中国医疗管理科学
中國醫療管理科學
중국의료관이과학
china medical administration sciences
2014年
3期
11-13
,共3页
临床医师%平均每日最佳管床数量%医疗安全
臨床醫師%平均每日最佳管床數量%醫療安全
림상의사%평균매일최가관상수량%의료안전
Clinician%the optimal number of beds responsible by a clinician each day on average%medical safety
目的：调查临床管床医师平均每日最佳管床数量，并探讨其与医疗安全不良事件及医疗纠纷数量的关系。方法对该院全院临床一线管床医生及科室主任对平均每日最佳管床数量、平均每日最大管床数量的认知情况进行调查分析，通过统计调整管床数量前、后其医疗安全不良事件与医疗纠纷数量的变化，分析管床数量与医疗安全之间的关系。结果该院内科、妇科、儿科每位医生认为平均每日最佳管床数量为8张～10张，外科每位医生认为平均每日最佳管床数量为7张~8张。该院调整医师管床数量前、后其医疗安全不良事件及医疗纠纷发生数量比较差异有统计学意义（χ2=7.347，P<0.05）。结论合理地分配每位临床医生的管床数量，有利于降低医疗安全不良事件及医疗纠纷的发生，从而保障医疗安全。
目的：調查臨床管床醫師平均每日最佳管床數量，併探討其與醫療安全不良事件及醫療糾紛數量的關繫。方法對該院全院臨床一線管床醫生及科室主任對平均每日最佳管床數量、平均每日最大管床數量的認知情況進行調查分析，通過統計調整管床數量前、後其醫療安全不良事件與醫療糾紛數量的變化，分析管床數量與醫療安全之間的關繫。結果該院內科、婦科、兒科每位醫生認為平均每日最佳管床數量為8張～10張，外科每位醫生認為平均每日最佳管床數量為7張~8張。該院調整醫師管床數量前、後其醫療安全不良事件及醫療糾紛髮生數量比較差異有統計學意義（χ2=7.347，P<0.05）。結論閤理地分配每位臨床醫生的管床數量，有利于降低醫療安全不良事件及醫療糾紛的髮生，從而保障醫療安全。
목적：조사림상관상의사평균매일최가관상수량，병탐토기여의료안전불량사건급의료규분수량적관계。방법대해원전원림상일선관상의생급과실주임대평균매일최가관상수량、평균매일최대관상수량적인지정황진행조사분석，통과통계조정관상수량전、후기의료안전불량사건여의료규분수량적변화，분석관상수량여의료안전지간적관계。결과해원내과、부과、인과매위의생인위평균매일최가관상수량위8장～10장，외과매위의생인위평균매일최가관상수량위7장~8장。해원조정의사관상수량전、후기의료안전불량사건급의료규분발생수량비교차이유통계학의의（χ2=7.347，P<0.05）。결론합리지분배매위림상의생적관상수량，유리우강저의료안전불량사건급의료규분적발생，종이보장의료안전。
Purpose To investigate the optimal number of beds responsible by a clinician each day on average, and discuss about its relationship with the number of adverse events of medical safety and medical disputes.Method The awareness of the optimal number of beds responsible by a clinician each day on average and the maximum number of beds responsible by a clinician each day on average of first-line clinical doctors responsible for the beds and directors of the departments is investigated and analyzed. Through the change of the number of adverse events of medical safety and medical disputes before and after statistical adjustment of number of beds responsible by a clinician, the relationship between the number of beds responsible by a clinician and medical safety is analyzed. Results Each doctor of internal medicine, gynecology and pediatrics in the hospital thinks that the optimal number of beds responsible by a clinician each day on average is 8~10. Surgical doctors believe that the optimal number of beds responsible by a clinician each day on average is 7~8. The comparative difference of the number of adverse events of medical safety and medical disputes before and after the hospital’s adjustment of the number of beds responsible for a physician was statistically significant (χ2=7.347, P<0.05).Conclusion The reasonable allocation of the number of beds responsible by each clinician can reduce the number of adverse events of medical safety and medical disputes, so as to ensure medical safety.
