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某三甲儿童医院不良事件分析及对策研究

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目的 分析某三甲儿童专科医院2020-2022年不良事件数据,提出对不良事件管理的思考与建议。方法 采用描述性分析、Spearman秩相关等方法对某三甲儿童专科医院2020-2022年的1 157例不良事件,从类别、严重程度、患者性别和年龄等角度进行分析。结果 所上报的不良事件中医疗文书错误类不良事件占比最多(47。67%),事件多以Ⅲ级事件为主,严重程度与患者年龄呈现负相关关系。结论 重视医疗文件书写管理,提高医务人员上报不良事件积极性,推动开展医疗质量提升活动,加快研发不良事件自动筛查工具,构建不良事件预防管理思维。
Analysisand countermeasure research on adverse event data in a grade-a tertiary children's hospital
Objective To analyze the adverse event data from 2020 to 2022 in a Grade-A tertiary children's specialty hospital,and put forward thoughts and suggestions on the management of adverse events.Methods Using descriptive analysis,Spearman rank correlation,and other methods to analyze 1 157 adverse events from 2020 to 2022 in a tertiary children's specialty hospital,analyzing various aspects such as event categories,severity,patient gender,and age.Results Among the reported ad-verse events,medical document errors accounted for the largest proportion(47.67%),and most of the events were grade Ⅲevents,and the severity was negatively correlated with the patient's age.Conclusion This study suggests emphasizing the man-agement of medical document writing,enhancing the proactivity of medical staff in reporting adverse events,promoting the initia-tion of activities to improve medical quality,and accelerating the research and development of automated tools for adverse event screening,building a management mindset for adverse event prevention.

Patient safetyAdverse eventQuality control

王宇轩、王欢、闫银坤、刘敏

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首都医科大学附属北京儿童医院//北京市儿科专业质量控制和改进中心//国家儿科及小儿外科专业医疗质量控制中心 北京 100045

患者安全 医疗不良事件 医疗质量

北京市科技新星计划

Z201100006820008

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(3)
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