【摘要】 目的分析某三甲儿童医院上报医疗安全(不良)事件的特征及规律,为医院质量安全提供对策及建议。方法对某三甲儿童医院2018年1月至2020年12月上报的2 586起医疗安全(不良)事件进行回顾性分析。结果Ⅱ和Ⅳ级不良事件构成比逐年下降,Ⅲ级事件构成比逐年上升(P<0.001)。科室参与上报不良事件的比例逐年上升(P<0.05)。药品不良反应和跌倒/坠床3年中均稳定在前2位;耗材、输血不良反应和医源性皮肤损伤事件有上升趋势(P<0.05);针刺伤和医疗设备事件有下降趋势(P<0.05)。技师和其他岗位上报不良事件比例增加(P<0.001)。结论规范强化不良事件管理,积极营造医院安全文化氛围,能增强科室上报不良事件的意识;同时,通过科学改进上报系统,拓宽多种上报渠道,加强对新进及低工龄员工的宣传培训,以提升个人上报积极性。更多还原

【Abstract】 Objective To analyze the characteristics and rules of medical safety(adverse) events in a tertiary children′s hospital and provide countermeasures and suggestions for hospital quality and safety.Methods A retrospective analysis was performed on 2 586 medical safety(adverse) events reported in a tertiary children′s hospital from January 2018 to December 2020.Results The constitute ratios of rank Ⅱ and Ⅳ adverse events were decreasing and the constitute ratios of rank Ⅲ was rising(P<0.001). The proportion of departments participating in reporting adverse events were increasing(P<0.05). ADR and fall remained in the top two in three years, while consumables, ADR of blood transfusion, and iatrogenic skin injury events had an increasing trend(P<0.05). The proportion of needle stick injuries and medical equipment events had a decreasing trend(P<0.05). The proportion of technicians and other occupations reporting adverse events increased(P<0.001).Conclusion Standardizing the management of adverse events and actively creating a safe cultural atmosphere in the hospital can enhance the awareness of reporting adverse events in the departments. We should also scientifically improve the reporting system, broaden a variety of reporting channels, and strengthen the publicity and training for new and low seniority employees to enhance individual reporting enthusiasm.更多还原