首页|基于Kaiser模型的灾害脆弱性分析在儿科应急管理中的应用

基于Kaiser模型的灾害脆弱性分析在儿科应急管理中的应用

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目的 通过Kaiser 模型对基层儿科的灾害脆弱性现状进行分析,评估儿科灾害事件风险,以提高应急管理能力。方法 基于Kaiser模型,从自然灾害、技术灾害、人员伤害和危险品伤害 4 类、48 种灾害来源调查儿科面临的各类潜在危害,通过对危害风险的分析和风险值排序,明确儿科应急管理的重点,有针对性地强化应急管理的措施,从而健全儿科应急管理体系。结果 自然灾害事件中,相对风险值排前 5 位的依次为地震(34。44%)、暴雨(25。69%)、火灾(23。94%)、极端高温(22。13%)及干旱(15。95%)。技术灾害事件中,相对风险值排前 5 位的依次为针刺伤(27。62%)、穿刺失败(25。52%)、停水/停电(24。99%)、信息系统故障(24。13%)及电梯意外事件(23。22%)。人员伤害事件中,相对风险值排前5位的依次为"新冠"肺炎院内传播(16。26%)、药物不良反应(15。57%)、跌倒/坠床(12。10%)、暴力伤医事件(11。07%)及误服药物(10。59%)。危险品类事件中,相对风险值排前 5 位的依次为玻璃体温计断裂(11。77%)、危险气体泄漏(7。89%)、放射性物体泄漏(7。52%)、化学品泄漏(5。40%)及氧气泄漏(5。34%)。全部事件按照风险值由高至低排序,前 5 位依次为地震(34。44%)、针刺伤(27。62%)、暴雨(25。69%)、穿刺失败(25。52%)及停水/停电(24。99%)。结论 Kaiser模型是一种科学有效的应急风险分析工具,为全面保障医疗安全提供了一定参考,对科室应急事件管理有较高的适用性,值得在医院内推广应用。根据灾害脆弱性分析(HVA)结果和报告,应针对暴露的防控薄弱点,修订和完善科室突发事件的应急预案,加强科室应急培训和演练,提高应急反应和医疗保障能力。
Application of disaster vulnerability analysis based on Kaiser model in pediatric emergency management
Objective To analyze the current situation of disaster vulnerability in primary pediatrics department through the Kaiser model,and to evaluate the risk of pediatric disaster events in order to improve the emergency management ability.Methods Based on the Kaiser model,all kinds of potential disasters faced by pediatrics department were investigated from four categories of natural disaster,technical disaster,human injury and dangerous goods injury and 48 kinds of disaster sources.Through the analysis of disaster risks and the ranking of risk values,the focus of pediatric emergency management was clarified,and the measures of emergency management were strengthened in a targeted manner,so as to improve the pediatric emergency management system.Results Among the natural disaster events,the top five relative risk values were earthquake(34.44%),rainstorm(25.69%),fire(23.94%),extreme high temperature(22.13%)and drought(15.95%).Among the technical disaster events,the top five relative risk values were needle stick injury(27.62%),puncture failure(25.52%),water/power failure(24.99%),information system failure(24.13%)and elevator accident(23.22%).Among the human injury events,the top five relative risk values were nosocomial transmission of COVID-19(16.26%),adverse drug reactions(15.57%),falls/falling out of bed(12.10%),violent medical injury events(11.07%)and accidental drug use(10.59%).Among the dangerous goods events,the top five relative risk values were glass thermometer fracture(11.77%),dangerous gas leakage(7.89%),radioactive object leakage(7.52%),chemical leakage(5.40%)and oxygen leakage(5.34%).All events were ranked from high to low according to the risk value,the top five events were earthquake(34.44%),needle stick injury(27.62%),rainstorm(25.69%),puncture failure(25.52%)and water/power failure(24.99%).Conclusion The Kaiser model is a scientific and effective emergency risk analysis tool,which provides a certain reference for the comprehensive protection of medical safety.It has high applicability to the emergency event management of the department and is worthy of promotion and application in the hospital.According to the results and reports of hazard vulnerability analysis(HVA),the emergency response plan of the department should be revised and improved for the weak points of exposure prevention and control,and the emergency training and drills of the department should be strengthened to improve the emergency response and medical security capabilities.

Kaiser modelhazard vulnerability analysispediatrics departmentemergency managementrelative risk value

岳银刚、陈迎秋、舒静、陈太银、张先强

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兴文县人民医院儿科,四川 宜宾,644400

Kaiser模型 灾害脆弱性分析 儿科 应急管理 相对风险值

宜宾市卫生健康医学科研项目(2022)

2022YW029

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(11)
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