目的：研究探讨血液透析室的可能发生的风险事件，及其引发原因，以及针对引发风险的原因提出相应的降低风险的措施。为医护工作者对于血液透析护理提供理论参考依据。方法：对于我院血液透析室的成功案例以及出现的风险事件进行回顾性分析，并对我院实行的血液透析室护理质量管理方案的降低风险效果进行总结分析。并以问卷调查的形式分析患者的对我院血液透析中心护理工作的满意程度。结果：实行血液透析室护理质量管理方案后，我院血液透析室各项工作秩序井然，风险事件发生率大大降低，提高了患者的满意程度，降低了患者的治疗风险。实行护理质量管理前，我院血液透析室护理风险事件发生率为5.46%，实行护理质量管理后，我院血液透析室护理风险事件发生率为1.36%，风险事件发生率显著降低（p<0.05）；实行护理质量管理前，血液透析室患者对护理工作的满意程度为85.6%，实行护理质量管理后，血液透析室患者对护理工作的满意程度为97.4%，患者的满意程度显著提高（p<0.05）。结论：实行护理质量管理，对血液净化中心的护理人员工作流程进行合理的规划制定，加强安全方面的管理工作，医院重视护理工作人员的综合素质尤其是其业务水平的提高，对于血液透析中心发生的风险事件设定必要的奖惩措施用以督促护理工作人员的护理水平的提高、护理责任心的加强。上述种种措施可以有效的避免血液透析中心护理风险事件的发生，有利于护理质量的提高，避免发生医患纠纷事件。“,”To discuss the potential risk and its reason in hemodialysis room, and put forward relevant measurement to reduce risk. Provide theoretical basis of hemodialysis nursing for doctors and nurses. Method: Analysis successful and risky cases in hemodialysis room retrospectively, and summarize the effect of nursing quality management in reducing risk. Research the satisfaction degree of nursing service among patients. Results: After carrying out the management plan of nursing quality in hemodialysis room, the incidence of risky events become lower, and the satisfaction degree among patients become higher. The incidence of risky events before was 5.46%, after carrying out the management plan of nursing quality it becomes 1.36%, (P < 0.05); the satisfaction degree before was 85.6%, after carrying out the management plan of nursing quality it becomes 97.4% (P < 0.05).Conclusion: Carrying out the management plan of nursing quality, planning the working process reasonably, enhancing the safety management, developing the comprehensive quality and professional skil of nurses and setting rational reward and punishment policy, al above measures can help to avoid the risk events and medical disputes, improve the nursing quality.