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跌倒不良事件RCA根本原因分析案例PPT课件

  • 2026-11-09 16:22:34

跌倒不良事件RCA根本原因分析案例PPT课件

📌 课件内容：跌倒不良事件RCA根本原因分析案例
📄 总页数：23页
✅ 无水印、可二次编辑
📄大纲要点：事件经过与SAC严重程度3级判定 → 近端原因分析 → 5Why逐层追问（轮椅无保养制度、防跌倒培训不足）→ 改善对策按可行性打分采纳并纳入职责 🛞🔍 质控汇报范本，模板可复用！
#护理干货 #护士必看 #急救技能 #心电图 #个案护理 #教学查房 #护理管理 #中医护理 #静疗专科 #护理人成长

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天津,12分钟前,
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基本 文件 流程 错误 SQL 调试
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  3. 缓存信息 : 0 reads,0 writes
  4. 会话信息 : SESSION_ID=3d0ffbf8c138e3928e204663f2e5ae21
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  1. CONNECT:[ UseTime:0.000858s ] mysql:host=172.18.0.4;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000934s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000449s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000449s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000774s ]
  6. SELECT * FROM `set` [ RunTime:0.000404s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000869s ]
  8. SELECT * FROM `article` WHERE `id` = 563198 LIMIT 1 [ RunTime:0.000557s ]
  9. UPDATE `article` SET `lasttime` = 1794287367 WHERE `id` = 563198 [ RunTime:0.001515s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000435s ]
  11. SELECT * FROM `article` WHERE `id` < 563198 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000567s ]
  12. SELECT * FROM `article` WHERE `id` > 563198 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000463s ]
  13. SELECT * FROM `article` WHERE `id` < 563198 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.000683s ]
  14. SELECT * FROM `article` WHERE `id` < 563198 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.000598s ]
  15. SELECT * FROM `article` WHERE `id` < 563198 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.000636s ]
0.117985s