某三甲儿童医院不良事件分析及对策研究  

Analysisand countermeasure research on adverse event data in a grade-a tertiary children's hospital

作　　者：王宇轩 王欢[1] 闫银坤 刘敏[1] WANG Yuxuan;WANG Huan;YAN Yinkun;LIU Min(Beijing Children's Hospital,Capital Medical University,Beijing Pediatric Specialty Quality control and Improvement Center,National Pediatric and pediatric surgery specialty medical quality control center,BeiJing 100045,China)

机构地区：[1]首都医科大学附属北京儿童医院//北京市儿科专业质量控制和改进中心//国家儿科及小儿外科专业医疗质量控制中心,北京100045

出　　处：《现代医院》2024年第3期360-362,共3页Modern Hospitals

基　　金：北京市科技新星计划项目(Z201100006820008)。

摘　　要：目的分析某三甲儿童专科医院2020—2022年不良事件数据,提出对不良事件管理的思考与建议。方法采用描述性分析、Spearman秩相关等方法对某三甲儿童专科医院2020—2022年的1157例不良事件,从类别、严重程度、患者性别和年龄等角度进行分析。结果所上报的不良事件中医疗文书错误类不良事件占比最多(47.67%),事件多以Ⅲ级事件为主,严重程度与患者年龄呈现负相关关系。结论重视医疗文件书写管理,提高医务人员上报不良事件积极性,推动开展医疗质量提升活动,加快研发不良事件自动筛查工具,构建不良事件预防管理思维。Objective To analyze the adverse event data from 2020 to 2022 in a Grade-A tertiary children's specialty hospital,and put forward thoughts and suggestions on the management of adverse events.Methods Using descriptive analysis,Spearman rank correlation,and other methods to analyze 1157 adverse events from 2020 to 2022 in a tertiary children's specialty hospital,analyzing various aspects such as event categories,severity,patient gender,and age.Results Among the reported adverse events,medical document errors accounted for the largest proportion(47.67%),and most of the events were gradeⅢevents,and the severity was negatively correlated with the patient's age.Conclusion This study suggests emphasizing the management of medical document writing,enhancing the proactivity of medical staff in reporting adverse events,promoting the initiation of activities to improve medical quality,and accelerating the research and development of automated tools for adverse event screening,building a management mindset for adverse event prevention.

关 键 词：患者安全 医疗不良事件 医疗质量 

分 类 号：R197.323[医药卫生—卫生事业管理]