提高医疗安全管理效能的实践探索
Practical exploration on improving the performance of medical safety management
作者:
许凤秀 蔡治国
单位:
济南,山东中医药大学附属医院
关键词:
医疗安全;不良事件;管理体系;管理效能
分类号:
R197
DOI:
10.3969/j.issn.2095-7432.2023.01.012
出版年,卷(期),页码:2023,13 (1):66-71
摘要:
目的 探讨中医医院提高医疗安全管理效能的举措与效果。方法 对医院医疗安全(不良)事件上报情况及问题进行分析,针对问题对管理机制、体系建设采取了一系列措施,包括健全制度、完善组织架构、建立上报信息平台、加强培训、实行多部门协同联动、总结分析反馈、持续跟踪整改、落实上报奖励,构建非惩罚性文化氛围等。结果 医务人员医疗安全风险识别、评估能力提升,医疗安全(不良)事件主动上报积极性增强,实现了集上报、审核、质量控制于一体的上报系统,有效促进了医院流程再造和服务体系优化,形成了对医疗安全(不良)事件管理的闭环管理模式。结论 围绕中医医院医疗安全(不良)事件管理机制、体系建设采取的一系列措施有利于提高中医医院医疗安全管理效能,促进医院高质量发展。
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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