美国骨科医疗风险影响因素研究述评

Review of the Influence Factors on Medical Risk of Orthopedics Department in American

目的通过分析美国骨科医疗风险影响因素的分类方法,为我国骨科医疗风险因素分析和防范提供参考。方法使用Mesh及自由词,检索Pubmed、Embase等数据库以及相关官方网站,查找国外相关文献,并重点研究美国骨科医疗风险因素分析方法。结果美国建立了系统的多维的骨科医疗风险因素分类方法。骨科医疗风险主要存在于设备、沟通传达、用药及手术位置4个方面。结论美国骨科风险因素分析方法规范系统,有针对性,可有效发现医疗风险高发点,其为我国骨科医疗风险因素的分析和防范提供了借鉴和参考。

Objective To analysis the major healtheare risk factors and prevention measures in the departments of orthnpedics in American, and give a reference to improve the safety of orthopedics medicine in China. Method Through searching the electric databases （PubMed, EMBASE） as well as the official orthopedics web-sties of each country, and find out the regulatory documents, research reports, and evaluation forms concerned with orthopedics heahhcare risk and assessment about the orthopedics healthcare risk factors and prevention measures in America. Result America had established systemic classification methods of the orthopedics heahheare risk. Among the found references, orthopedics healthcare had four main healthcare risks： wrong- site surgery, medicine, equipment and communication errors. Conclusion Among the healtheare risks, wrong- site surgery and communication errors were discussed greatly, so that effective communication and correct site surgery are the basic of orthopedics healtheare safety.