摘要
目的构建医院不良事件主动监测与主动上报一体化信息平台,提升医疗安全和质量监管效能。方法基于医疗过程实时业务数据提取医疗安全风险因子指标,建立主动监测规则库,基于触发器机制主动检出不符合医疗过程的异常事件。同时修订医院质量安全(不良)事件管理制度,创新实践前闭环+后闭环不良事件全过程管理的双重防控模式。结果建立基于B/S架构的主动监测与主动上报一体化的不良事件全闭环管理系统,提高了临床工作人员和监管职能部门工作效率,提升了医务人员上报的时效性,降低了不良事件的漏报率,提高了不良事件的上报率。结论通过系统应用实现预防不良事件的管理目标,提升医疗质量和患者安全管理水平,促进医院质量安全管理由经验管理向科学管理的转变。
Objective Build an integrated information platform for active monitoring and reporting of adverse events in hospitals to improve medical safety and quality supervision efficiency.Methods Based on the real-time business data of the medical process to extract the medical safety risk factor index and establish the active monitoring rule base.Revise the hospital quality and safety(adverse)event management system,innovate and practice the dual prevention and control model of the whole process management of front closed loop+post closed loop adverse events,and establish a fully closed loop management system for the integration of active monitoring and reporting based on the B/S architecture.Results Improve the work efficiency of clinical staff and supervisory functional departments.Promote the timeliness of reporting by medical staff.It can reduce the missing report rate of adverse events and improve the reporting rate of adverse events.Conclusion Through the application of the system,the management goal of preventing adverse events has been achieved,the medical quality and patient safety management level have been improved,and the hospital quality and safety management has been transformed from experience management to scientific management.
作者
陈伯勋
周焰升
李永恒
CHEN Boxun;ZHOU Yansheng;LI Yongheng(The First People's Hospital of Tianmen,Tianmen 431700,Hubei,China)
出处
《中国卫生信息管理杂志》
2021年第5期635-641,共7页
Chinese Journal of Health Informatics and Management
关键词
不良事件
主动监测
闭环管理
系统设计
adverse event
active monitoring
closed loop management
system design
