县级医疗机构开展死亡病例讨论现状分析  

Analysis of the situation of death case discussion in county-level medical institutions

作　　者：伍龙 万超 李继志 龙文 张艳清 郑超 WU Long;WAN Chao;LI Jizhi;LONG Wen;ZHANG Yanqing;ZHENG Chao(Chongqing Red Cross Hospital,People’s Hospital of Jiangbei District,Chongqing 400020,China)

机构地区：[1]重庆市红十字会医院//江北区人民医院,重庆400020

出　　处：《现代医院》2024年第6期878-880,共3页Modern Hospitals

摘　　要：目的总结县级医疗机构死亡病例讨论制度实施现状并分析存在的问题,尝试提出标准化改进策略建议。方法采用判断抽样方法,利用自制问卷对重庆市16家县级医疗机构死亡病例讨论制度实施情况进行现场调查,并对医务人员进行半结构化访谈。结果县级医疗机构均建立死亡病例讨论制度,但制度内涵质量参差不齐,制度执行存在死亡病例讨论范围不明确、流于形式、讨论不规范、讨论内涵质量较差和缺乏系统科学监管等问题。结论死亡病例讨论制度作为医疗核心制度是医疗质量管理重要抓手,医疗质量管理部门和医务人员要高度重视死亡病例讨论的价值意义。要坚持开诚布公、系统批判、不追责不处罚原则,及时规范开展死亡病例讨论,做好记录,规范监管,提升医疗质量与保障患者安全。Objective To summarize the current situation of the implementation of the death case discussion system in county-level medical institutions and analyze the existing problems,to attempt to make suggestions for improvement.Methods Judgmental sampling method was used in this study.A self-made questionnaire was used to conduct field investigation on the implementation of the death case discussion system in 16 county-level medical institutions in Chongqing,and semi-structured interviews were conducted with medical staff.Results All county-level medical institutions have established death case discussion system,but there are many differences in connotative quality.There are many problems in system implementation,such as unclear scope of death case discussion,formality,irregular discussion,poor quality of connotation and lack of systematic supervision.Conclusion As a core medical system,the death case discussion system is an important tool for medical quality management.The medical quality management and medical staff must place a high value on the significance of death case discussion.In order to enhance medical quality and ensure patient safety,we must adhere to the principles of openness and honesty,systematic criticism,non-recrimination and non-punishment to conduct death case discussion in time and standardize,keep a record of death case discussions and enhance supervision.

关 键 词：死亡病例讨论制度 现状 改进策略 

分 类 号：R197.323[医药卫生—卫生事业管理]