|
|
Ppractice and solution path of hospital risk management |
ZHOU Wei HU Pingling LIANG Yaoze LIAO Shengwu |
Department of Medical Quality Management, Nanfang Hospital, Southern Medical University, Guangdong Province, Guangzhou 510515, China |
|
|
Abstract Hospital risk management is a managerial process which studies potential risk links during medical service, reduces uncertain factors and minimizes malpractice, so as to ensure the quality of medical care. Through summarizing experience and shortages of risk management at home and abroad, as well as integrating risk management practice in outpatients′ critical value notification, preoperative condition assessment, surgical patient transfer, surgical site identification, surgical safety verification, and other high risk procedures, the solutions and suggestions of risk management are conducted. More importantly, medical risk management needs to establish a comprehensive risk management system from the decision-making level, manager and executive level. Based on the evaluations of key quality assessment and surveillance, by utilizing the skills of risk identification, risk assessment, risk control and risk tracking, as well as applying medical quality management methods and tools, the optimal goal of this research is to ensure patients′ safety, build a comprehensive, long-term, continuously improving hospital quality management system.
|
|
|
|
|
[1] 钱怡陶.关于医院风险管理的综述[J].经营管理者,2015(26):73-75.
[2] 方序,朱安全,玄方甲.医院风险管理体系构建与实践[J].中华医院管理杂志,2017,33(5):361-362.
[3] 杨克虎,田金徽,段明友,等.瑞典医疗风险监管体系的循证评价[J].中国医院管理,2007,27(3):21-24.
[4] 秦万龙,马彬,田金徽,等.荷兰医疗风险管理简介[J].中华医院管理杂志,2009,25(2):139-141.
[5] 黄媛,张穗,王婷,等.失效模式与效应分析在麻醉恢复室患者安全转运前的应用[J].中国实用护理杂志,2017, 33(8):608-611.
[6] 王丽丽,孙欲敏,龙飞,等.失效模式和效应分析在麻醉恢复室病人安全转运中的应用效果[J].循证护理,2017, 3(4):359-361.
[7] 匡季秋,邓世洲,刘帆,等.基于失效模式及效应分析模型的医院感染风险管理与预警体系构建研究[J].中华医院感染学杂志,2015,25(21):4976-4978.
[8] 俞培敏,茹晚霞,王广芬.PICC护理门诊肿瘤患者医院感染的风险管理[J].现代实用医学,2016,28(1):126-127.
[9] 李娜,陈梦云.风险管理在急诊危重患者院内安全转运中的应用[J].中国基层医药,2013,20(增刊):62-63.
[10] 李静,易代碧.风险等级评估在急诊病人转运中的应用[J].中国保健营养,2017,27(16):87.
[11] 李雪蓉,邱媛媛.RCA风险管理对预防ICU患者非计划气管插管拔管的研究[J].医学信息:下旬刊,2011,24(6):251.
[12] 国家卫生计生委医院管理研究所.医院安全(不良)事件数据年度报告,总第六期[R].2017.
[13] 庄广云,杨秀敏,刘雪双,等.门诊设置专岗接获危急值管理方法的探讨[J].中国护理管理,2015,15(8):1014-1016.
[14] 乡志忠,郭珊,李淑萍,等.运用医疗失效模式与效应分析方法降低手术流程的风险[J].中国医院管理,2009, 29(1):23-25.
[15] 李翀,王丹.医院风险管理探析[J].基层医学论坛,2015(25):3524-3526.
[16] 王吉善,张振伟.手术安全检查表是确保手术安全的有效工具[J].中国卫生质量管理,2010,17(2):1-3.
[17] 傅金.PDCA循环在提高医院手术标识管理中的应用[J].中国卫生产业,2017,14(26):4-6.
[18] 赵明才.基于管理风险防控现代医院管理核心制度的分析[J].中国卫生产业,2015(12):80-81.
[19] 李洋,杜蕾,张立超,等.FMEA法在医疗风险管理中的应用现状与展望[J].中国医院管理,2014,34(9):36-37.
[20] 刘立,刘东会,牛艳萍.基于风险评估模型的综合医院风险管理[J].中国现代医生,2015,53(18):129-131, 135.
[21] 刘静,郑曦.风险管理和PDCA循环法整合改进临床实验室质量管理体系的探讨[J].国际检验医学杂志,2017, 38(1):136-137. |
|
|
|