Analysis And Countermeasure Research Of Medical Adverse Events In Some Tertiary Hospital

[Background]Medical safety (adverse) event refers to anything, factors and events, that may affect the clinical results of diagnosis and treatment of patients, as well as hospital running process, increases the patient’s pain and sufferings and may cause medical disputes or medical malpractice, and affect the functioning of hospital and health personnel safety. Foreign research results suggest that the occurrence of medical safety (adverse) events is often the result of any factors, local safety supervision cannot effectively reduce the occurrence of that.. Under such background, it’s a important way to study the medical event among stuff in hospital. By collecting information on medical adverse events, and conductchng analysis of that, issued warnings, suggest improvements will achieve good results to improve the quality of hospital.[Objectives]322medical safety (adverse) events in some tertiary hospital of2013were selected as samples to be analyzed. Characters and regular pattern of medical safety (adverse) events happening at different clinical departments and different time with various reasons, the solution and compensation were discussed,to find the main problem and propose corresponding of countermeasures recommends, to improve medical safety (adverse) events management and decision making, to decrease the incidence of adverse events.[Methods]1. All the selected data was obtained from the hospital medical management department which was reported by clinical department from January to December in2013and sorted; Build up the database with Excel2007, process and analysis with SPSS Software package on the base of the data.Necessary literature comes mainly from the Chinese Journal full-text database, a database of Chinese scientific and technical periodicals and Wanfang database.2. By using the descriptive analysis method, with a combination of vertical and horizontal comparison methods to analyze the events.[Results]1. The medical adverse event of2013total of322cases were divided into11categories.The top5events were:identifying errors in54cases, medical defects in52cases, medicine mistakes in45cases, fall and bed-drops in43cases, unexpected extubation of body catheter in38cases.2. The top5departments were:Neurology, General surgery,Oncology,Orthopedic surgery and Pediatrics department. Medical staff with a title of middle and high involved in was33.23%and25.78%, followed by junior staff to23.60%. Nursing staff was as much to56.83%as top one.3.22:00to08:00working shift was the maximum happenning time, about40%occurrence at that time period.More than61.49%occurred in the third and forth quarter.4. For the top3medical acts which much easier to trigger medical adverse event were:incomprehensive nursing care,accounted to17.39%,then,irregular operation of diagnosis and treatment,15.48%,followed by clinical supervision defect with15.33%.5. The outcome of event from serious to slight were:warning consequence about2.48%,the seconed level consequence21.43%,the sligh consequence47.20%as top one. By consultation of hospital and patient to resolve the dispute was the main way for both, about82.26%. And it has the lower average amount of compensation.[Conclusions and suggestions]1. Pay more attention to the hospital supervision of some department management and key sections to reduce the occurrence.2. To improve the professional technical level by staff follow-up trainning and implementation of human resource.3. Strengthen the sense of medical service to patient as a whole and ability of communication to all staff. Not only do preventive construction systems about medical safety (adverse),but also do emergency event handling construction mechanism.4. Implement all CORE rules and risk management firmly.5. Learn advanced foreign hospital quality management to consummate supporting system and effective staff arrangement.6.By giving prior-warning information timely to carry out the system constuction of medical risk and quality management.7. Advancement the adverse event resolving mechanisms and teams.