Reason Analysis and Countermeasures of 747 Cases of Medical Safety (Adverse)Events
10.6039/j.issn.1001-0408.2016.19.41
- VernacularTitle:747例医疗安全（不良）事件原因分析及对策
- Author:
Yi DENG
;
Ming HU
;
Lin HE
;
Yufang PENG
- Publication Type:Journal Article
- Keywords:
Medical safety events;
Medical adverse events;
Medical risks;
Reason;
Countermeasure
- From:
China Pharmacy
2016;27(19):2726-2728
- CountryChina
- Language:Chinese
-
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 rea-son 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 defi-ciencies,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.
