医药前沿
醫藥前沿
의약전연
Yiayao Qianyan
2015年
27期
384-385
,共2页
放射科%医疗不良事件%对策
放射科%醫療不良事件%對策
방사과%의료불량사건%대책
Department of radiology%Medical adverse events%Countermeasures
目的:探讨放射科医疗不良事件状况,分析原因,提出改进方案.方法:回顾性分析本院2011年10月~2013年12月发生的医疗不良事件109起,采用S H9分类法进行分级评价,分析事件类型.结果:治疗错误事件发生率(34.86%)>设备使用事件发生率(24.77%)>医患沟通事件发生率(21.10%)>信息传递错误事件发生率(10.09%)>医疗事故检查事件发生率(4.59%)>其他事件发生率(2.75%)>导管事件发生率(1.83%),Ⅲ级未造成后果事件发生率(75.23%)>Ⅳ级隐患事件发生率(15.60%)>Ⅰ级警告事件发生率(5.50%)>Ⅱ级不良后果事件发生率(3.67%).结论:放射科医疗不良事件的防控形势较为严峻,应当加强设备的日常维护,要求医师严格遵守规章制度,强化风险防范意识,提高责任心,转变理念,及时开展医患沟通和培训.
目的:探討放射科醫療不良事件狀況,分析原因,提齣改進方案.方法:迴顧性分析本院2011年10月~2013年12月髮生的醫療不良事件109起,採用S H9分類法進行分級評價,分析事件類型.結果:治療錯誤事件髮生率(34.86%)>設備使用事件髮生率(24.77%)>醫患溝通事件髮生率(21.10%)>信息傳遞錯誤事件髮生率(10.09%)>醫療事故檢查事件髮生率(4.59%)>其他事件髮生率(2.75%)>導管事件髮生率(1.83%),Ⅲ級未造成後果事件髮生率(75.23%)>Ⅳ級隱患事件髮生率(15.60%)>Ⅰ級警告事件髮生率(5.50%)>Ⅱ級不良後果事件髮生率(3.67%).結論:放射科醫療不良事件的防控形勢較為嚴峻,應噹加彊設備的日常維護,要求醫師嚴格遵守規章製度,彊化風險防範意識,提高責任心,轉變理唸,及時開展醫患溝通和培訓.
목적:탐토방사과의료불량사건상황,분석원인,제출개진방안.방법:회고성분석본원2011년10월~2013년12월발생적의료불량사건109기,채용S H9분류법진행분급평개,분석사건류형.결과:치료착오사건발생솔(34.86%)>설비사용사건발생솔(24.77%)>의환구통사건발생솔(21.10%)>신식전체착오사건발생솔(10.09%)>의료사고검사사건발생솔(4.59%)>기타사건발생솔(2.75%)>도관사건발생솔(1.83%),Ⅲ급미조성후과사건발생솔(75.23%)>Ⅳ급은환사건발생솔(15.60%)>Ⅰ급경고사건발생솔(5.50%)>Ⅱ급불량후과사건발생솔(3.67%).결론:방사과의료불량사건적방공형세교위엄준,응당가강설비적일상유호,요구의사엄격준수규장제도,강화풍험방범의식,제고책임심,전변이념,급시개전의환구통화배훈.
Objective To investigate situation of medical adverse events, analyze reasons, put forward improvement plan.Methods 109 medical adverse events in hospital from October 2011 to December 2013 were retrospective analyzed. SH9 classification method was used to classification evaluation. Event types were analyzed.Results Treatment error event rate (34.86%) > equipment using event rate (24.77%) >doctor-patient communication event rate (21.10%) > information transmission error event rate(10.09%) >medical accident check event rate (4.59%) > other event rate (2.75%) > catheter event rate(1.83%). Grade Ⅲ no consequences event rate (75.23%) > grade Ⅳ hazard event rate (15.6%) > grade Ⅰ warning event rate (5.50%) > grade Ⅱ adverse outcome event rate (3.67%).Conclusion Prevention and control situation of medical adverse events in department of radiology is more serious, we should strengthen daily maintenance of equipment, require physicians to strictly abide by rules and regulations, strengthen risk prevention awareness, enhance sense of responsibility, change idea, timely carry out communication and training between doctors and patients.
