我国医疗风险成因分析方法及常见风险因素

Medical risk factors and factor analysis methods in China

目的:通过系统总结国内医疗风险成因的分析方法及常见的风险因素,更加全面地了解医疗风险形成因素,从而最大程度上规避医疗风险。方法:通过检索万方、CNKI等数据库,全面检索搜集1949～2010年有关国内医疗风险、医疗安全和风险管理等方面的相关文献。结果:根据纳入和排除标准,共纳入48篇文献,对医疗风险成因的一系列因素进行了系统总结分析,并对医疗风险成因分析常用方法进行了描述。结论:总结归纳法为国内医疗风险成因分析最普遍的使用方法,医疗风险成因可归纳为医方、患方、疾病本身、社会、医患沟通等五个方面,其中医方因素为国内研究者公认的首要因素。

Objective： Through systematic summarization of manners and common risk factors of medical risk cause in China,this article provided more comprehensive understanding of the cause of the risk.Method： Through searching the articles in CNKI and Wanfang databases from the year of 1949 to 2010,collect related articles of healthcare risks,medical safety and risk management.Results： 48 articles are included,summary and analyze systematically to a series of factors of medical risk cause and describe common manners of medical risk cause analysis in our country.Conclusion： Summarization and induction are the common methods in medical risk factor analysis.medical supply institution are main factors of medical risk in China,the other factors include patients themselves,medical science,society and the communication between medical staff and patients.