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目的探讨正确综合分析和评价某院临床手术科室风险等级的方法,为医院的管理提供参考。方法运用Ridit法和RSR法相结合对某院手术科室的手术分级、实际占用总床日、危重患者占用床日进行综合评价。结果风险系数(Ki)=各手术科室平均Ridit值+各手术科室危重患者占用床日比值,并结合RSR法,将Ki值分为4档,一级是低风险,二级是一般风险,三级是较高风险,四级是高风险。结论风险系数Ki值比较客观的反映了临床科室收治手术患者和承担临床风险情况,医院领导及手术质量管理部门在进行手术分级管理中,提供了重要的科学分析材料,对不断提高手术安全及手术质量具有重大作用。
Objective To explore a correct and comprehensive method for analyzing and evaluating the risk grade of a surgical department in a hospital so as to provide a reference for the management of the hospital. Methods The Ridit method and RSR method were used to evaluate the operation classification, occupancy total bed days, occupancy bed days of critically ill patients in a surgical department of a hospital. Results The risk coefficient (Ki) = the average Ridit value of each surgical department + occupancy bed-day ratio of critically ill patients in each surgical department, combined with RSR method, the Ki value was divided into 4 grades, one was low risk, the second was general risk, Level is higher risk, level 4 is high risk. Conclusions Ki value of risk coefficient objectively reflects the patients undergoing surgical operation in clinical departments and the clinical risks. Hospital leaders and operation quality management departments provide important scientific analysis materials in the classification management of operatives. It is of great value to improve the operation safety and operation Quality has a significant effect.