医疗质量与安全管理的组织惰性及防范策略研究  

Research on Organizational Inert in Medical Quality and Safety Management and Preventive Strategies

作　　者：胡龙军 黄建华[1] 姜若 何露洋 杨嘉麟[4] 左克强 侯冷晨 Hu Longjun;Huang Jianhua;Jiang Ruo(Shanghai Tenth People’s Hospital,Shanghai,200072,China;不详)

机构地区：[1]上海市第十人民医院,上海200072 [2]上海市第六人民医院,上海200035 [3]上海市胸科医院,上海200030 [4]上海交通大学医学院附属仁济医院,上海200002 [5]河南大学淮河医院,河南开封475001 [6]上海申康医院发展中心,上海200041

出　　处：《中国医院管理》2025年第3期55-59,共5页Chinese Hospital Management

基　　金：上海市科学技术委员会软科学研究项目(23692109700);国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(YLZL XZ23H002);上海市申康医院发展中心市级医院诊疗技术推广及优化管理项目(SHDC12024629,SHDC22024217)。

摘　　要：在组织发展的动态过程中,组织往往倾向于展现出一种固守既有行为模式的惰性倾向,即组织惰性。研究将组织惰性理论引入医疗卫生管理领域中,在组织惰性概念的基础上提出了医疗质量与安全管理的组织惰性概念:从内涵来看,其本质是医疗机构未能执行或实现医疗规范行为的持续改进;从外延来看,可划分为结构惰性、资源惰性、制度惰性、技术惰性、员工惰性和文化惰性等6类。文章就如何克服医疗质量与安全管理的组织惰性进行了探讨,可为医疗质量与安全的持续改进研究与实践提供新思路与新方向。In the dynamic process of organizational development,organizations tend to exhibit a tendency towards organizational inertia by maintaining its original behavior patterns.It introduces organizational inertia theory into the medical management.Based on the concept of organizational inertia,the concept of organizational inertia in medical quality and safety management was proposed.From the perspective of connotation of organizational inertia in medical quality and safety management,its essence was the failure of medical institutions to implement or achieve continuous improvement in medical standardized behavior.From the perspective of denotation,it includes six categories:structural inertia,institutional inertia,resource inertia,technological inertia,employee inertia,and cultural inertia.In addition,it explored how to overcome organizational inertia in medical quality and safety management,which can provide new ideas for sustainably improvement research and practice in medical quality and safety management.

关 键 词：医疗质量与安全管理 组织惰性 防范策略 

分 类 号：R197.323.4[医药卫生—卫生事业管理]