Objective:To explore the surveillance and management method of adverse events of medical consumables based on the capability target hierarchical model,and to analyze its monitoring and management effect.Methods:A four-level medical consumables adverse events monitoring and managing target was set up for each department monitoring level,monitoring expert level,multi department comprehensive office level and monitoring leadership level of the hospital.The monitoring layer of each department collected and summarized the information on medical consumables adverse events,and the monitoring expert layer analyzed the cause and effect of medical consumables adverse events based on the collected information.The support vector machine(SVM)in the machine learning model was used to determine the type of adverse event,and the adverse events of medical consumables were reported through the multi-department comprehensive office layer,and the reported problems were analyzed in detail through the fishbone diagram,and the final management decision was made at the monitoring leadership level.Statistics were conducted on the adverse event data of the top 10 medical consumables in Shanxi Provincial People's Hospital from 2021 to 2022.The changes in data,severity of hazard,distribution of causes and reporting qualification of medical consumables adverse events before and after the application of the medical consumables adverse event monitoring and management method based on the capability target hierarchical model were compared.Results:From 2021 to 2022,a total of 442 adverse events occurred in the top 10 medical consumables of medical consumables,of which 346 occurred in 2021 before the application of the medical consumables adverse event monitoring and management method based on the capability target hierarchical model,and 96 occurred in 2022 after the application.Compared with before the application,the proportion of different medical consumables(0～25%),the proportion of hazard severity(0～79%)and the different causes of adverse events(3-23%)in the top 10 medical consumables adverse events after the application of capability target hierarchical model,the difference was statistically significant(x2=7.92,7.83,7.52,P<0.05);the qualified rate of adverse event reports of medical consumables increased from 60.70%(210/346)before application to 83.30%(80/96),the difference was statistically significant(x2=17.071,P<0.001).Conclusion:The medical consumables adverse event monitoring and management method based on the capability target hierarchical model can ensure that adverse events of medical consumables are monitored and reported in a timely and accurate manner,promptly discover and resolve existing problems,reduce the risks of medical consumables use,and ensure medical quality.
维普
万方数据