CAJ | 학술논문

目的：分析精神科不良事件发生的原因和类型，制定有效的防范措施，减少医患纠纷，保障医疗安全。方法：对某三级精神专科医院2013年发生的135例精神科不良事件的原因和类型进行回顾性分析。结论：精神科不良事件按类别多为护理安全（不良）事件、药品安全（不良）事件和医疗安全（不良）事件；护理安全（不良）事件的发生主要为跌倒、冲动伤人和出走；医疗安全（不良）事件均为工作人员责任心不强造成。针对不同原因，制定不同防范对策，以减少精神科不良事件的发生。
목적：분석정신과불량사건발생적원인화류형，제정유효적방범조시，감소의환규분，보장의료안전。방법：대모삼급정신전과의원2013년발생적135례정신과불량사건적원인화류형진행회고성분석。결론：정신과불량사건안유별다위호리안전（불량）사건、약품안전（불량）사건화의료안전（불량）사건；호리안전（불량）사건적발생주요위질도、충동상인화출주；의료안전（불량）사건균위공작인원책임심불강조성。침대불동원인，제정불동방범대책，이감소정신과불량사건적발생。
Objective: To analyze the causes and types of adverse events in psychiatry department , so as to develop effective prevention measures ,reduce the accidences of patient –doctor dispute, and guarantee medical safety.Method: Retrospective investigation was done among 135 adverse events in a 3rd Grade class A hospital in 2013.Result: The most of adverse events could be divided into nursing adverse events ,drugs safety and medical security events . The main accidents about nursing adverse events were fal, elopement and aggressive behaviors. Al of medical security events were due to the deficiency of the sense of responsibility of some medical staff. For different reasons, makingdifferent preventive measures, to reduce the incidence of psychiatric adverse events.