外科医疗损害事件分布特征分析87例

Analysis of Distribution Characteristics of Surgical Injury Events in 87 Cases

目的了解天津市2013—2017年外科医疗损害事件分布特征,为提升医疗安全管理水平提供对策与建议。方法采用描述性分析方法对87例外科医疗损害事件的总体情况、医疗损害事件在医患双方的分布特征以及医疗损害后果进行分析。结果 2013—2017年天津市外科医疗损害事件呈快速增长趋势。外科医疗损害事件涉及男性患者多于女性患者,占62.07%,涉及50岁以上的患者占70.11%。外科医疗损害事件高发于三级医疗机构,约占总数的81.61%;市内六区的医疗机构是外科医疗损害事件高发区域,约占总数的74.71%;骨科、普外科、泌尿外科是外科医疗损害的三大高发科室,约占总数77.01%;发生于住院诊疗过程中医疗损害事件约占总数的79.31%。结论卫生监督应以三级医疗机构和市内六区医疗机构为重点,医疗机构应对男性和中老年患者予以特别关注,并重点加强重点科室和住院诊疗服务的管理。

Objective To understand the distribution characteristics of surgical medical injury events in Tianjin from 2013 to 2017,and to provide countermeasures and suggestions for improving the level of medical safety management.Methods The descriptive analysis method was used to analyze the general situation of 87 cases of medical injury,the distribution characteristics of medical injury and the consequences of medical injury.Results From 2013 to 2017,there was a rapid growth trend of surgical medical injuries in Tianjin.The incidence of surgical medical injury was 62.07%in males and over 50 years of age accounted for 70.11%.The incidence of surgical medical injuries was high in the tertiary medical institutions,accounting for 81.61%of the total;the medical institutions in the six districts of the city were the high incidence areas of surgical medical injuries,accounting for 74.71%of the total;orthopedics,general surgery and urology were the three high incidence departments of surgical medical injuries,accounting for 77.01%of the total;about 79.31%of the total number of surgical medical injury events occurred during hospitalization.Conclusion Health supervision should focus on tertiary medical institutions and medical institutions in six districts of the city.Medical institutions should pay special attention to male and elderly patients,and strengthen the management of key departments and hospitalization services.