iData_医院医疗质量风险预警体系的构建_栾进

..............................................................................................................................1..............................................................................................................................4..............................................................................................................................6.........................................................................................................6...................................................................................................6...........................................................................................8.............................................................................................10.............................................................11..................................................11..........................................16.........................................................23.................................................................23.........................................................25.................................................30.....................................................................30.................................................................................................39.................................................43.........................................................................43.................................................................................................44......................................44.............................................................................44.....................................................................46.....................................................................................................54............................................................................................................................56............................................................................................................................61............................................................................................................................67............................................................................................................................69....................................................................................................................74.................................................................751ConstructionofEarly-warningSystemofMedicalQualityRiskABSTRACTThecompetitioninmedicalmarketismuchstrongeraftertheentryintoWTOofchina.Sothedevelopmentofhospitalisfacinggreatchallenge.Tobethewinnerofthecompetitionandobtainsustainabledevelopment,thehospitalshouldimprovethemedicalqualityandmanagementqualitytoenhancethepowerintheindustry.Qualitymanagementisthefocusofhospitalmanagement,whilethemedicalqualitymanagementisanimportantissueofqualitymanagement.Toimprovethequalitymanagement,thehospitalshavetoexertabsolutecontrolandnormalizationofmedicalquality.Meanwhiletheyshouldestablishvaluableavailableandeffectivecontrolsystemofqualitymanagement,regulatethequalitymanagementprocessandimprovehospitalqualitytosatisfypatientsandcreategreatersocialprofitandeconomicprofit.Thisisnotonlymarketdemand,butalsotheneedofdevelopmentandreformingofmedicalindustry.Ithasgreatsignificantontheconstructionofharmonysocietyandguaranteethebasichealthrightofcitizens.Atpresent,theapproachofriskmanagementhasbeenbroadlyappliedintheenterprisesandbusinessmanagementactivities.Itaimstorealizationthecorporationvalueandmaximizationthebusinessprofitthroughthepreventingcontrolavoidanceandreduceofriskcosts.Themedicalindustryhasthenatureofsocialwelfare,anditsbasicpurposeistoprotectpeoples’healthandguaranteethesocialprofit.Hence,themainpurposeofhospitalmedicalriskmanagementistoreducevariousriskfactorsduringtheprocessofmedicalserviceandensurethesafetyandeffectivenessofmedicalservice.Furthermore,forthesurvivalanddevelopmentofhospital,riskmanagementshouldtrytheirbesttoreduceeconomiclostcausedbyriskaccidentsandreducetheriskcostofhospitaloperationandmanagement.Meanwhile,medicalriskmanagementshouldtakeaccountoftheindirectcostscausedbyunnecessarymedicalaccident.Todecreasethenumbersofmedicalaccidents,hospitalsshouldfocusontheactiveimprovementofserviceattitudeandtechnicalquality.Intheabroad,partsofthehospitalswhouseriskmanagement2modealwaysusethemedicalqualityguaranteeplanaswell.TheJointCommissiononAccreditationofHealthcareOrganizations(JCAHO)hasestablishedstandardsofhospitalevaluationin1995,whichemphasisonthatriskmanagementisanimportantpartofmedicalqualityimprovement.Byreviewingofthecurrentinternationalcommonusedmedicalqualityindexes,asJCIAIQIPISO9000literatureshavebeenclarifiedandtheoryhasbeendiscussed.Uptopresent,theresearchoftheearly-warningsystemfortheriskofthemedicalqualityhasbeencarriedoutbothathomeandabroad.Themajorityoftheseresearchesaimedatprovidingtheoretic