基于因子分析与Borda序值法的医疗风险矩阵构建

Construction of Medical Matrix on Basis of the Factor Analysis and Borda Sequence Value

目的构建医疗风险矩阵,为应对和控制医疗风险的预警和控制提供科学的管理依据。方法运用风险矩阵的管理理论,通过文献查阅、风险问卷分析和专家咨询法识别和衡量各类潜在医疗风险发生的概率及其潜在的损失程度,采用因子分析法初步确定医疗风险矩阵的风险结,进一步用Borda序值法对风险结的风险影响和风险概率进行量化评估。结果本研究通过因子分析将医疗风险归为6个风险结:操作规范、药物使用、工作负荷、患方因素、沟通与协作、医疗风险管理。Borda序值排在第一位的风险结为工作超负荷风险,其次为操作不当风险和药物使用潜在风险,然后为不良医患沟通和医疗风险管理不到位,最后为患方风险。结论应构建多维度、全过程的医疗风险管理机制,密切防控风险等级较高的潜在医疗风险因素,及时做出有效的预警和干预。

Objective To build medical risk matrix to provide the scientific management evidences for the medical risk warning and controlling. Methods Using the theory of the management of the risk matrix, through literature review, questionnaire analysis and expert consultation method to identify the potential health risks and their potential loss rate. Factor analysis method was used to determine the medical risk set. The Borda sequence value method was further employed to assess the risk influence and risk probability. Results Six medical risk knots have been concluded by factor analysis： operation standard, drug use, workload, patients＇ factors, communication, and risk management. According to the Borda sequence value, the first risk knot is the workload factor. The second and third risk knots are operation standard and drug use risk. The fourth and fifth risk knots are the communication and risk management factors. The last is patients＇ factors. Conclusion Multidimensional and overall process risk management mechanism should be further established. Based on the risk matrix,prevention and control higher rank risk factors,and early warning and intervention should be kept closely.