ZHOU Yufeng,FENG Xiaofang.. Application of hazard vulnerability analysis to improve nursing emergency management in inpatient areas[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2023, 53(4): 311-314,318.
Abstract：Objective: To use hazard vulnerability analysis to evaluate the nursing risk in inpatient areas of a tertiary Class A hospital, and to formulate emergency plans for high-risk links, so as to improve the nursing emergency response ability. Methods: Based on the literature review of in-hospital nursing adverse events in recent 3 years, the members of Nursing Safety and Quality Committee used brainstorming to screen and determine risk indicators, and the Kaiser model assessment tool to calculate the hazard risk values and rank them. Results:The nursing management risk index system included 7 items of management risk (A), which refers to service management, 5 items of key link risk (B), 7 items of patient accident risk (C), 1 item of support system risk (D),and 1 item of nurse-related risk (E). The top 5 indicators and hazard risk values ranked as follows: C1 pulmonary embolism (58.33%), C3 falling/falling from bed (56.02%), C4 cardiac arrest events (53.82%), C6 aspiration/asphyxia (52.86%), and A1 outbreak of hospital infection (51.68%). Conclusion: Hazard vulnerability analysis is an important means of hospital emergency management. Managers should dynamically assess the nursing management risks in inpatient areas, take effective preventive measures for high-risk events, carry out emergency drills and continuously improve the early risk warning mechanism. The safety of patients is ensured only when the nursing emergency management is improved.
