PDCA在医疗纠纷法律风险管理中的实施效果  

Implementation effect of PDCA in legal risk management of medical disputes

作　　者：万云 顾艳 张姗姗 WAN Yun;GU Yan;ZHANG Shanshan(Affiliated Cancer Hospital of Nantong University,Nantong Cancer Hospital,Nantong 226000,China)

机构地区：[1]南通大学附属肿瘤医院//南通市肿瘤医院,江苏南通226000

出　　处：《现代医院》2024年第3期395-397,464,共4页Modern Hospitals

摘　　要：目的探PDCA模式在医疗纠纷法律风险管理中的实施效果。方法对PDCA循环改进前(2022年1—12月)、PDCA循环改进后(2023年1—8月)的医疗纠纷,预警、处置方式等实施研究。结果在实施PDCA模式前(2022年),胸外科、头颈外科、肿瘤内科、妇科中均发生2例(20.00%)患者的医疗纠纷,放技组1例(10.00%)、城癌早诊患者1例(10.00%)。实施PDCA模式后(2023年)发生4例,医疗纠纷相关科室发生率降低(P<0.05);在实施PDCA模式前(2022年)投诉发生28例,实施PDCA模式后(2023年)发生7例。管理前后的胸外科、头颈外科、肿瘤内科、检验科、医院疫情防控问题等被投诉科室有统计学意义(P<0.05)。结论PDCA模式可提升医疗纠纷风险预警和处置能力及风险管理工作质量,降低医疗纠纷发生率,值得推广和应用。Objective To explore the implementation effect of PDCA model in medical dispute legal risk management.Methods Conduct research on medical disputes,early warning,and disposal methods before and after PDCA cycle improvement(January 2022 to December 2022)and after PDCA cycle improvement(January 2023 to August 2023).Results Before implementing the PDCA model(2022),there were 2 cases(20.00%)of medical disputes among patients in thoracic surgery,head and neck surgery,oncology,and gynecology,as well as 1 case(10.00%)in the radiology group and 1 case(10.00%)in the early diagnosis of urban cancer.After implementing the PDCA model(2023),4 cases occurred and the incidence of medical disputes in relevant departments decreased(P<0.05);There were 28 complaints before the implementation of the PDCA model(2022),and 7 after the implementation of the PDCA model(2023).There was a statistically significant difference(P<0.05)in the reported departments of thoracic surgery,head and neck surgery,oncology,laboratory,and hospital epidemic prevention and control issues before and after management.Conclusion The PDCA model can improve the ability of medical dispute risk warning and resolution,as well as the quality of risk management work,reduce the incidence rate,and is worth promoting and applying.

关 键 词：医疗纠纷 风险管理 PDCA模式 

分 类 号：R197.323.4[医药卫生—卫生事业管理]