某三甲儿童医院2586例医疗安全(不良)事件上报情况分析  

Analysis of the report of 2586 medical safety(adverse)events in a tertiary children′s hospital

作　　者：郭楚豪 龙莹纯 仇双[1] 邓莉[1] Guo Chuhao;Long Yingchun;Qiu Shuang;Deng Li(Hunan Children′s Hospital, Changsha 410007, China)

机构地区：[1]湖南省儿童医院,湖南长沙410007

出　　处：《中国医院统计》2021年第4期294-297,304,共5页Chinese Journal of Hospital Statistics

基　　金：湖南省儿童医院院级课题(2019B24)。

摘　　要：目的分析某三甲儿童医院上报医疗安全(不良)事件的特征及规律,为医院质量安全提供对策及建议。方法对某三甲儿童医院2018年1月至2020年12月上报的2586起医疗安全(不良)事件进行回顾性分析。结果Ⅱ和Ⅳ级不良事件构成比逐年下降,Ⅲ级事件构成比逐年上升(P<0.001)。科室参与上报不良事件的比例逐年上升(P<0.05)。药品不良反应和跌倒/坠床3年中均稳定在前2位;耗材、输血不良反应和医源性皮肤损伤事件有上升趋势(P<0.05);针刺伤和医疗设备事件有下降趋势(P<0.05)。技师和其他岗位上报不良事件比例增加(P<0.001)。结论规范强化不良事件管理,积极营造医院安全文化氛围,能增强科室上报不良事件的意识;同时,通过科学改进上报系统,拓宽多种上报渠道,加强对新进及低工龄员工的宣传培训,以提升个人上报积极性。Objective To analyze the characteristics and rules of medical safety(adverse)events in a tertiary children′s hospital and provide countermeasures and suggestions for hospital quality and safety.Methods A retrospective analysis was performed on 2586 medical safety(adverse)events reported in a tertiary children′s hospital from January 2018 to December 2020.Results The constitute ratios of rankⅡandⅣadverse events were decreasing and the constitute ratios of rankⅢwas rising(P<0.001).The proportion of departments participating in reporting adverse events were increasing(P<0.05).ADR and fall remained in the top two in three years,while consumables,ADR of blood transfusion,and iatrogenic skin injury events had an increasing trend(P<0.05).The proportion of needle stick injuries and medical equipment events had a decreasing trend(P<0.05).The proportion of technicians and other occupations reporting adverse events increased(P<0.001).Conclusion Standardizing the management of adverse events and actively creating a safe cultural atmosphere in the hospital can enhance the awareness of reporting adverse events in the departments.We should also scientifically improve the reporting system,broaden a variety of reporting channels,and strengthen the publicity and training for new and low seniority employees to enhance individual reporting enthusiasm.

关 键 词：医疗安全(不良)事件 质量管理 儿童医院 

分 类 号：R197.323[医药卫生—卫生事业管理]