实施重点病例分类监管的医疗安全管理策略之探讨

Implements the key case of illness to classify supervising and managing exploration the medical service safety control strategy

医患矛盾的激化,医疗纠纷发生率不断增加,引起了广大专家学者的密切关注。提高医疗质量,促进医疗安全,缓解医患关系是摆在医疗管理者面前刻不容缓的任务。从重点病例分类监管的角度来探讨促进医疗安全管理的有效方法。重点病例分类监管是通过对危重病人、长期待诊、严重并发症、医疗意外、长期住院、特殊病情这6大类重点病例实施网络化管理。研究发现在此过程中加强环节管理的同时引进分类管理的监督职能是保证重点病例分类监管质量的关键。与此同时也进一步讨论了在重点病例监管中要注意的问题和面临的挑战。

The medical trouble contradictory intensification, the medical dispute formation rate unceasingly increased has aroused the general experts＇ close interest. Improving the medical quality, pronoting medical service security alleviating the medical trouble relations is suspends in front of the medical superintendent the urgent duty. Throud of classifies supervising and managing from the key case of illness the angle, this article discuss the effective method o promotion of medical service safety control.The key case of illness classifies supervising and managing is through to （1） seriously injured patient, （2）long anticipation examines, （3） serious illness complication, （4） medical accident, （5）definitive hospitalization, （6）special condition and so on these six big kind of key case of illness implements the network management. This research found out that strengthening the link of this process management, and simultaneously introducing the classification management sanitary supervision function is the qualitative guarantee of key case of illness classifies the supervising and managing.At the same time, the challenges and questions in key case of illness supervising and managing also are further discussed in it.