Study On Construction Of Hospital Adverse Events And Nursing Errors Voluntary Reporting System For Patients Safety

Objective:(1) In order to know the state of nurses'congnition for reporting adverse events and nursing errors, identify the primary obstacles of nurses initiative reporting adverse events and analyze the related factors. The study would provides scientific basis to establish a voluntary Adverse Events Reporting System. (2) Take The First Affiliated Hospital of Guangxi Medical University as a pilot scheme and bulid non-punitive, confidential adverse events and errors reporting system. The system will provides a reference for the other medical institutions which have not a voluntary Adverse Events Reporting System.Methods:we formed the questionnaire through literature seaching and expert consultation. and investigated 400 nurses from 30 hospitals in Guangxi autonomous region from June 2008 to September 2009 and analyzed the data.Results:(1) More than 60% of the nursing staff understand the current error reporting system and the definition of adverse events, but only 45.8% nursing staff know the standard of nursing error accident of awareness rate is, suggesting that some nurses are less awareness of the evidence; (2) More than 70% of nurses reluctantly report others and themselves'adverse events, the reason is related to the current, punitive error management system; (3) The degree of pay attention to pressure ulcer of nurses' is only 46%which should attr-act to a high degree of vigilance; (4) there is 55.1% not realize the nurse-patient communication is very important in preventing adverse events which should arouse attention to administration department; (5) The professional title were the main influence factors on nurses' knowledge of the law; Whether management staff and different departments were the main influence factors for nursing staff cognitive status of the adverse events and related causes; (6) compared with the current reporting system, non-punitive, confidential reporting system can significantly increase the enthusiasm for nurses report.Conclutions: (1) Nursing management staff should strengthen the educa-tion and training to nurses that make them clear about the definition and standard; (2) From a systemic aspect to examine the occurrence of errors, creat a kind of "non-punitive" nursing safety culture to eliminate nurses who dare not report because of fearing punishment; (3) To make the reasonable submission system of pressure ulcer, reduce the risk factors affecting patient safety; To improve nurse-patient communication skills and knowledge, make each nurse has a high communication awareness and strong communication ability; (4) To strengthen the risk education of high-risk groups and weak management,to reduce the occurrence of accidents; (5) The existing reporting system must be improved. It is necessary to establish a scientific, perfect, smooth Adverse Event and Errors Reporting System.