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医院安全不良事件管理体系的构建与运行
Construction and Operation of Hospital Safety Adverse Event Management System

DOI: 10.12677/MM.2022.124045, PP. 336-339

Keywords: 医院安全不良事件,管理
Hospital Safety Adverse Events
, Management

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Abstract:

中国医院协会将不良事件定义为:在临床诊疗活动和医疗机构运行过程中,任何可能影响患者诊疗结果、增加患者痛苦和负担并可能引发医疗纠纷或医疗事故,以及影响医疗工作的正常运行和医务人员人身安全的因素和事件。并根据严重程度将不良事件分为I级事件(警讯事件)、II级事件(不良后果事件)、III级事件(无后果事件)和IV级事件(隐患事件) 4类。目前不良事件管理存在着体系不健全、上报意义认识不足、信息化程度低、医院安全文化尚未形成等方面的问题。加强不良事件管理,提高医院的质量管理水平,需建立责任和层级明晰的管理架构、形成完整的管理制度体系、应用信息化手段提高管理效率、营造良好的医院安全文化氛围、熟练运用管理工具。
Adverse events are defined by the Chinese Hospital Association as any factors and events that may affect the diagnosis and treatment results of patients, increase the pain and burden of patients, cause medical disputes or medical accidents, and affect the normal operation of medical work and the personal safety of medical personnel in the process of clinical diagnosis and treatment activities and operation of medical institutions. According to their severity, adverse events were classified into 4 categories: Level I events (alarm events), Level II events (adverse consequences), Level III events (no consequences) and Level IV events (hidden dangers). At present, the adverse event management system has the problems such as imperfect system, lack of understanding of the meaning of reporting, low level of informatization, hospital safety culture having not yet formed, and so on. To strengthen the management of adverse events and improve the quality management level of hospitals, it is necessary to establish a management structure with clear responsibility and hierarchy, form a complete management system, apply information means to improve management efficiency, create a good hospital safety culture atmosphere, and skillfully use management tools.

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