论文部分内容阅读
目的为加强医疗安全监管,规范医疗行为,提高医疗质量,保障医疗安全,减少医疗事故和相关投诉举报的发生。方法对辖区10家二级甲等及以上医疗机构进行医疗安全专项督查。结果病历中存在不少的共性和个性问题,统计结果表明外科和妇产科的病历各项指标相对合格率偏低,医疗安全相关制度执行总体情况良好。结论本次督查在某种程度上反映了病历书写与医疗纠纷存在一定的相关性,病历质量有待提高,医疗质量安全事件管理有待完善。
The purpose is to strengthen medical safety supervision, standardize medical behaviors, improve medical quality, ensure medical safety, reduce medical malpractice and report the occurrence of complaints. Methods To supervise the medical safety of 10 second-class and above-level medical institutions in the area. Results There were many common and individual problems in the medical record. The statistical results showed that the relative pass rates of various medical and surgical records in surgery and obstetrics and gynecology were relatively low, and the implementation of medical security-related systems was generally good. Conclusion This investigation shows to some extent that there is a certain correlation between medical record writing and medical disputes. The quality of medical records needs to be improved and the management of medical quality and safety events needs to be improved.