Nurses' mistakes are the most sensitive indicators to measure nurses' quality. A medical staff, a ward and even a hospital can have serious consequences because of a major medical accident, which not only causes great losses to patients and their families, but also reduces their social reputation and loses their sense of security. The following is a typical case of nursing error accident that I brought to you for your reading!

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A 6-month-old baby went to the pediatrics department of Fangcheng County People's Hospital to treat diarrhea. The nurse in this hospital tied a tourniquet on the child's arm for a day and a half when giving him an infusion needle, which caused the child's half arm to be black. At present, the child has been transferred to the First Affiliated Hospital of Zhengzhou University for hospitalization, and the attending doctor said that amputation could not be ruled out. The person in charge of Fangcheng County People's Hospital said that the hospital will help the children heal at all costs.

case of nurse's nursing error accident 2

Before delivery, Wu Ling was arranged to have an infusion in the labor room. Mei Ying, the nurse on duty, should have given her saline, but she accidentally lost nearly 111 ml of alcohol. What Wu Ling is most worried about now is that this mistake will have a lifelong impact on her daughter's health. To this end, Chengdu Women and Children Central Hospital invited experts from West China Second Hospital of Sichuan University for consultation. Pengzhou Health Bureau has dealt with this matter: ordered Pengzhou Maternal and Child Health Hospital to suspend Mei Ying, the head nurse, and transfer her post to study for one year; The director of nursing department has a big administrative record; The dean and the vice president in charge recorded a demerit.

case 3 of nurse's nursing error accident

case 1: the name of sodium chloride was not checked by the nurse during the skin matching test, so that potassium chloride was mixed into the skin test solution.

case 2: the nurse didn't check the drainage of the urine bag of the surgical patient during the shift change. In fact, the urine bag was not properly placed when the surgical patient returned to the hospital bed, but the nurse didn't find it. By the time she found it, the sheets and bedding were all wet.

case 3: the patient was given heparin after consultation, and the heparin ampoule was marked with 12511U, and the doctor ordered 25mg intramuscular injection. The nurse did not know the relationship between mg and u, so she asked the doctor and gave heparin 4ml intramuscular injection.

Case 4: The number of instruments was not counted by the visiting nurse before the abdominal cavity was closed, which led to the instruments being left in the abdominal cavity, resulting in serious errors and accidents.

case of nurse's nursing error accident 4

On a certain day, when the intern was performing the dosing operation according to the doctor's advice (5%GS511ml+V Jialin 2 branches+insulin 4 units), because he did not carefully calculate the insulin dosage, he mistakenly took 1 bottles (411 units) of insulin as 4 units and wanted to add them into the medicine bottle. Fortunately, the teaching teacher found out in time and immediately stopped the operation, thus avoiding a serious case <

Cause analysis

1. The intern lacks clinical experience and theoretical knowledge: he doesn't realize the particularity of insulin drugs and the serious consequences that may be caused by improper dosage.

2. Poor awareness of nursing safety: This classmate had given insulin many times under the guidance of the teacher, and also learned how to calculate the dosage of insulin. This mistake was simply caused by weak awareness of nursing safety and desertion at that time (according to the classmate's later recollection, she didn't realize that she was pumping insulin at that time, but still thought it was pumping V Jialin).

Lessons learned and corrective measures

1. Inform this matter at the general nurse meeting, and strengthen the training of safety nursing awareness for nursing students.

2. Emphasize that teachers should stick to it in the process of teaching? Let go and not look? The principle of. Have a strict teaching attitude.

3. Instruct nursing students to have a serious and responsible learning spirit in the process of clinical practice.

Case 5 of nurse's nursing error accident

The baby's half arm has turned black, and it is in danger of amputation.

Dahe. com reported on February 11 that a 6-month-old baby went to the pediatrics department of Fangcheng County People's Hospital for treatment of diarrhea. When the nurse in this hospital gave the child an infusion needle, she tied a tourniquet on the child's arm for a day and a half, which caused the child's half arm to be black. At present, the child has been transferred to the First Affiliated Hospital of Zhengzhou University for hospitalization, and the attending doctor said that amputation could not be ruled out. The person in charge of Fangcheng County People's Hospital said that the hospital will help the children heal at all costs.

The poor baby was injured by a tourniquet

According to the child's grandfather Cha Mou, the child was hospitalized in Fangcheng County People's Hospital because of diarrhea. On the morning of February 4, the nurse gave the child an infusion. At the beginning, the nurse was going to put a needle in the child's arm, so she tied a tourniquet on the child's arm. Because the child was only 6 months old and no blood vessels could be found on his arm, the nurse finally put a needle in the child's head for infusion, but forgot to take off the tourniquet tied to the child's arm. From the morning of the 4th to the evening of the 5th, the child was crying all the time, and the family always thought that diarrhea caused the child to have a stomachache. Until the evening of the 5th, when the child's grandfather coaxed the child, he accidentally found that one of the child's little hands was cold. He quickly pulled the child's arm out for inspection and found that the half of the arm tied by the tourniquet was black. The child's family immediately found a doctor to report the situation, and the doctor said that it is enough for the family to apply it with a hot towel. After nearly 41 minutes, another relative of the child rushed to the hospital after hearing the news. When he saw that the situation was serious, he immediately questioned the doctor. The hospital began to pay attention to it and sent a nurse to promote blood circulation to the child's arm.

The child's aunt said that the nurse carried the child to another cot when giving the needle, so the family didn't know about the tourniquet. Now the weather is cold, and children who are a few months old don't take off their clothes when they sleep, so the family didn't find a tourniquet tied to the child's arm all the time.

According to reports, the child's family is in the rural area of Qinghe Township, Fangcheng County, and the children's parents are all low IQ people who can only take care of their own lives. When the child is hospitalized, it is mainly taken care of by his grandfather who is nearly 71 years old, and his parents are not around.

Zhengzhou's condition has improved

On February 5th, Fangcheng County People's Hospital sent an ambulance to transfer the baby to Nanyang Hospital. The doctors in Nanyang Hospital said that the time had been delayed and there was nothing they could do, so they were transferred to the First Affiliated Hospital of Zhengzhou University. The child was transferred to the First Affiliated Hospital of Zhengzhou University overnight. Professor Wu, an expert of the hospital, performed open surgery on the baby for the first time, with the aim of releasing necrotic congestion. Professor Wu said that there is no other way at present, and it can only be resigned after the operation, and the possibility of amputation is not ruled out. On February 11, Cha Mou, a grandfather who is taking care of children in Zhengzhou, said in an interview that the child recovered well after operation, and his skin color began to ruddy, and he was developing in a benign direction, but at least two more operations were needed.

The hospital expressed its willingness to take full responsibility

According to the reporter's understanding, the leaders of Fangcheng County People's Hospital expressed their willingness to take full responsibility for this incident, and they were willing to bear all the medical expenses of the children, including the care of their families in Zhengzhou and other related expenses, so as to ensure the timely supply of funds.

The children's families are very satisfied with the attitude of the hospital leaders. Regarding the responsibility of the nurse, the child's family said that they would not pursue it in depth. After all, the nurse is still young, and I hope she can take a warning.

On the afternoon of February 7th, the person in charge of Fangcheng County People's Hospital rushed to the First Affiliated Hospital of Zhengzhou University to visit the children. The person in charge said:? Our hospital will be responsible for this matter to the end. ?

Fangcheng County Party Committee attached great importance to this matter and instructed Fangcheng County Health Bureau to investigate this matter. Fangcheng County Health Bureau has made an investigation report on this matter. The investigation report found that the child was admitted to the pediatric ward of Fangcheng County People's Hospital for diarrhea at about 3 pm on February 3, and the left forearm was tied with a tourniquet at 11 am on the 4 th. It was not until around 7 pm on the 5th that the relevant personnel discovered that the tourniquet was still stuck in the child's left forearm.

according to the investigation, Fangcheng county health bureau instructed the county people's hospital to deal with the responsible person seriously, and actively treat the children and bear various expenses such as medical expenses for the children.