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提高醫療安全管理效能的實踐探索

Practical exploration on improving the performance of medical safety management

作者:

許鳳秀   蔡治國

單位:

濟南,山東中醫藥大學附屬醫院

關鍵詞:

醫療安全;不良事件;管理體系;管理效能

分類號:

R197

DOI:

10.3969/j.issn.2095-7432.2023.01.012

出版年,卷(期),頁碼:2023,13 (1):66-71

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摘要:

目的 探討中醫醫院提高醫療安全管理效能的舉措與效果。方法 對醫院醫療安全(不良)事件上報情況及問題進行分析,針對問題對管理機制、體系建設采取了一系列措施,包括健全制度、完善組織架構、建立上報信息平臺、加強培訓、實行多部門協同聯動、總結分析反饋、持續跟蹤整改、落實上報獎勵,構建非懲罰性文化氛圍等。結果 醫務人員醫療安全風險識別、評估能力提升,醫療安全(不良)事件主動上報積極性增強,實現了集上報、審核、質量控制于一體的上報系統,有效促進了醫院流程再造和服務體系優化,形成了對醫療安全(不良)事件管理的閉環管理模式。結論 圍繞中醫醫院醫療安全(不良)事件管理機制、體系建設采取的一系列措施有利于提高中醫醫院醫療安全管理效能,促進醫院高質量發展。

英文摘要:

Objective To explore the measures for improving the performance of medical safety management in a traditional Chinese medicine (TCM) hospital and their effectiveness. Methods Based on the analysis of the adverse event reporting (AER) in a TCM hospital, the authors elucidated a series of measures to optimize the management mechanisms and systems, including improvements of policy development, organizational structure, information reporting platform, personnel training, multi-department collaboration, summarization-analysis-feedback, continuous tracking and rectifying, reporting rewards, and creation of a non-punitive culture. Results After the adoption of the above measures, the medical staff had better abilities to identify and assess medical safety risks and higher enthusiasm in reporting adverse events. The reporting system that integrates reporting, review, and quality control effectively promoted the re-design of hospital management processes and the optimization of service system, forming a closed-loop management mode for AER. Conclusions A series of measures focusing on the management mechanism and system construction for AER in TCM hospitals are conducive to improving the performance of medical safety management in TCM hospitals and promoting the high-quality development of hospitals.

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