医疗安全不良事件管理的思考与探索  

Reflection and exploration on medical safety adverse event management

作　　者：黄慈辉 吉勇 林云鑫 李云意 郭晓彤 HUANG Cihui;JI Yong;LIN Yunxin;LI Yunyi;GUO Xiaotong(National Cancer Center/National Clinical Research Center for Cancer,Cancer Hospital of Peking Union Medical College,Chinese Academy of Medical Sciences,Shenzhen Hospital,Shenzhen 518116,China)

机构地区：[1]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院深圳医院,广东深圳518116 [2]深圳中医院,广东深圳518033

出　　处：《现代医院》2025年第4期572-574,578,共4页Modern Hospitals

摘　　要：目的本研究旨在分析不良事件报告情况,以期为医院不良事件管理工作提供建议及参考价值,保障医疗安全。方法选择2023年1月1日—2023年12月31日某医院不良事件系统的1459例报告,分析不良事件的管理现状。结果不良事件类别中,排名前三依次为药品不良反应、医疗器械类、医疗管理类;不良事件级别中,I级1例、II级56例;不良事件发生原因主要在于上报流程、制度执行、员工管理等方面。结论加强对不良事件的管理,重视上报流程的培训、加强对员工及不良事件管理人员的培训、完善制度,提高不良事件上报率有效保障医疗安全,促进医院的稳定发展。Objective This study aims to analyze the adverse event reporting situation,in order to provide suggestions and reference value for hospital adverse event management,and to ensure medical safety.Methods 1459 cases of adverse event reports from a certain hospital’s adverse event system from January 1,2023 to December 31,2023 were selected,and the current management status of adverse events was analyzed.Results In the category of adverse events,the top three are drug adverse reactions,medical equipment,and medical management;in terms of adverse event levels,there was one level I event and 56 level II events;the main causes of adverse events were related to reporting processes,system implementation,and employee management.Conclusion Strengthening the management of adverse events,paying attention to training in reporting processes,enhancing training for employees and adverse event management personnel,and improving systems are necessary to effectively ensure medical safety,and promote the stable development of hospitals.

关 键 词：不良事件管理 医院管理 医疗质量 

分 类 号：R197.32[医药卫生—卫生事业管理]