在大学医院实施全面的临床风险管理系统
Wolfgang Buchberger1, Marten Schmied2, Michael Schomaker3
1UMIT TIROL- University for Health Sciences and Technology, Institute of Public Health, Medical Decision Making and HTA, Hall in Tirol, Austria.
概括
实施临床风险管理系统显著减少了大学医院患者的伤害. 这种包括审计和事件报告在内的综合系统,使得每年平均减少了60.1%的伤害.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 临床风险评估临床风险评估
背景情况:
- 医院中的不良事件很常见,并对患者造成重大伤害.
- 在一所大学医院实施了全面的临床风险管理系统.
- 该研究评估了该系统对减少患者伤害的影响.
研究的目的:
- 评估综合临床风险管理系统的有效性.
- 确定临床风险管理对患者安全和危害的影响.
- 分析识别的风险类型和预防措施的实施.
主要方法:
- 八年内推出临床风险管理系统,包括团队培训,风险审计和关键事件报告系统 (CIRS).
- 根据类型和严重程度分析已识别的风险,跟踪预防措施的实施情况.
- 使用责任案件作为主要结果指标,以及年度风险报告数据.
主要成果:
- 组织问题 (56.2%) 和治疗 (15.3%) 是最常见的风险类别.
- 关键事件报告每年发现241-370起事件,其中79.5%-83%在12个月内接受预防措施.
- 实施后观察到患者伤害年平均减少60.1%,每增加10%的系统推出,每年下降5%,每年增加5%.
结论:
- 临床风险管理有效地识别了与治疗有关的风险.
- 实施的系统在减少患者伤害方面取得了显著的成功.
- 综合风险管理对于提高医院环境中的患者安全至关重要.
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