某三级甲等综合医院医师不良事件上报现状分析  

Analysis of the Current Situation of Adverse Event Reporting by Physicians in Tertiary Grade A General Hospitals

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作  者:毛淋淇 张敏敏 高卫益[1] 金瑞[1] Mao Linqi;Zhang Minmin;Gao Weiyi(Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai,200025,China;不详)

机构地区:[1]上海交通大学医学院附属瑞金医院,上海200025

出  处:《中国医院管理》2025年第3期63-66,共4页Chinese Hospital Management

基  金:国家卫生健康委医院管理研究所医疗质量循证管理持续改进研究项目(YLZLXZ22K021)。

摘  要:目的对医师的不良事件上报现况进行分析,为提高医院不良事件管理工作质量提供建议。方法采用描述性分析、χ2检验和结构变动度分析法对上海市某三级甲等综合医院2021—2023年不良事件上报现状和上报人员构成变动情况进行分析。结果医师在日常临床工作中更倾向于选择严重程度轻、定性模糊的不良事件类型进行上报;内科医师上报量远高于外科医师;2021—2023年不同职称的医师上报情况差异有统计学意义(P<0.05);仅有初级职称医师的结构变动值均>0,结构变动贡献率最高,为50.03%。结论为进一步改善不良事件上报情况,医院应以优化上报系统为基础,关注外科及平台科室的上报情况,同时重点加强低年资的医师培训。Objective To analyze the current situation of adverse event reported by physicians and provide suggestions for improving the quality of hospital adverse event management.Method Descriptive analysis,chi-square analysis,and degree of structure variation analysis method were used to analyze the current status of adverse event reporting and changes in the composition of reporting personnel in a general hospital in Shanghai from 2021 to 2023.Result Physicians are more inclined to choose adverse event types with mild severity and unclear definition for reporting in their daily clinical work.The number of reports from internal medicine physicians is much higher than that from surgeons.There was a statistically significant difference in the proportion of reported physicians with different professional titles from 2021 to 2023(P<0.05),with only junior professional title physicians having value of structure vaviation>0,and the highest contribution rate of structure vaviation is 50.03%.Conclusion In order to improve the reporting of adverse events,hospitals should optimize the reporting system as the basis,pay attention to the reporting situation of surgical and platform departments,and focus on strengthening training for physicians with low seniority.

关 键 词:医师 不良事件 上报 结构变动度 

分 类 号:R197.323.4[医药卫生—卫生事业管理]

 

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