摘要
目的分析系统追踪法在医疗安全不良事件规范化管理中的应用效果。方法建立系统追踪小组,对各个科室上报的安全不良事件以及医疗纠纷事件进行分析、处理,寻找出各项安全不良事件发生的原因、存在的问题,对相关人员进行教育培训,并实施持续整改。对比在采用系统追踪法前后的安全不良事件发生率以及医务人员主动上报安全不良事件率。结果采用系统追踪法进行医疗安全不良事件规范管理后,医院的安全不良事件:意外不良事件、投诉纠纷事件、院内感染事件、职业伤害事件、药品不良反应事件、输血不良反应事件、医疗器械不良事件、压疮事件发生率均降低(P<0.05);且医务人员主动上报安全不良事件率总数升高(P<0.05)。结论在医疗安全不良事件的规范化管理中采用系统追踪法,能够完善院内的安全不良事件体系的建立、规范化管理,有利于提升医务人员对安全不良事件的防范意识,减少不良事件的发生,提高患者就诊治疗的安全性,促进院内医疗质量长久改进。
Objective To analyze the application effect of system tracking method in the standardized management of medical safety adverse events.Methods A system tracking team was established to analyze and deal with the adverse safety events and medical disputes reported by each department,to find out the causes and existing problems of various adverse safety events,to educate and train relevant personnel,and to carry out continuous rectification.The incidence of safety adverse events before and after systematic tracking and the rate of active reporting of safety adverse events by medical personnel were compared.Results Using the system tracking method for medical safety specification management of adverse events,the safety of the hospital adverse events:unexpected adverse events,complaints,disputes,nosocomial infection events,occupational injuries,adverse drug reactions,blood transfusion adverse events,medical device adverse events,the incidence of pressure ulcers events were significantly lower(P<0.05);moreover,and the total number of medical staff actively reporting adverse safety events increased(P<0.05).Conclusion In medical safety standardization management of adverse events in the system tracking method is adopted,can improve the safety of the hospital,standardized management,to establish the system of the bad time is beneficial to improve the medical staff awareness of safety and adverse events,reduce the occurrence of adverse events,improve the safety of the treatment to the patient,promote the hospital medical quality improvement for a long time.
作者
张文华
ZHANG Wenhua(Monitoring Department,Enping People's Hospital,Enping Guangdong 529400,China)
出处
《中国卫生标准管理》
2021年第8期10-13,共4页
China Health Standard Management
关键词
系统追踪法
医疗安全不良事件
规范化管理
问题
措施
医疗质量
system tracking method
medical safety adverse events
standardized management
problems
measures
medical quality
