[摘要] 目的 分析护理风险管理在急诊科护理管理中的应用价值。方法 研究阶段为2018年7月—2019年7月，共纳入研究对象202例，均为进入急诊科就诊患者，根据入院顺序分组，对照组采用常规急诊科护理管理模式，观察组采取急诊科护理风险管理模式，比较两组护理管理效果。结果 观察组护理不良事件发生率0.98%明显低于对照组7.00%，差异有统计学意义（P<0.05）。观察组护理总满意率98.04%（100/102）高于对照组73.00%（73/100），差异有统计学意义（P<0.05）。结论 针对进入急诊科就诊的患者采用护理风险管理可降低护理不良事件发生率，改善护患关系，值得临床应用与推广。

[关键词] 护理风险;护理管理;护理管理;急诊科

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0095-03

Value Analysis of Nursing Risk Management in Nursing Management of Emergency Department

HUANG Hui-jiao

Department of Emergency， Central Hospital of Chenzhou First People's Hospital， Chenzhou， Hunan Province， 423000 China

[Abstract] Objective To analyze the application value of nursing risk management in emergency department nursing management. Methods The research period was from July 2018 to July 2019. A total of 202 study subjects were included， all of whom were admitted to the emergency department. They were grouped according to the order of admission. The control group adopted the conventional emergency department nursing management model， and the observation group adopted the emergency department nursing risk management model， comparing the effects of nursing management between the two groups. Results The incidence of adverse events in the observation group was 0.98%， which was significantly lower than that in the control group， which was 7.00%， the difference was statistically significant（P<0.05）. The total satisfaction rate of nursing in the observation group was 98.04% （100/102） higher than that in the control group 73.00% （73/100）， and the difference was statistically significant（P<0.05）. Conclusion The use of nursing risk management for patients admitted to the emergency department can reduce the incidence of adverse events and improve the relationship between nurses and patients， which is worthy of clinical application and promotion.

[Key words] Nursing risk; Risk management; Emergency department; Nursing management

在任何護理行为开展的过程中，任何护理行为都有一定的护理风险。特别是医院的急诊科，其就诊者的流动量大，护理人员工作量大，存在较高的护理风险[1]。面对这种情况，采用科学先进且合适的护理风险管理模式，能够有效加强急诊科就诊者诊疗范围内的护理安全保障[2]。该次研究重点针对医院急诊科2018年7月—2019年7月间收入的202例患者进行临床护理管理分析，现报道如下。

1  资料与方法

1.1  一般资料

选取该院急诊科收治的202例患者，根据入院顺序先后分为两组。

纳入标准：①均进入急诊科就诊患者;②性别不限，年龄不限;③愿意参加实验研究规定的定期随访;④患者签署知情同意书;⑤经过该院医学伦理委员会批准以及同意。

排除标准：①真实或怀疑患有相关精神损害，包括酗酒或滥用毒品;②有人类免疫缺陷病毒（HIV）抗体阳性史、梅毒抗体阳性史;③研究者认为的受试者存在任何临床或者其他原因而不适合参加该研究者;④研究者认为的依从性极差者。……