英美骨科医疗不良事件报告系统的比较研究

A Comparative Study of Orthopedic Medical Adverse Events Reporting System in UK and USA

目的对比分析英美两国骨科不良事件报告系统的管理和组织机构内容,为我国骨科医疗不良事件报告系统的建立提供借鉴。方法通过检索Pubmed、Embase等文献数据库和英美骨科联合会等官方网站,搜集相关文献资料。结果最终纳入文献17篇,其中官方文献6篇。研究发现,美国建立了骨科研究院,与社会各方广泛合作,机构组织紧密,规章制度完善,对全国的骨科不良事件进行报告管理;英国则在国家病人安全机构中下设骨科管理部门,由国家主导医疗不良事件的报告。结论英美两国骨科医疗安全事件报告系统均较为完善,组织机构设置清晰,职能明确;上报内容系统全面,重点突出;规章制度完善;上报与反馈机制健全等。两国的成功经验对我国骨科不良事件报告系统的建立健全具有借鉴意义。

Objective To compare the management and organization of Orthopedics Adverse Event Reporting System in UK and USA, provide a reference for the establishment of orthopedic medical adverse event reporting system in China. Method We retrieved PubMed, Embase, the official website of Anglo - American Orthopedics Association and other bibliographic databases to collect relevant literatures. Result Totally 17 literatures were included, including six official literatures. The USA established the orthopedics Association, extensive cooperated with all sectors of society, institutions and organizations with improved rules and regulations, which manages orthopedic adverse event reports all over the country. While in the United Kingdom, orthopedic man- agement sector is set up under the national patient safety agencies, dominated by the state medical adverse events reported. Con- clusion The orthopedic medical safety event reporting systems are well established in UK and USA with clear organization, well defined functions ; comprehensive report system with focused issues ; well regulations ; sound report and feedback mechanism. The successful experience of the two countries provides a sound reference to China on orthopedic adverse event reporting system.