[1]陈烨顾志俭吴佳玙牛婷婷周静.风险预警机制在手术安全管理中的应用与思考[J].中国卫生质量管理,2021,28(01):050-53.[doi:10.13912/j.cnki.chqm.2021.28.1.14 ]
 CHEN Ye,GU Zhijian,WU Jiayu.Application and Consideration of Risk Warning Mechanism in Operation Safety Management[J].Chinese Health Quality Management,2021,28(01):050-53.[doi:10.13912/j.cnki.chqm.2021.28.1.14 ]
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风险预警机制在手术安全管理中的应用与思考
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年01期
页码:
050-53
栏目:
患者安全
出版日期:
2021-01-28

文章信息/Info

Title:
Application and Consideration of Risk Warning Mechanism in Operation Safety Management
作者:
陈烨顾志俭吴佳玙牛婷婷周静
上海交通大学医学院附属同仁医院
Author(s):
CHEN YeGU ZhijianWU Jiayu
Tong Ren Hospital, Shanghai Jiaotong University School of Medicine
关键词:
风险预警机制手术安全医疗管理
Keywords:
Risk Warning Mechanism Operation Safety Medical Management
分类号:
R197.32
DOI:
10.13912/j.cnki.chqm.2021.28.1.14
文献标志码:
B
摘要:
通过分析手术安全隐患原因,建立手术风险预警机制。包括:加强手术安全预警信息化建设,健全手术安全监管体系,落实预警信息反馈干预,加强安全教育与培训等。实施后,手术安全隐患发生率由2.36‰下降到0.99‰(P<0.001),手术安全各类隐患项目占比下降,大部分科室隐患明显减少,差异有统计学意义(P<0.05),但骨科、烧伤科改善不明显(P>0.05)。风险预警机制在规范手术操作,完善手术安全管理,保障手术安全中发挥着重要作用,但仍需不断完善。
Abstract:
Through analyzing the hidden risks of operation, the warning mechanism of operation risk was established, which included strengthening the operation safety warning information construction, improving the operation safety supervision system, implementing warning information feedback intervention, strengthening safety education and training, etc. After implementation, the incidence of operation safety risks decreased from 2.36‰ to 0.99‰(P<0.001), the proportion of all kinds of operation safety risks decreased, and the hidden risks in most departments significantly decreased, with statistically significant difference (P<0.05). But no obvious improvement in orthopedics and burns (P>0.05).Risk warning mechanism played an important role in standardizing operation, improving operation safety management and ensuring operation safety, but it still needed to be improved continuously.

参考文献/References:

[1]王惠英,宣俊俊,邱智渊,等.医疗风险预警机制构建[J].中国卫生质量管理,2016,23(2):27-29. [2]杨伟鹏,蒋一楠,袁磊,等.医疗风险影响因素分析方法比较[J].解放军医院管理杂志,2017,24(11):1036-1038. [3]黄颖,徐振华,张雪梅,等.医疗风险预警机制构建探讨[J].中国卫生质量管理,2016,23(6):5-6,9. [4]陈政,彭华.北京协和医院医疗风险防控体系实践与探索[J].中国医院, 2019,23(6):51-53. [5]殷杰,叶庆,陶红兵,等.节点控制在手术安全管理中的运用与实践[J].中国医院管理,2016,36(8):49-50. [6]胡千桃,郭子君.手术麻醉信息系统中风险预警的构建及应用[J].中华护理杂志,2018,53(6):687-691.

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更新日期/Last Update: 2021-01-28