者得到良好、优质护理服务的保障基础，在医院工作秩序和社会治安的维护上有着至关重要的作用[1-2]。一旦发生护理安全不良事件将会严重伤害患者的身心健康，对医院的声誉度和核心竞争力都将产生较大的影响，因而采取切实的措施做好护理安全防护工作是临床护理工作的重点内容，也是目前护理管理研究的热点和难点问题之一[3-4]。随着“以患者为中心”“假如我是服务对象——换位思考”等服务理念在护理工作中的融入，患者医疗安全质量、风险预警等方面的护理问题也逐渐受到了护理工作及管理人员的普遍关注[5-6]。……