四国医疗风险与预警监测管理模式分析  

Analysis of the management models of medical risk and prewarning supervision in four countries

作　　者：梁铭会[1] 王莉[2] 孙纽云[1] 袁强[2] 张宗久[3] 崔小花[2] 周军[3] 成岚[2] 高光明[3] 李幼平[2] 

机构地区：[1]卫生部医院管理研究所,北京100083 [2]四川大学华西医院中国循证医学中心 [3]卫生部医疗服务监管司

出　　处：《中华医院管理杂志》2011年第6期477-480,共4页Chinese Journal of Hospital Administration

摘　　要：通过检索英国、美国、加拿大、澳大利亚4国医疗风险管理相关官网资料，比较4国医疗风险管理相关机构设置、政策法规和不良事件上报管理机制。4国均设立国家级病人安全管理机构，采取国家、地方、医疗机构和非政府组织多级综合管理；美国以法律法规，英国、澳大利亚以指南作为医疗安全的政策保障；4国通过国家主导或与行业协会合作，管理不良事件上报。启示我国要加强医疗安全管理的组织机构建设，健全医疗安全管理制度并倡导安全文化，建立国家级医疗安全事件报告和学习系统，提高医疗风险管理水平。Comparison of the institutional setup, policies and adverse event report mechanism for medical risk control in the countries of UK, USA, Canada, and Australia by means of browsing information on their official websites. It is found that these countries maintain a national patient safety authority, coupled with a tiered management at national, local, medical institutions and NGOs level; the USA pattern features laws and regulations, that of UK and Australia features guidelines as policy guarantee for medical safety; these countries regulate adverse event reporting by either government leadership or cooperation with trade associations. Inspirations from this study suggest China to enhance institutional construction, complete regulations, and advocate the culture for medical safety, and to build the national level reporting and study system for medical safety events, and improve medical risk management.

关 键 词：医疗风险 风险管理 预警监测 病人安全 

分 类 号：R197.2[医药卫生—卫生事业管理]