某三甲医院不良事件与患者安全隐患上报情况分析  

Analysis of Medical Adverse Events and Patient Safety Potential Risk Report in a 3A Grade Hospital

作　　者：孙学勤[1] 彭华[1] 郭小建[1] 陈政[1] 秦明伟[1] SUN Xue-qin;PENG Hua;GUO Xiao-jian(Peking Union Medical College Hospital,Beijing,100730,China)

机构地区：[1]北京协和医院,北京100730

出　　处：《中国医院管理》2018年第9期49-51,共3页Chinese Hospital Management

基　　金：2016年北京协和医院中青年基金项目(IH11085)

摘　　要：目的分析北京某三甲医院2016年度不良事件与患者安全隐患上报数据,发现不良事件管理的薄弱环节,并针对性提出改进建议。方法采取回顾性分析法,搜集北京某三甲医院2016年度不良事件与安全隐患数据678例,分别从性别、年龄、科室、等级、类别、上报区域等角度进行分析。结果患源性不良事件占比73.3%,远高于医源性不良事件,急诊科和麻醉科上报数量最多,病房和手术室发生不良事件较多,不同区域发生的不良事件等级有差异,病房和手术室发生不良事件级别较高,不同科室类别在医疗投诉和不良事件上报方面有差异。结论加强医源性不良事件的上报意识,加强患者期望值管理和依从性管理,并关注手术室等不良事件高发科室。Objective To analze adverse events and patients safety potential risk report in a 3 A hospital in Beijing in2016,find the weak link of adverse events management,and put forward suggestions. Methods By retrospective analysis,collection of annual data of 678 cases of adverse events in a hospital in Beijing 2016 was analyzed from gender,age,department,grade and class. Results The source of suffering from adverse events accounted for 73.3%,which was much higher than the iatrogenic adverse events. Emergency Department and the Department of Anesthesia reported the largest number of adverse events. Inpatient Ward and Operation Room reported relatively large number of adverse events. There was of great difference among different regions. There was higher degree of adverse event in Inpalient Ward and Operation Room. There was difference in medical complaint and adverse event in different department categories. Conclusion The reporting awareness of iatrogenic adverse events,and the management of patient expectations and compliance management should be strengthened,and attention to the high incidence areas of adverse events should be paid,such as Operation Room.

关 键 词：不良事件 安全隐患 数据分析 

分 类 号：R197.323.4[医药卫生—卫生事业管理]