[1]归纯漪孙梅.上海市某三甲专科医院医疗风险相关事件调查分析[J].中国卫生质量管理,2019,26(02):53-57.[doi:10.13912/j.cnki.chqm.2019.26.2.17]

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上海市某三甲专科医院医疗风险相关事件调查分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第26卷期数: 2019年02期页码: 53-57 栏目: 患者安全出版日期: 2019-03-28

作者:: 归纯漪孙梅; 复旦大学附属眼耳鼻喉科医院

关键词:: 医疗风险; 医疗风险相关事件; 医疗机构; 风险管理; 患者安全

Keywords:: Medical Risk; Medical Risk Related Event; Medical Institution; Risk Management; Patient Safety

DOI:: 10.13912/j.cnki.chqm.2019.26.2.17

摘要:: 目的对某三甲专科医院医疗风险相关事件，从事件分类、发生地点、发生科室、发生时间等角度进行调查分析，以了解医疗风险发生现状，为医疗机构内部风险管理提供参考。方法收集2012年-2014年医疗风险相关事件数据，运用描述性分析法分析事件分类情况，运用Excel 2013表格建库录入数据，SPSS 16.0统计软件进行整理和分析。结果共得到726例医疗风险相关事件。按事件基本特征分类，“医疗差错”事件最多,占67.91%；按事件发生结果分类，“隐患事件”最多，占73.28%。从事件的发生部门来看，住院部风险高于门诊。3年内医疗风险发生数量有逐年递增趋势；每年呈现暑期和年底两个高峰。医院信息化系统建成后，风险事件主动上报率提升。结论医疗风险在该专科医院临床工作中频现，管理状况大体良好，但各科室风险管理现状略有不同，专科医院仍需结合自身专业特点加强医疗风险管理。

Abstract:: ObjectiveTo analyze the data of medical risk related events from the characteristics of the event classification, distribution of place, time and department, etc., in a tertiary specialized hospital to understand the current status and provide evidence for internal risk management. MethodsThe data on medical risk related events from 2012 to 2014 was included for descriptive analysis on the classification of events. The Excel 2013 database was used to enter data, and the SPSS 16.0 was used for analysis.ResultsA total of 726 related events were included. After classification according to the basic characteristics of the events, the number of "medical errors" was the most (67.91%); based on the classification according to the severity of the events, "hidden events" was the most frequent events (73.28%), and a higher occurrence located in inpatient department than in outpatient department. The time distribution of the events showed an increasing trend of medical risk occurrence in the hospital in recent three years with two peaks in the summer vacation and at the end of the year. After the completion of the hospital information system, the active reporting rate of risk events increased.Conclusion Medical risk was frequent in the specialized hospital with relatively good risk management. The status of risk management in each department was slightly different. It was suggested that specialized hospitals should strengthen the management of medical risks.

参考文献/References:

［1］张宝库. 美国医院的风险管理［J］.中华医院管理杂志， 1992， 8(10): 638-640.

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更新日期/Last Update: 2019-03-28