应用《简易防范医疗纠纷高风险量表》200例对医疗纠纷风险的评估与分析
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摘要
目的:主要讨论《简易防范医疗纠纷高风险量表》在评估与分析医疗纠纷风险的价值,并提前防范。方法:研究对象均来源于北京中医医院、北京市中医医院顺义医院三年内医疗纠纷发生率前五位的科室患者200例,将入选患者随机分为两组,对照组100例,研究组100例,研究组进行简易医疗纠纷高风险病例评价量表评估,并根据评估结果进行相应的风险防范措施,对照组仅采用简易医疗纠纷高风险病例评价量表评估,计算研究组及对照组发生医疗纠纷事件的百分率及各科室评分统计情况。结果:研究组未发生医疗纠纷事件,对照组发生1例死亡纠纷事件;外科、妇科及骨伤科慢性疾病较少或无慢性疾病,手术风险小预后佳,心血管科患者年老体弱,慢性疾病多,评分风险较高。结论:通过研究表明,《简易防范医疗纠纷高风险量表》设计合理,具有重要的临床应用价值,有助于缓解医患矛盾,增加患者满意度,规避潜在风险。
Objective: To discuss the value of simple and high risk scale for preventing medical disputes in evaluating and analyzing medical disputes and to make prevention measures. All the research subjects are from 200 cases of patients from Beijing Chinese Medicine Hospital, Beijing Hospital of traditional Chinese medicine, Shunyi hospital in the recent three years, who were among the top five incidence of medical disputes. The patients were randomly divided into two groups, with 100 cases in the control group and 100 cases in the research group. The research group was evaluated by using simple and high risk scale for preventing medical disputes and the corresponding risk prevention measures were taken according to the evaluation results; the control group was only evaluated by using simple and high risk scale for preventing medical disputes. The percentage of medical disputes in the research group and the control group, and the score of different department was statistically calculated. Results: There was no medical dispute in the research group and 1 case of death dispute case in the control group; Surgery, gynecology and orthopedics departments had little chronic diseases or no chronic disease, the risk of small surgical prognosis is lows, most of the cardiovascular patients were frail and elderly, there were more chronic diseases and a higher risk score. Conclusion: Researches had proved that simple and high risk scale for preventing medical disputes was designed reasonably, it had important clinical application value and could help to solve the patient-doctor disputes, improve the patients' satisfaction and avoid potential risks.
Objective: To discuss the value of simple and high risk scale for preventing medical disputes in evaluating and analyzing medical disputes and to make prevention measures. All the research subjects are from 200 cases of patients from Beijing Chinese Medicine Hospital, Beijing Hospital of traditional Chinese medicine, Shunyi hospital in the recent three years, who were among the top five incidence of medical disputes. The patients were randomly divided into two groups, with 100 cases in the control group and 100 cases in the research group. The research group was evaluated by using simple and high risk scale for preventing medical disputes and the corresponding risk prevention measures were taken according to the evaluation results; the control group was only evaluated by using simple and high risk scale for preventing medical disputes. The percentage of medical disputes in the research group and the control group, and the score of different department was statistically calculated. Results: There was no medical dispute in the research group and 1 case of death dispute case in the control group; Surgery, gynecology and orthopedics departments had little chronic diseases or no chronic disease, the risk of small surgical prognosis is lows, most of the cardiovascular patients were frail and elderly, there were more chronic diseases and a higher risk score. Conclusion: Researches had proved that simple and high risk scale for preventing medical disputes was designed reasonably, it had important clinical application value and could help to solve the patient-doctor disputes, improve the patients' satisfaction and avoid potential risks.
引文
[1]乡志忠,郭珊,赵鹏图,等.层次分析法在医疗高危模式与结果分析风险评估的运用[J].中国医院管理,2009,29(8):13-14.
[2]周英丽,冯利,张少君,等.440例医疗纠纷案例回顾调查分析及防范对策探讨[J].中国医学伦理学,2016,29(3):397-400.
[3]朱晓燕,贺祥,许劲松,等.医疗纠纷调处的做法与体会[J].解放军医院管理杂志,2013,20(1):35-36.
[4]王国威,陈许波,贺旭,等.我院医疗纠纷的特征分析及其防范管理措施[J].西南国防医药,2014,24(2):213-214.
[5]隗燕莉.病历书写质量在防范医疗纠纷中的作用[J].中国病案,2012,13(2):17-18.
[6]高宇,赵宁志,郭爱勇,等.新时期医疗纠纷的成因及防范对策[J].华北国防医药,2004,16(2):141-142.
[7]梁建业.医疗风险防范及相关问题探讨[J].医院管理论坛,2011,28(2):8-12.
[2]周英丽,冯利,张少君,等.440例医疗纠纷案例回顾调查分析及防范对策探讨[J].中国医学伦理学,2016,29(3):397-400.
[3]朱晓燕,贺祥,许劲松,等.医疗纠纷调处的做法与体会[J].解放军医院管理杂志,2013,20(1):35-36.
[4]王国威,陈许波,贺旭,等.我院医疗纠纷的特征分析及其防范管理措施[J].西南国防医药,2014,24(2):213-214.
[5]隗燕莉.病历书写质量在防范医疗纠纷中的作用[J].中国病案,2012,13(2):17-18.
[6]高宇,赵宁志,郭爱勇,等.新时期医疗纠纷的成因及防范对策[J].华北国防医药,2004,16(2):141-142.
[7]梁建业.医疗风险防范及相关问题探讨[J].医院管理论坛,2011,28(2):8-12.