部队医院医疗风险管理存在的问题及对策分析

目的:近年来,医疗纠纷屡见不鲜,其中不乏军队医院。为此,我们对目前部队医院的医疗风险管理情况进行分析,深入总结军队医院管理存在的问题,并提出相应的对策以加强部队医院医疗风险的防范工作。方法:采取调查问卷方法对10所部队医院的一线医护人员就医疗风险相关问题进行调查,并对结果进行分析。结果:工龄低于5年的医务人员发生医疗风险的比率高于工作5年以上的人员;外科和妇产科医疗风险发生率较高;三级甲等医院医疗风险管理体系较三级乙等更完善。医院的管理制度、医务人员的工龄、科室的设置、风险教育及工作量等均与医疗风险的发生有着密切的关系。结论:部队医院应建立健全的风险预警系统与评价体系,提高医院对医疗风险的管理能力。医务人员应加强风险意识和法制意识,重视医患沟通,以促进医患关系和谐,从而减少或避免医疗纠纷的发生。

Problems and Countermeasures on the Management of Medical Risk in Military Hospital*

Objective： In recent years, more and more medical disputes have happened to military hospital. Thus, we are writing to analyze the current situations on the management of medical risk in military hospital and prospect the countermeasures for hospital management by means of summing up the existing problems in order to enhance the preventive consciousness of clinical staff. Methods： A questionnaire was performed on the clinical staffwho were working in the first-line often military hospitals to investigate and analyze the present situations about the management of medical risk. Results： The incidence of military risk was higher for those who were working less than five years when comparing with the experienced ones. The higher incidence of medical risk was found in the department of general surgery or the department of obstetrics and gynecology. The management system of medical risk was more improved in the first-class hospitals with level A than that of the hospitals with level B. The logistic regression analysis has showed that there was close relationships of the medical risks and several factors such as the hospital management system, the experience of working, the setting of departments, the risk education and the workload, etc. Conclusions： It is suggested that the military hospital should establish and improve a modified system of warning and evaluation for the medical risk. As the clinical staff, we should strengthen the of medical risk and the relative legality, turn over the standard ideas to communicate with patients, promote the harmonious relationship between doctors and patients so that the medical disputes would be decreased or avoided.