Abstract: Objective:To discuss the application value of no punishment report system in nursing safety management of department of neurology.Methods:The routine nursing management system was implemented in 2 879 patients and 68 medical staff in the Department of Neurology from September 2014 to August 2015,and the no punishment report system was additionally implemented in 2 988 patients and 68 medical staff in the Department of Neurology from September 2015 to September 2016 based on the routine nursing management system.The work enthusiasm and anxiety of nurses,and satisfaction of patients were assessed using the nurse job burnout scale(NBS),self-evaluation of anxiety scale(SAS) and self-made 'neurologist patient care satisfaction questionnaire',respectively.The patients' satisfaction and independent risk factors of adverse nursing were analyzed using logistic regression analysis method.All patients' satisfaction,work enthusiasm and anxiety of nurses,and adverse events report were analyzed.Results:After implementing,the item score and total score of NBS in nurses were significantly higher than those before implementing(P<0.01),the incidence rate of anxiety and SAS score in nurses were lower than those before implementing(P<0.05 and P<0.01),the scores of satisfaction rate and degree in patients were significantly higher than those before implementing(P<0.01),the report rate of adverse nursing events was significantly higher than that before implementing(P<0.01),and the total incidence rate of adverse nursing events was significantly lower than that before implementing(P<0.01).Logistic regression analysis showed that the low motivation and anxiety of nurses,and no report of adverse nursing events were the independent risk factors of the adverse nursing events and poor satisfaction of patients(P<0.01).Conclusions:No punishment report system can effectively improve the nursing safety management in Department of Neurology,which is worthy of further clinical promotion.