【摘要】 目的:为杜绝类似医疗安全(不良)事件的重复发生或发展为更严重的医疗事故提供参考。方法:对某三级甲等医院2013年7月-2016年3月上报的医疗安全(不良)事件进行回顾性研究,剔除单纯的药品不良反应及输血反应,分析其原因及特点。结果:来源于医疗、护理及涉药相关的医疗安全(不良)事件有578件,占总数(747件)的77.38%;175件医疗相关不良事件中,前3位原因分别是基本技能缺陷、制度流程缺陷、沟通和宣教不足,分别占32.00%、24.00%、19.43%;医疗安全(不良)事件的发生与工作人员工作年限和资历关系密切,在来源于医疗、护理及涉药相关的578件医疗安全(不良)事件中,工作年限在5年内的工作人员不良事件发生率为71.11%,初级职称工作人员不良事件发生率为73.18%。结论:各类专业技术人员应严格执行各项流程和规章制度,在日常工作中加强交流沟通和各种宣教培训,努力提升自己的各项专业知识和技能,从而全面防范不良事件的发生。更多还原

【Abstract】 OBJECTIVE:To provide reference for avoiding the recurrence of medical safety(adverse)events or inducing more severe medical accident.METHODS:The medical safety(adverse)events reported by a class A grade 3 hospital from July 2013 to March 2016 were studied retrospectively,and excluded purely adverse drug reactions and transfusion reactions to analyze the reason and characteristics.RESULTS:Of 747 events,there were 578 medical,nursing and drug-related medical safety(adverse)events,accounting for 77.38%;among 175 medical related medical safety(adverse)events,top 3 reasons were basic skills deficiencies,defects in the system processes,inadequate communication and education,accounting for 32.00%,24.00%,19.43%.The occurrence of medical safety(adverse) events were closely related to working life and qualifications;among 578 medical,nursing and drug-related medical safety(adverse) events,the incidence of adverse events was 71.11% in 5-year working life group,and that was 73.18% in junior titles group.CONCLUSIONS:Various professionals should strictly implement procedure and regulations,strengthen communication and education in daily work,and improve professional knowledge and skills so as to prevent the occurrence of adverse event completely.更多还原