灾害脆弱性分析在医护人员中的应用效果  

Application effect of hazard&vulnerability assessment in medical staff

作　　者：万志丹 万淑琴[1] 秦文玉[1] 王盈[1] WAN Zhidan;WAN Shuqin;QIN Wenyu;WANG Ying(Department of Emergency Medicine,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330029,China)

机构地区：[1]江西省肿瘤医院急诊医学科,江西南昌330029

出　　处：《中国当代医药》2025年第4期140-143,147,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202310915)。

摘　　要：目的对医护人员开展灾害脆弱性分析(HVA),观察对其应急处理能力的改善效果。方法根据临床工作实际经验与查询文献案例,江西省肿瘤医院急诊科组建HVA小组,采用头脑风暴式综合性评估筛选指标,根据Kaiser模型的危险值测评量表构建医护人员应急处理能力评估相关指标体系,选取2022年1月至2023年11月江西省肿瘤医院急诊科的10名医护人员作为研究对象,以调查问卷的形式邀请组内成员对危险指标产生的严重性与可能性开展测评,随后详细计算其风险值并利用风险测评矩阵评估。结果采用HVA计算可知其危险值前4项为缺乏系统培训(38.52%)、工作应变能力差(37.69%)、工作条理性欠缺(37.22%)及责任心较弱(37.14%),需确定医护人员优先应对的危险事件,明确医护人员主要应急处理能力项目内容。结论本研究采用HVA确定医护人员应急处理能力弱的危险因素相关事件,因此管理者需根据其实际需求,重点强化实操相关学习,及时关注实际技能的训练,以达到提高医护人员对应急处理事件的综合能力。Objective Hazard&vulnerability assessment(HVA)was carried out for medical staff to observe the improvement effect on their emergency response capacity.Methods According to the practical experience of clinical work and literature reference cases,an HVA team was set up in the Department of Emergency Medicine of Jiangxi Cancer Hospital,and brain-storming comprehensive evaluation and screening index was used to construct a relevant index system for the evaluation of medical staff's emergency handling ability according to the risk value assessment scale of Kaiser model.Ten medical staff in Department of Emergency Medicine of Jiangxi Cancer Hospital from January 2022 to November 2023 were selected as the research objects.Members of the group were invited to evaluate the severity and possibility of risk indicators in the form of a questionnaire,and then their risk values were calculated in detail and evaluated using the risk assessment matrix.Results According to the HVA calculation,the top 4 items of the risk value were lack of systematic training(38.52%),poor work response ability(37.69%),lack of work organization(37.22%)and weak sense of responsibility(37.14%).It was necessary to determine the priority dangerous events for medical staff to deal with,and clarify the main contents of emergency response ability of medical workers.Conclusion HVA was used in this study to determine the risk factors related to the weak emergency response capability of medical staff.Therefore,managers should focus on strengthening practical operation-related learning according to their actual needs,and pay attention to the training of practical skills in time,so as to improve the comprehensive ability of medical staff for emergency handling.

关 键 词：灾害脆弱性分析 医护人员 应急处理能力 相关指标 风险值 

分 类 号：R197.32[医药卫生—卫生事业管理]