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目的:利用根因分析法,对2014年浙江省余姚市第三人民医院B超室“危急值”管理中存在的安全隐患问题进行回顾,探讨相应的改进措施,以确保患者安全,提高医疗服务质量。方法:利用根因分析法对2014年医院B超室“危急值”管理进行安全监控,找出问题所在,制定相应的改善措施,在2015年的管理中做出相应改进,比较两年B超室“危急值”管理中的漏报率和处置率。结果:实行根因分析法前,B超室“危急值”的漏报率高达45.35%,处置率仅34.63%。采取根因分析法后,B超室“危急值”的漏报率明显下降,仅2.92%,处置率则显著上升到95.29%(P<0.05)。结论:根因分析法可进一步规范B超室“危急值”的报告流程,调动医务人员与管理人员的积极性,提高医疗质量,保障患者安全,降低医疗纠纷的发生率。
OBJECTIVE: To review the potential safety problems in the management of B-room “critical value” in Yuyao Third People’s Hospital of 2014 in Zhejiang Province by means of root cause analysis and to explore corresponding improvement measures to ensure the safety and improvement of patients Medical service quality. Methods: The root cause analysis was used to monitor the safety of B-room “critical value” management in hospital in 2014, find out the problem, make corresponding improvement measures and make corresponding improvements in the management in 2015, comparing two years B room “critical value ” management in the omission rate and disposal rate. Results: Before implementation of root cause analysis, the omission rate of B-room “critical value” was as high as 45.35% and the disposal rate was only 34.63%. After adopting the root cause analysis, the omission rate of B critical point “critical value” decreased significantly, only 2.92%, and the treatment rate increased significantly to 95.29% (P <0.05). Conclusion: The root cause analysis method can further standardize the reporting process of B-room and critical value to mobilize the enthusiasm of medical staff and management staff, improve the quality of medical care, protect the safety of patients and reduce the incidence of medical disputes.