International Journal of Nursing Research

Objective To explore the impact of the hierarchical training management model on the safety management ability and adverse event reporting situation of surgical room nurses, and to provide scientific basis for optimizing the training system of the surgical room. Methods 80 nurses working in the surgical room of our hospital from January 2024 to December 2024 were selected as the research subjects. They were divided into the control group (2024 January - June, 40 people) and the observation group (2024 July - December, 40 people) according to the implementation time of the training. The control group adopted the traditional unified training model, while the observation group implemented the hierarchical training management model. Based on professional title, working years, and job competency, they were divided into the basic layer, intermediate layer, and elite layer, and differentiated training contents and assessment standards were formulated. The surgical room safety management quality scores, adverse event reporting rate, and timely reporting rate of the two groups were compared. Results The scores of operation norms, risk prevention and control, emergency response, process optimization, and total score of the observation group were significantly higher than those of the control group, and the differences were statistically significant (P < 0.05). The comparison between the groups showed that the adverse event reporting rate and timely reporting rate of the observation group were significantly better than those of the control group, and the differences in these indicators between the groups were statistically significant (P < 0.05). Conclusion The construction and implementation of the hierarchical progressive training management system can significantly optimize the safety control efficiency of the surgical room, enhance the willingness and timeliness of active reporting of adverse events, and have high clinical transformation and promotion value.

Hierarchical training; Surgical room; Safety management; Adverse event reporting