城市社区基本医疗安全隐患原因分析与干预

Analysis and intervention of potential security problems of basic medical care in urban community

目的调查、分析目前城市社区医疗安全隐患的原因,并制定相应的干预措施,有效减少社区医疗不良事件与纠纷的发生。方法随机抽取深圳市100家社区健康服务中心(简称社康),对其社康中心的管理部门(社康部)和所抽取的社康中心中任意选取5名医务人员(包括中心负责人、社区医师、护士、药剂人员、医技人员)进行问卷调查,任意选取其中的10家社康中心进行实地考察和相关人员的深入言谈。将调查问卷结果进行整理,分析出影响社区基本医疗安全主要影响因素,并制定相应的干预措施。结果干预措施可以有效降低医疗安全隐患发生,减少医疗事故不良事件发生率。结论落实各项管理制度,提升医务人员水平,改善就医环境、配备必要的急救设备提高急救技能等,可以有效减少社区基本医疗安全隐患,提高社区居民的满意度。

Objective To Investigate and analyze the causes of potential security problems in urban community at present, and formulate corresponding measures, effectively reduce the occurrence of community medical adverse events and disputes. Methods 100 Shenzhen Community Health Service Center（the community） were selected randomly, and 5 medical personnel of the community health service center management department （Community Health Department） were selected from the community health centers, including center responsible person, community engineers, nurses, pharmacists, technicians）, and they were conducted a questionnaire survey, and 10 community health centers were selected at a random, by field survey and related personnel of in-depth talk. The results of questionnaires were collected, and analyzed the main factors affecting the community basic medical security, in order to make corresponding measures. Results Intervention measures could effectively reduce the occurrence of potential security problems of medical care, and reduce the incidence of medical adverse event. Conclusion It can effectively reduce the community basic medical security risks, and improve the satisfaction of community residents, by implementating the management system, improving the level of medical personnel and the hospital environment with equipped with the necessary emergency equipment to improve the first-aid skills.