医疗不良事件发生与上报情况差异性分析  

The Analysis on the Difference between Medical Adverse Events Occurrence and Medical Adverse Events Reporting

作　　者：黄颖[1] 张雪梅[1] 袁欣[1] 万小康[1] 

机构地区：[1]广州军区武汉总医院,湖北武汉430070

出　　处：《中国卫生事业管理》2016年第8期575-577,共3页Chinese Health Service Management

摘　　要：目的:分析某医院医疗不良事件实际发生和上报情况,研究影响医护上报不良事件因素,为促进不良事件报告提供依据。方法:对8345名患者进行不良事件发生问卷调查和收集医护维度不良事件上报数据,用卡方检验计算不同科室系统、不同类型不良事件发生与上报差异。结果:住院患者不良事件发生率为11.93%,但发生的不良事件中实际上报率仅有25.28%,外科系统输液不良反应、皮肤不良反应、院内感染、用药错误、器械不良反应发生率显著高于内科系统,内科系统药物不良反应发生率显著高于外科系统,外科系统不良事件上报率显著高于内科系统。结论:不同科室系统的不良事件发生情况与上报情况具有差异,应采取相应预防报告激励措施。Objective To analyze the actual situation and report of medical adverse events, discuss the reporting barriers and to provide evidence for improving the adverse events reporting rates. Methods A total of 8345 patients were investigated and collect the reported data of doctors and nurses. Chi-square test was employed to examine the differences between the occurrence and reporting of adverse events in internal medicine specialties and surgery specialties. Results Medical adverse event rate was 11.93%, but the actual reporting rate of adverse events was only 25.28%. The transfusion adverse reactions rate, skin adverse reactions rate, hospital infection rate, medication errors rate, adverse reactions rate caused by instrument of surgery specialties were significantly more than that of internal medicine specialties, adverse drug reactions of internal medicine specialties was significantly more than that of surgery specialties, the adverse events reporting rates of surgery specialties was more than that of internal medicine specialties. Conclusion The occurrence and reporting of adverse events between departments are different, relevant measures should be taken to prevent adverse events and encourage adverse events reporting.

关 键 词：医疗不良事件 上报情况 发生情况 差异分析 

分 类 号：R197.323[医药卫生—卫生事业管理]