目前,国外医疗不良事件的管理研究已经从不良事件的发生状况向医疗不良事件自愿报告系统建立与完善过渡,如何设计医疗不良事件自愿报告系统,更好的分享经验教训以减少不良事件的发生成为一个新的研究热点。我国目前实施的是重大医疗过失和医疗事故报告制度,尚未建立正式统一的 At present, the research on the management of adverse medical events in foreign countries has made the transition from the occurrence of adverse events to the establishment and improvement of voluntary reporting system for medical adverse events. How to design a voluntary reporting system for medical adverse events and better share experiences and lessons so as to reduce the occurrence of adverse events become A new research hot spot. At present, China has implemented a system of major medical malpractice and medical accident reporting and has not yet established a formal and unified