手术室非惩罚性护理不良事件报告制度的建立

手术室护理不良事件发生率影响因素较多，建立非惩罚性护理不良事件报告制度是非常有效的控制不良事件的方法。通过在本院手术室建立非惩罚性护理不良事件报告制度，对上报的护理不良事件分析发生的根本原因并提出修正方案及预防措施，提升护理质量，完善护理流程及管理制度。

Establishment of the Non-punitive Adverse Nursing Event Reporting System in the Operating Room

Incidence rate of adverse nursing event in the operating room is effected by many factors. Establishing the non-punitive adverse nursing event reporting system in the operating room is a very effective method. Through establishing the non-punitive adverse nursing event reporting system in the operating room, causes of the reported adverse events can be found out, and corrective and preventive measures are brought up to improve the nursing quality and perfect the work process and administration system.