某综合医院灾害易损性现状研究

Current research on vulnerability in a general hospital disaster

目的:对医院各种潜在风险进行顺位,确定该院需要重点应对的风险事件,并分析其形成的原因以及对该院可能造成的影响,提出加强风险管理的策略,把医院灾害易损性降低。方法:通过问卷调查方式,对于每一风险事件,均从发生可能性、严重性(损伤-防范)方面建立评价因子的分级标准,选择综合指标法进行灾害易损性调查,根据计算结果对风险事件进行排位。结果:该院高风险危害依次为医疗纠纷风险(R=129.28)、网络舆论事件(R=101.46)、电梯意外事件(R=90.01)、网络信息系统瘫痪(R=89.47)和医院感染(R=84.81)。结论:该院需要重点防范的风险事件主要为医疗纠纷风险、网络舆论事件、电梯意外事件、网络信息系统瘫痪和医院感染。应对风险事件,医院可通过加强机制、体制建设,建立预警体系,有针对性的制定或完善相应预案,组织开展培训及演练,储备相应的应急物资,减小灾害对医院运行和医疗工作造成的影响。

Objective:To sequencing on the various potential risk to the hospital,identify risk events that the hospital need to focus on,analyze the reason of its formation and impact on the hospital,strengthen risk management,and reduce the hospital disaster vulnerability.Methods:Using the questionnaire,the grading standard of evaluation factor was established according to the possibility of occurrence and severity(injury-prevention).The disaster vulnerability was investigated using comprehensive index method,and the risk event was qualified according to the results.Results:The high risk harm of the hospital was the medical dispute(R=129.28),internet public opinion events(R=101.46),elevator accident(R=90.01),network information system disabled(R=89.47)and hospital infection(R=84.81)in turn.Conclusions:The medical disputes,internet public opinion events,elevator accident,network information system disabled and hospital infection should be prevented.The hospital can strengthen the construction of mechanism and system,set up early warning system,formulate or improve the corresponding plan,organize training and drills,reserve the corresponding emergency supplies,and reduce the impact of disasters on hospital operation and health care work.