肿瘤专科医院灾害脆弱性分析与灾害应对实践  

Hazardous Vulnerability Analysis and Disaster Response Practice in Cancer Hospital

作　　者：江舜杰 杨永挺[1] 谢淑萍[1] 方玢茹 吴进 丁厅厅 朱利明[1] JIANG Shun-jie;YANG Yong-ting;XIE Shu-ping;FANG Bin-ru;WU Jin;DING Ting-ting;ZHU Li-ming(Zhejiang Cancer Hospital;Zhenjiang Center for Disease Control and Prevention)

机构地区：[1]浙江省肿瘤医院 [2]镇江市疾病预防控制中心

出　　处：《医院管理论坛》2024年第8期25-30,共6页Hospital Management Forum

基　　金：浙江省医药卫生科技计划项目,编号:2022KY636;江苏省医院管理协会医院管理创新研究立项课题,编号:JSYGY-3-2023-484;浙江省肿瘤医院软科学研究专项培育基金,编号:SSR2022A1;浙江省肿瘤医院软科学研究专项培育基金,编号:SSR2022B2。

摘　　要：目的评估肿瘤专科医院对灾害的抵御能力和恢复能力,并提供样本医院应急实践管理案例作参考。方法采用头脑风暴法面向全院职工征集医院的潜在灾害项,由医院质量与安全管理委员会讨论确定风险项并形成调查问卷。用Excel进行描述性统计分析并测算各风险项的风险系数,用SPSS完成问卷信效度检验,并绘制气泡图,采用个案研究法对已发生过的灾害事件及应对策略进行分析。结果该肿瘤专科医院排名前五的风险项为火灾(54.24%)、医患纠纷(51.86%)、暴力伤医(44.63%)、院感暴发(43.47%)、突发公共卫生事件(42.94%)。结论医院应完善应急预案体系,强化医院应急管理,重点关注风险值较高项,保障医院平稳运行。Objective To evaluate the disaster resilience and recovery ability of cancer hospitals,and to provide sample hospital emergency management practice cases for reference.Methods The brainstorming method was used to solicit potential disaster items from all hospital staff,and the risk items were discussed by the hospital quality and safety management committee to determine the risk items and form the questionnaire.The descriptive statistical analysis and risk coefficients of each risk item were analyzed by Excel,the reliability test of the questionnaire was conducted by SPSS,the bubble chart was drawn,and the case study method was used to analyze the disaster events that occurred and the coping strategies.Results The top five risk items for this specialized cancer hospital were fire(54.24%),doctor-patient disputes(51.86%),violence against doctors(44.63%),hospital-acquired outbreaks(43.47%),and public health emergencies(42.94%).Conclusion:Hospitals should improve the emergency planning system,strengthen the hospital emergency management,focus on the higher risk value items to ensure the smooth operation of the hospital.

关 键 词：肿瘤医院 灾害脆弱性分析 应急管理 

分 类 号：R197.5[医药卫生—卫生事业管理]