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某三甲专科医院不良事件分析及对策研究

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目的:通过对医疗机构发生医疗质量安全不良事件进行深入研究,有针对性地探寻有效的预防策略,增强医院医疗安全管理水平。方法:采用回顾性分析研究方法,对2021年至2023年天津某三甲专科医院通过OA系统上报的401起不良事件进行级别、数量、类别等方面分析。结果:2021-2023年不良事件报告例数呈现逐年上升趋势,且不良事件主要集中在Ⅲ级与Ⅳ级不良事件,器械管理类不良事件的上报量最多,占比35。16%。结论:不断完善医疗质量安全管理体系,建立非惩罚性的不良事件激励上报机制,强化医务人员质量安全教育和培训,借助信息化手段建立大数据挖掘工具平台,确保患者的生命安全。
Analysis of Adverse Events and Countermeasures of a Certain Grade A Tertiary Special-ized Hospital
Objective:Through in-depth research on the occurrence of medical quality and safety(adverse)events in medical insti-tutions,to enhance the level of medical safety management in hospitals.Methods:The research method of retrospective analysis was se-lected to analyze the level,number,and cause category of 401 adverse events reported by a certain grade A tertiary specialized hospital in Tianjin through the OA system from 2021 to 2023.Results:From 2021 to 2023,the number of adverse events reported showed an in-creasing trend year by year,and the adverse events were mainly concentrated in gradeⅢandⅣadverse events,and the number of ad-verse events reported in device management was the largest,accounting for 35.16%.Conclusion:Continuously improve the manage-ment system of medical quality and safety(adverse)events,establish a non-punitive incentive reporting mechanism,strengthen the quality and safety education and training of medical staff,and improve the efficiency of adverse event reporting with the help of informa-tion technology to ensure the safety of patients.

Medical Safety Adverse eventsHospital ManagementCountermeasure Research

王茜、夏曼、高行健

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天津市胸科医院投诉管理中心,天津 300222

医疗安全不良事件 医院管理 对策研究

天津市医院协会医院管理研究项目天津市医学伦理学会科研项目

2022ZC29tjyxll0307

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(7)