品管圈在降低医疗安全不良事件漏报率中的应用  

Application of Quality Control Circle in Reducing the Underreporting Rate of Medical Safety Adverse Events

作　　者：李亚璇 王达 LI Yaxuan;WANG Da(Department of Quality Management,Sichuan Gem Flower Hospital,Chengdu Sichuan 610213,China)

机构地区：[1]四川宝石花医院质量管理部,四川成都610213

出　　处：《中国卫生标准管理》2024年第21期33-40,共8页China Health Standard Management

摘　　要：目的以品管圈为工具,降低医疗安全不良事件漏报,切实减少安全隐患。方法2023年2月成立多部门联合品管圈小组,以品管圈为工具,通过鱼骨图、5-3-1得分、“三现”原则,最终筛选出5项要因。制订针对性对策群组,以改进报告程序、优化上报制度、强化不良事件培训考核、细化不良事件分类和完善监管体系等多方面进行改进。结果经过改善,2023年9月再次对院内不良事件漏报情况进行查检,漏报率由改善前12.60%下降至改善后5.23%,目标达成率为112.00%,改善幅度为58.49%。结论通过医院跨部门多学科的品管圈活动可有效降低医疗安全不良事件漏报,提高医护人员上报意识,进一步落实患者安全。Objective To use the quality control circle as a tool to reduce the underreporting of medical safety adverse events and effectively reduce potential safety hazards.Methods In February 2023,a multi-departmental joint quality control circle group was established,using the quality control circle as a tool.Through the fishbone diagram,5-3-1 scoring,and the"three on-site"principle,five key factors were ultimately screened out,and targeted countermeasure groups were developed to improve the reporting process,optimize the reporting system,strengthen adverse event training and assessment,refine adverse event classification,and improved the regulatory system.Results After improvement,a recheck of the underreporting of adverse events in the hospital was conducted in September 2023.The underreporting rate decreased from 12.60%before improvement to 5.23%after improvement,with a target achievement rate of 112.00%and an improvement rate of 58.49%.Conclusion The multi-disciplinary quality control circle activities across hospital departments can effectively reduce the underreporting of medical safety adverse events,enhance the awareness of healthcare professionals in reporting,and further ensure patient safety.

关 键 词：不良事件 品管圈 患者安全 漏报率 上报意识 安全意识 

分 类 号：R197[医药卫生—卫生事业管理]