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江苏卫生事业管理:2021,Vol.>>Issue(7):885-888
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某三甲医院848例医疗不良事件的分析及对策△
沈 刚,乔学斌*,戴月华,潘玉梅,吴丽华,王晓雅
(南京医科大学医政学院,盐城市第三人民医院医患沟通办公室;盐城市第三人民医院办公室)
Analysis and Countermeasures of 848 cases of Medical Adverse Events in a Certain Grade-A Tertiary Hospital△
SHEN Gang,QIAO Xuebin*,DAI Yuehua,PAN Yumei,WU Lihua,WANG Xiaoya
(School of Health Policy & Management,Nanjing Medical University,Doctor-patient Communication Department,Yancheng Third People’s Hospital;President’s office,Yancheng Third People’s Hospital)
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中文摘要: 目的:通过对某院2017-2019年度上报的医疗不良事件进行分析,研究不良事件上报的特点,提出有针对性的改进建议。方法:采用回顾性分析法,对某院2017-2019年度上报的医疗不良事件数据进行分析。结果:医疗不良事件主要发生在正常班时间,尤其是上午时间段;主要发生区域为住院病区,手术科室居多,常见于普外科、骨科、妇产科、ICU、儿科等科室;发生对象集中于高龄患者,男性多于女性;上报人员大多为初级或中级职称人员,医师岗位发生的医疗不良事件最多;医疗不良事件主要发生在医疗管理类、护理管理类、医技管理类和器械管理类,以Ⅲ、Ⅳ级医疗不良事件为主。结论:制定医疗不良事件管理办法,鼓励不良事件上报;加强对重点科室、重点环节的监管,减少医疗不良事件的发生。
中文关键词: 医疗不良事件  医疗安全  对策
Abstract:Objective:To analyze the medical adverse events reported by acertain hospital from 2017 to 2019,study the characteristics of adverse event reporting,and propose targeted improvement suggestions. Methods:Retrospective analysis was used to analyze the medical adverse event data reported by a certain hospital from 2017 to 2019. Results:Medical adverse events mainly occurred during normal shift hours,especially in the morning hours;the main occurrence area was the inpatient ward,and mostoccurin the operating room.Departments were common in general surgery,orthopedics,obstetrics and gynecology,ICU,pediatrics and other departments;the objects were concentrated for elderly patients,there are more men than women;most of the reporting personnel are those with junior or intermediate professional titles,and the doctors have the most medical adverse events;medical adverse events mainly occur in medical management,nursing management,medical technology management,and device management. Mainly Ⅲ and Ⅳ medical adverse events. Conclusion:Formulate management measures for medical adverse events and encourage the reporting of adverse events;strengthen the supervision of key departments and key links to reduce the occurrence of medical adverse events
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基金项目:江苏省卫生职业院校文化建设课题(JCH202036) 江苏省卫生职业院校文化建设课题(JCH202036)
引用文本:
沈 刚,乔学斌*,戴月华,潘玉梅,吴丽华,王晓雅.某三甲医院848例医疗不良事件的分析及对策△[J].江苏卫生事业管理,2021,32(7):885-888.
SHEN Gang,QIAO Xuebin*,DAI Yuehua,PAN Yumei,WU Lihua,WANG Xiaoya.Analysis and Countermeasures of 848 cases of Medical Adverse Events in a Certain Grade-A Tertiary Hospital△[J].Jiangsu Health System Management,2021,32(7):885-888.

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