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"六元一体"高风险诊疗措施谈话机制对医疗安全的影响

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目的 探讨"六元一体"高风险诊疗措施谈话机制提升医疗安全水平的实效性。方法 从 2022 年 1 月—2023 年 1 月东莞市妇幼保健院采用传统谈话模式的高风险诊疗措施患者中随机抽取 100 例作为对照组;从 2023 年 2 月—2024 年 2 月东莞市妇幼保健院实施"六元一体"高风险诊疗措施谈话模式的高风险诊疗措施患者中随机抽取 100 例作为观察组。比较 2 组医疗事件产生原因,高风险谈话科室分布、病例追踪结果,高风险谈话有效率及满意度,医疗纠纷发生率及赔偿情况、医疗损害事件发生率及鉴定(或认定)结果等。结果 2 组医疗事件产生原因及高风险谈话科室分布比较,差异无统计学意义(P>0。05)。观察组治愈出院率为 53。00%,高于对照组的39。00%,观察组放弃治疗签字出院率为 27。00%,低于对照组的 41。00%(P<0。05);2 组抢救无效死亡率和转上级医院率比较,差异无统计学意义(P>0。05)。观察组高风险谈话有效率及满意度均高于对照组(P<0。05)。观察组医疗纠纷发生率及赔偿率低于对照组(P<0。05)。观察组医疗损害事件发生率及鉴定(或认定)属于医疗损害率均低于对照组(P<0。05)。结论 "六元一体"高风险诊疗措施谈话机制的应用效果确切,可以降低医疗纠纷和医疗损害事件发生,减少医疗纠纷赔偿率,有利于医疗安全水平的提升。
The Influence of"Six-in-One"High-Risk Diagnosis and Treatment Measures Talking Mechanism on Medical Safety
Objective To explore the effectiveness of"Six-in-One"high-risk diagnosis and treatment measures to improve the level of medical safety.Methods From January 2022 to January 2023 in Dongguan Maternal and Child Health Care Hospital,100 patients were randomly selected from high-risk diagnosis and treatment measures using traditional talk mode as control group.From February 2023 to February 2024 in Dongguan Maternal and Child Health Care Hospital,100 patients with high-risk diagnosis and treatment measures who implemented the"Six-in-One"high-risk diagnosis and treatment measures talk mode were randomly selected as the observation group.The causes of the two groups of medical events were compared,the distribution of high-risk talking departments,the results of case tracking,the efficiency and satisfaction of high-risk talking,the incidence of medical disputes and compensation,the incidence of medical damage events and the results of identification(or identification).Results There was no significant difference in the causes of medical events and the distribution of high-risk talking departments between the two groups(P>0.05).The cure and discharge rate of the observation group was 53.00%,higher than that of the control group(39.00%),and the abandonment of treatment signature rate of the observation group was 27.00%,lower than that of the control group(41.00%)(P<0.05).There was no significant difference in the death rate and the rate of transfer to higher hospital between the two groups(P>0.05).The effectiveness and satisfaction of high-risk conversation in observation group were higher than those in control group(P<0.05).The incidence of medical disputes and compensation rate in observation group were lower than those in control group(P<0.05).The incidence of medical injury events and the rate of identification(or identification)of medical injury in the observation group were lower than those in the control group(P<0.05).Conclusion The application effect of"Six-in-One"high-risk diagnosis and treatment measures talking mechanism is accurate,which can reduce the occurrence of medical disputes and medical damage events,reduce the compensation rate of medical disputes,and is conducive to the improvement of medical safety level.

"Six-in-One"high-risk diagnosis and treatmenttalk mechanismmedical safetyeffectivenessmedical disputesmedical injury event

吴集龙、黄雪微、唐莉、马景文

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东莞市妇幼保健院医务科,广东 东莞 523000

"六元一体" 高风险诊疗 谈话机制 医疗安全 实效性 医疗纠纷 医疗损害事件

东莞市社会发展科技面上项目(2023)

20231800938372

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(10)
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