我院2014年347例医疗安全(不良)事件分析  

Analysis of 347 cases of medical adverse events in our hospital in 2014

作　　者：杨菊[1] 

机构地区：[1]重庆市巴南区第二人民医院,重庆400054

出　　处：《基层医学论坛》2015年第19期2657-2658,共2页The Medical Forum

摘　　要：目的探讨医疗安全(不良)事件发生特点及规律,为降低医疗风险、妥善处理医疗安全(不良)事件提供理论依据。方法对我院2014年上报的医疗安全(不良)事件进行回顾性分析、统计。结果医疗安全(不良)事件不可避免;非技术原因引发的医疗、护理不良事件占首位,如医患沟通、基础设施、健康教育等;药物不良反应(ADR)中,由抗菌药物引发的不良反应最多,占43.70%,给药途径也是引发ADR的重要原因,以静脉给药发生率最高,占83.70%;器械故障是导致器械不良事件发生的主要原因,占52.08%。结论医疗安全(不良)事件伴随医疗过程的始终,要提高全员风险意识水平,积极主动上报不良事件,降低医疗风险,切实保障患者安全。Objective To investigate the characteristics and regular medical adverse events in our hospital in 2014,and to reduce health risk,to provide theory basis for handle the medical adverse events. Methods 347 cases of reports in our hospital in 2014 were analyzed retrospectively. Results The occurrence of medical adverse events was inevitable;The first are Non-technical causes of medical or nursing adverse events,For example,doctor-patient communication,infrastructure,health education;Most of adverse drug reactions were caused by antimicrobial drug,which was 40.97%,intravenous administration took the main percentage,accounting for 83.70%;Equipment failure was the main cause of instruct adverse events,which was 52.08%.Conclusion Medical adverse events associated with the whole medical process,we should improve the level of risk consciousness,take the initiative to report adverse events,reduce health risk,and ensure patient safety.

关 键 词：医疗安全(不良)事件 分析 风险意识 管理 

分 类 号：R197.3[医药卫生—卫生事业管理]