| Background StudyMedical risks exist in the medical activities commonly. Especially in the recent years, the gradually increasing demands for the medical service are still larger than the scale of our medical progress. The more medical services are provided, the more possibility of medical risk happens. As medical risks may cause severe consequences not only to the medical institution but also to the medical personal and the patients and all the aspects that get involved in the medical activity, the matters about medical risks are becoming the important actual issue that may effect on the development of Chinese medical service. Luckily, this problem is not uncontrollable. All the medical institution and medical personal are reacting positively against the risks. The importance of medical risk management has been prominent and obvious. To be specific, the core of medical risk management is to limit the possible negative consequence and influence in the lowest extent through effective medical researches and medical activities. In order to impel the medical institute wouldn’t be over burdened by the negative effect that caused by the medical risks, and would be able to realize their management target.Currently, the medical risk management on the post-processing aspect has gained relatively rich achievement and adequate attention from the supervising administrative departments. Judging from the institutional framework, a considerable part of medical institutions has set up special client service department or section and a matching personal for handling this kind of matters; from the aspect of the problem solving method, the system of third party meditation mechanism has been brought in, and be a new patch to the exiting methods such as legal self-protection and active communication between the medical institution and the medical service clients. But, talking from the aspect about the precaution of medical risks, we are still in the primary level as simply taking the medical personnel under the control of the rules and regulations, and not allow the full play of the medical personnel in valuing the importance of medical risks and enforcing the beforehand prevention. The insufficiency in the risk prevention has been effected the enhancing of the management level of the whole medical system and became the most urgent matter among the works of medical risk managing improvement. The related research realms are also being hot-spotted. Research purposeMedical Risk Prevention Strategy refers through the research, introducing reasonable approach, involving the establishment of front line medical personnel, business departments, specialized institutions and medical institutions for medical risk management program managers to improve the risk prevention ability and the level of medical institutions. This topic to a public general hospital medical risk prevention as an example, The main objectives are:1. Verify and establish the subject of research in medical complaints as the breakthrough point, to carry out medical risk factors, and patient demand for medical services related to real research methods;2. Analysis and points out that the existing medical risk management process "heavy post-processing, light advance prevention" concept inadequacies, outstanding medical risk prevention to promote the importance of risk management level of medical institutions;3. Learn simple clinical risk assessment, health risk warning and other existing medical risk prevention measures, in view of the defect part, improvement strategy is proposed in this research to the problem and the specific applicable to consolidate existing precautions, forming health risk prevention system. Contents of research1. Theoretical studyCombining the theory of risk management related propositions and ideas involved in hospital management, tightly around this study strive to resolve medical complaints, medical risk prevention and other issues, in order to integrate theory with practice, the method of research work.2. Research on status of medical complaints and medical risk factorsTaking a public general hospital of Guangdong province as the research object, the acceptance of medical complaints by fault tree analysis, this paper analyzes the reason of the medical complaints, understanding staff risk present situation of clinical activities, expert consulting method and application of risk identification and assessment, screening of major health risk factors, put forward risk prevention strategies to provide service for the next step.3. Risk prevention strategy researchAccording to the findings of the risk situation, explore the establishment of the hospital risk prevention strategy:Try to introduce the "simple clinical risk assessment method", the purpose is to work in the clinical front line medical staff to provide a simple clinical risk assessment tools. Activities at the clinic, medical staff can use the same method for patients facing a simple and accurate clinical risk assessment, but also to promote the medical staff to enhance their risk treatment activities in the process of identifying the alertness level and the degree of care. Correctly identify the risks based on supplemented unobstructed warning mechanism to protect the adverse event reporting system, effective implementation, and proposed ancillary medical risk prevention strategies to promote health risk prevention work effectively. Research techniques1. Literature analyzing methodThe research is based on the related literatures and documents about the issue of physicians practicing at multiple facilities that are gathered from the library, internet, CNKI, Wan fang Database, Vip Informations, Pub Med, Science Direct and all the related websites.2. Fault Tree AnalysisThrough the fault tree analysis of medical investment analysis found that the diagnosis and treatment of specific medical complaints behavior and the intrinsic link between the subject matter, analyzing the causes of complaints, establishing next medical risk factors research.3. The specialists consultation method of DelphiDesigning the consultation form for the specialists based on the research and literature analyzing and adjusts the structure and content of the form by the expert interview method. The experts are specially chosen to match the nature of the study, and the inquiry should be done twice during the research.4. The analysis of coefficient of variationCoefficient of variation, also known as Standard deviation, the ratio of the standard deviation to average number, is the statistical magnitude for observing the variation level of the data in the file. Judging from the coefficient of variation, the uniformity of the experts’opinions can be observed. The larger the variation coefficient is, the more separate the opinions of the experts are, vice versa.5. The method of authority coefficient analysisCr (the authority coefficient) equals the half of the sum of the index coefficient and the coefficient of the familiarity of index:Cr=(Ca+Cs)/2. Cr should be within the range of0-1, the larger the better. Finding of researchCombined with the main elements of risk prevention, this study of the existing relevant research literature, based on the medical risks related theories and concepts, medical risk management and risk prevention and other health care were defined and grooming, according to the characteristics of medical activities, combined with medical the overall risk situation and the basic characteristics of the medical activities of the important risk factors faced pointed out to improve health risk prevention and points the direction and made basic medical risk prevention strategies. This study adopted a qualitative and quantitative, theoretical analysis and empirical research method of combining research, relevant results are as follows:1.Through research and analysis the related concepts to medical risk management and theories, defined the concept and content of the precaution of medical risk, pointed out the specific role of its importance in the overall work in hospital management;2. Medical complaint for research the breakthrough point, through analyze the complaint reason, finally reached a conclusion that involves the direct medical factors and two aspects of factors other than direct medical main influencing factors of medical risks. Expert consulting method was applied to sum up the medical risk factors are analyzed, focusing on the actual need to solve the problem of risk prevention, high possibility of a selected several kinds of health risk factors, more destructive, as the concrete object of study of risk prevention strategy.3.Analysis of medical risk prevention awareness is helpful to improve the overall quality of the medical staff, to enhance the overall level of service of medical institutions, practicing medical ethics, and respond to the negative public opinion. Comprehensively demonstrates the awareness of risk prevention important to carry out the importance of medical risks;4.Learning from the specific measures and methods of medical risk management work in the advanced countries, focusing on clinical risk assessment mechanism, combined with the environment of professional quality, work of medical workers and other content, in order to find a method with higher identification, operational assessment of medical risk, medical risk assessment’scope can be clearer defined;5.Focusing on the deficiencies and missions of the now existing risk warning mechanism for an improvement on the ideas and methods of it. And calls for the establishment of an early medical risk warning response mechanism, the specified responsibilities and communication methods to different warning levels in order to keep the smooth communication between the related parties;6.Proven medical risk prevention work has a positive role in promoting the "Adverse Event Reporting System","the informed consent rights inform system" for the changing social medical environment adapts analysis further proposed to improvement opinions. Significance of research1.Medical complaints as the breakthrough point, in a clear and effective preventive medical risks, at the same time, medical staff face know reality demands of patients for medical service, to provide more humane medical services to patients, it is also a key point of management in21st century medical institutions;2. Focus on medical risk prevention, medical risk management will be moved forward, helps to reduce the risk of medical institutions to deal with medical defect management costs, achieve well-constructed medical order in hospitals management goal;3. Contribute to improved health care workers to protect themselves, and establish a good personal growth of medical ethics requirements;4. Help ease patient conflicts, to build a harmonious doctor-patient relationship, and promote social stability objectives. |
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