期刊文献+

基于病案首页加强对医院获得性问题的管理 被引量:10

Enhanced management of hospital acquired conditions using homepage of medical records
原文传递
导出
摘要 目的对医院获得性问题(HACs)进行分析,以减少医源性HACs发生。方法利用病案首页中的“入院病情”,收集2014年的医源性HACs数据。通过医师自查,分析产生医源性HACs的原因,并提出相应的改进措施。将改进后(2015年)的HACs数据与改进前(2014年)进行比较。结果通过自查,医生认识到应加强患者入院前宣教、医患沟通、科室间的合作等各医疗过程,从而减少医源性HACs的发生。2015年HACs发生数量和发生率均较2014年明显降低,差异有统计学意义(P〈0.05)。结论加强对HACs的分析与管理,特别是对医源性HACs的分析与管理是减少医院内并发症发生的重要手段。 Objective To analyze and minimize iatrogenic hospital acquired conditions (HACs). Methods " Admission conditions" in homepage of medical records was studied to collect iatrogenic problems between 2014 and 2015. Self-inspection of physicians was made to identify causes of iatrogenic HACs for improvement measures. The post-improvement HACs data (2015) were compared with that of before (2014). Results Physicians came to learn following the self-examination the importance of preadmission communications, doctor-patient communications and cooperation between the departments in less HACs. Occurrence of HACs in 2015 was significantly lower than 2014. Conclusions Enhanced analysis and management of HACs, especially for iatrogenic problems, significantly contribute to less HACs.
出处 《中华医院管理杂志》 CSCD 北大核心 2017年第10期761-763,共3页 Chinese Journal of Hospital Administration
关键词 病案首页 入院病情 医院获得性问题 医源性问题 分析与管理 Homepage of medical records Admission conditions Hospital acquiredconditions Iatrogenic conditions Analysis and management
  • 相关文献

参考文献5

二级参考文献38

  • 1吴金良,赵燕燕,王永强.医疗纠纷的特点及防范措施[J].中国卫生事业管理,2005,21(5):284-285. 被引量:9
  • 2刘晓明,刘绍华,乔晓强,张菊芳,成理宙.基于协作文档的异构工作流管理系统协同模型[J].计算机应用研究,2006,23(5):115-117. 被引量:6
  • 3李运明,杨人懿,吴庆华,孙娜,许贲.住院天数及其影响因素研究[J].西南国防医药,2006,16(3):316-318. 被引量:14
  • 4黄海.论转型期我国医院风险管理的特点和策略[J].中华医院管理杂志,2007,23(6):425-426. 被引量:5
  • 5Kohn LT,Corrigan JM, Donaldson AMS, et al. To err is human j building a safer health system[M], Washington,DC: The National Academies Press, 2000.
  • 6Baker GR. Harvard medical practice study[J], Qual Saf Health Care, 2004' 13: 151-152.
  • 7Brennan TA*Leape LL? Laird NM,et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I [J]. Qual Saf Health Care, 2004,13: 145-151.
  • 8Naessens JM, Huschka TR. Distinguishing hospital complications of care from pre-existing conditions[J]. Int J Qual Health Care,2004,16(Suppl l):i27-35.
  • 9Jackson TJ, Michel JL,Roberts RF, et al. A classification of hospital-acquired diagnoses for use with routine hospital data [J]. MJA, 2009, 191(10): 544-548.
  • 10中华人民共和国卫生部.三级综合医院评审标准(2011年版) (卫医管发[2011]33 号)[EB/OL]. [2014-03-28]. http:// www. jsxyfy. com* s_1 /21/t/3/a/4593/info. jspy.

共引文献89

同被引文献103

引证文献10

二级引证文献62

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部