Objective To analyze the increased risks of nursing due to expansion of ophthalmic day surgery indications, and the countermeasures.
Methods We collected the information in the last three years from January 2012 to December 2014 in the Department of Ophthalmology, including the number of operations, the proportion of cataract patients, patients aged over 70 and under 12 years old, patients with high-risk fall, the number of general anesthesia operations, adverse events, and the data from the satisfaction survey of the patients. All the data were analyzed by statistical method.
Results During the last three years, the relaxation of ophthalmic day surgery indications led to an increased admission rate of high-risk patients, and caused more nursing risk factors. Through the efforts of prevention and care, during the last three years, there were no adverse events, and patients had a satisfaction rate over 90%.
Conclusion Although the ophthalmic day surgery indication has been relaxed, through the establishment of nursing risk response system by pre-hospital guidance, admission assessment, peri-operative education and follow-up visit, with the continuous improvement of nursing management system and convenient workflow, we can not only improve the work efficiency, but also ensure nursing safety.
Citation：
LUOHong-mei, HUANGXiao-fang, RENJie. Analysis of Day Surgery Indication Expansion and Countermeasures for Nursing Risk Factors in the Department of Ophthalmology. West China Medical Journal, 2015, 30(5): 811-813. doi: 10.7507/1002-0179.20150232
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 焦红玲. 护理风险的因素及防范措施[J]. 中国实用医药, 2011, 6(10):218.
- 2. 曾继红, 曹昕, 骆洪梅. 眼科日间手术与常规手术患者的混合管理[J]. 护理学杂志, 2011, 26(24):18-19.
- 3. 朱凤溪. 护理安全管理实施探讨[J]. 全科护理, 2011, 9(18):1652-1654.
- 4. 郝廷静, 何季芳. 高龄白内障患者跌倒风险因素分析及防护进展[J]. 护理实践与研究, 2014, 7(7):20-22.
- 5. 杨丽红. 高龄眼科患者护理安全隐患分析与防范对策[J]. 齐鲁护理杂志, 2013, 19(12):116-117.
- 6. 蔡红, 曾继红, 曹昕. 眼科日间手术患者安全风险分析及防范对策[J]. 华西医学, 2014, 29(8):1565-1567.
- 7. 吴孟波, 刘爱忠, 王琴. 眼科老年住院患者不安全因素的防范及护理[J]. 当代护士:专科版, 2014, 3(3):103-104.
- 8. 王娟. 斜视显微手术的围术期护理[J]. 江苏医药, 2012, 38(3):371-372.
- 9. 谢祝斌, 谢巧庆, 梁轩炜. 眼科住院患者感染的危险因素分析[J]. 中华医院感染学杂志, 2014, 24(5):1235-1236.
- 10. 王叶丽, 马春兰. 科室质量自查在护理质量管理中的作用[J]. 重庆医学, 2011, 40(8):831-832.
- 11. 丁巧芳. 改进护理查房模式提高护理质量[J]. 护士进修杂志, 2011, 26(13):1177-1178.
- 12. 朱爱华. 耳鼻喉科护理风险相关因素分析及管理对策[J]. 江苏医药, 2013, 39(17):2101-2102.
- 13. 戴燕, 赵晓燕. 日间手术病房管理护理模式实践[J]. 中国循证医学杂志, 2010, 10(7):882-884.
- 14. 任洁, 林红, 曾继红. 我国眼科日间手术管理简述[J]. 中国护理管理, 2014, 14(4):440-441.
- 15. 冯佳, 俞申妹. 流程化沟通方式在提高护理服务质量中的作用[J]. 中华护理杂志, 2013, 48(8):696-698.
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