山东省二级及以上医院住院病人管路安全管理现状调查

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AbstractObjectiveToinvestigatetecurrentsituationofpipelinefetymaagementfoipatientsisecondryandtertiaryhospitals inShandongprovince.Methods：Aself-madequestionnairewasusedtoinvestigatethecorrspondingresponsibledepartmentsof179 secondaryandtertiaryhospitalsinShandongprovince.Results：Theconstructionofthepatientpipelinesafetymanagementmechanismin some hospitals was not sound.And 58.10% of the hospitals had a special quality control system.There was no difference in the mechanismconstructionlevelamonghospitalsatdiferentlevels.Themanagementstructurewasambiguous.Andpersonsinchargewere mainlycomposedofdiferentlevelsofnursingmanagement.Policysupportandfewguidingdocumentswereinsuficient.Therisk assessmentandevaluationtoolsofeachhospitalmainlycamefromrevisedexteraltools，withasmallnumberofslf-frmulatedome hospitals directly adopted external tools.The informatization construction lagged behind.And 57.74% of the hospitals had achieved dynamic supervision.Only 48.04% of the hospitals had statistically analyzed the rate of unplanned extubation and re-intubation.And （20 51.40% ofthe hospitals had decision support systems.There was no standard forthe frequencyof pipelinesafety management training in various hospitals. The training content and quality were not guaranteed. Only 10.06% of the management personnel had no training experienceoutsidetehospital.Thedifuliesicarringoutteworkinvovedfewguidingopionsandchanelsforobtainngthem， weaksupportfromthehospital’sinformationsystem，ndinsuficientmanagementpersonnel.Therequirementsmainlyincluded increasingstadardizedtrainingforpipelinemanagementpersonelprovidingrelevantommandandcontrolstadard，ndeiching informationsystemsupport.Conclusions：Thesafetymanagementofinpatientpipeliesinsecondaryandabovemedicalistitutionsin Shandongprovincenededtobefurtherstandardized.Thegoverment'shealthdepartmentandmedicalinstitutionsneedtocoaboate with each other to improve the level of pipeline safety management and enhance the quality of care.

teywordsinpatient; pipeline safety; unplanned extubation; nursing management; current situation investigation摘要目的：调查山东省二级及以上医院住院病人管路安全管理工作的开展现状。（剩余9260字）