Research on risk management to enhance nursing safety in emergency infusion rooms
提升急诊输液室护理安全的风险管理研究

摘要

急诊输液室患者数量大、病情变化快，护理工作节奏紧张，任何环节的细小疏漏都可能演变为严重安全事件。围绕这一高风险场景，本文在梳理急诊输液室人员、流程、环境与设备等常见护理风险类型的基础上，引入失效模式与效应分析理念，构建符合科室特点的风险评估模型，确立多维度评估指标及权重，并设置风险等级划分标准与预警阈值。在评估结果指引下，从标准化作业程序、安全输液装置与信息化监控、分层级培训与安全文化培育等方面提出针对性干预策略，形成“识别风险—评估分级—干预控制—效果评价—持续改进”的闭环管理路径，为提升急诊输液室护理质量与患者安全水平提供实践思路与参考依据。

Abstract

The number of patients in the emergency infusion room is large, the condition changes rapidly, and the pace of nursing work is tense. Any small negligence in any link may evolve into a serious safety incident. Based on the analysis of common nursing risk types such as personnel, processes, environment, and equipment in the emergency infusion room, this article introduces the concept of failure mode and effect analysis, constructs a risk assessment model that is suitable for the characteristics of the department, establishes multidimensional evaluation indicators and weights, and sets risk level classification standards and warning thresholds. Under the guidance of the evaluation results, targeted intervention strategies are proposed from standardized operating procedures, safe infusion devices and information monitoring, hierarchical training, and safety culture cultivation, forming a closed-loop management path of "identifying risks - assessing grading - intervention control - effectiveness evaluation - continuous improvement", providing practical ideas and reference basis for improving the nursing quality and patient safety level of emergency infusion rooms.