从医院评审标准看医疗安全管理的改进

Judging the improvement of medical safety control from hospital appraisal standards

根据浙江省综合性医院评审标准中的医疗安全管理部分的内容 ,分析该标准的设计思路 ,提出医疗机构在医疗安全管理方面的改进建议。①医疗安全在医院评审标准中占据重要地位。对医疗事故的扣分标准提出商榷意见。②医疗安全管理的重点在于防范。医疗机构和医护人员应对医疗差错、事故有正确的认识 ,消除安全隐患 ;充分发挥医疗差错防范和处理预案的指导性作用 ;全国性统一、全面的诊疗护理操作规范、常规亟待出台。③运用先进手段保证医疗安全信息的上报和反馈渠道畅通、及时、高效。

In light of the medical safety control standards for general hospital appraisal in Zhejiang and the principles followed in designing the standards, the authors put forward some suggestions for medical institutions to improve their medical safety control. ①Medical safety occupies a key position in hospital appraisal standards. Some points are presented for discussion with regard to the criteria for malpractice-caused deduction of marks. ②The focal point of medical safety control lies in prevention. Medical institutions and their staff ought to have a correct understanding of malpractice and try to remove hidden dangers. The directive function of plans for preventing and handling malpractice ought to be brought into full play. In addition, nationally uniform and comprehensive criteria and routines for diagnostic, treatment and nursing procedures ought to be set up speedily. ③ It is imperative to make use of advanced means so as to ensure the smooth, timely and efficient reporting and feedback of medical safety information. ④The idea of service ought to be reinforced and a risk assessment mechanism ought to be set up.