某三甲医院低风险死亡病例管理效果分析

Effect Analysis of Low-risk Death Cases Management in a Three Grade A Hospital

目的探索低风险死亡病例管理方法,全面提高医疗质量与安全。方法对2016—2017年低、中低风险死亡病例进行主动监管,强化核心制度落实,加强病案首页管理,建立专家讨论制度,促进医疗质量持续改进。结果 2017年低、中低风险组死亡率分别为0.02%、0.03%,同比降幅分别达33%、75%;2016—2017年北京某三甲医院死亡率均明显低于北京市三级医院平均水平。结论通过对低风险死亡病例进行监管,分析原因、落实整改,有效降低低风险死亡率,持续提升医疗质量。

Objective To explore the management methods of low-risk death cases and improve the quality and safety of medical care. Methods Carrying out active supervision over low-risk and middle-low-risk death cases from 2016 to 2017,strengthening the implementation of core principles,improving the front page management of medical records and establishing an expert discussion mechanism,to promote continuous improvement of medical quality. Results The death rates of low-risk and middle-low-risk cases in 2017 reduced to 0.02% and 0.03%,and recording annual declining rates were 33% and 75%,respectively. All death rates in the hospital were lower than the average levels of tertiary hospitals in Beijing City. Conclusion By applying supervision on low-risk death cases,analyzing the causes and carrying out specific improvements,the low-risk death rates are effectively reduced,and the medical quality is continuously improved.