不良事件免责报告制度在改善医疗服务质量中的实践  

Practice on the impact of adverse event liability exemption report system on improve medical care quality

作　　者：王显荣[1] 王佳卉 张平[1] 郑亮[1] 过湘钗[1] 方晴霞[1] WANG Xianrong;WANG Jiahui;ZHANG Ping;ZHENG Liang;GUO Xiangchai;FANG Qingxia(Zhejiang Provincial People’s Hospital,No.158,Shangtang Road,Hangzhou,310014,Zhejiang Province,PRC)

机构地区：[1]浙江省人民医院 [2]山东大学临床医学院

出　　处：《中国医院》2018年第10期51-53,共3页Chinese Hospitals

摘　　要：通过对医护人员在日常医疗实际工作中针对不良事件的普遍态度及存在的问题进行分析,提出了相关改进思路,指出应完善不良事件免责报告制度,建立便捷的上报流程;强化宣传,鼓励医护人员积极上报不良事件;落实责任,实行"网格化"管理;定期讨论,解决不良事件所暴露出的问题;借用PDCA工具,持续改进医疗服务质量。同时提出了后续开展不良事件上报工作的一些思路,应进一步鼓励或发挥员工上报不良事件的积极性,真正实现不良事件上报的"初衷",进一步改进不良事件上报系统,做到上报工作简单、便捷,提升工作效率。Based on the analysis of medical staff’s common attitude and problems of adverse event in medical care,suggestions on completing adverse event liability exemption report system such as establishing convenience report process,motivating medical staff report adverse event,implementing grid management,regular discussion for solving adverse event and carrying out PDCA for continuous promoting medical quality.Thoughts on further carrying out adverse event report system such as encouraging staff report adverse event actively,completing adverse event report system to improve efficiency.

关 键 词：医疗不良事件 免责报告 医疗质量 

分 类 号：R197.323[医药卫生—卫生事业管理]