摘要
目的循证评价澳大利亚医疗风险防范的现状及措施,为我国医疗风险监测预警机制的制定提供决策依据。方法根据课题组制定的统一检索策略,计算机检索外文:EI(1969—2006),SCI和SSCI(1975—2006),EMBASE(1966—2006),SCOPUS(100%包含MEDLINE)(1960—2006);中文:VIP(1989—2006),CNKI(1979—2006)及官方网站如澳大利亚安全和质量委员会等。系统搜集有关澳大利亚医疗风险、病人安全和医疗差错等方面的相关文献,检索时间截至2006年12月。结果最终纳入15篇,B级10篇(占70%),C级5篇(占30%),主要涉及医疗风险管理、医疗差错和病人安全等内容。澳大利亚通过建立不良事件报告程序、临床风险管理程序,形成了对医疗风险识别、评价、处理、再评价的管理模式,在降低医疗风险的实践中取得较好的效果。结论澳大利亚不良事件报告、临床风险管理的体系以及危险和差错管理方案,在实践中简单、实用、易操作,对建立我国医疗风险监测预警机制具有重要的借鉴意义。
Objective From the viewpoint of evidence-based science,to analyse and eveluate present status and prevention measures of medical risk in Australian so that can provide us reference to build medical risk management system in our country Methods We searh EI（1969-2006）,SCL and SSCI（1975-2006）,EMBASE（1966-2006）,SCOPUS（included 100% MEDLINE）（1960-2006）,VIP（1989-2006）,CNKI（1979-2006）andrelated official and govemment web depanded on unified search strategy made by our research group It was counducted in Dec 2006 and included articles about medical risk management,patient safety and medical error.Results A total of 15 articles are incluede.among which 10 article（about 70%）are official documents,5 articles（about 30%）are research documents that have cartain research method Adverse event report process and clinic risk management are very effective in the process of medical practice in Australia .so Australia developed management model that could indentify,appraise ,handle and re-evaluate medical risk.Conclusions The Australian medical adverse event reporting and clinical risk management system are simple,practical and easy to operat.Meanwhile,it＇s very good model for establish medical risk prewarning and monitoning mechanism in our country.
出处
《中国医院管理》
北大核心
2007年第10期62-65,共4页
Chinese Hospital Management
基金
卫生部科学研究基金项目(WKJ2005-3-005)
关键词
医疗风险
风险管理
医疗差错
病人安全
medical risk,risk management,medical error,patlent safety
