摘要:医院有效事前监测、管控医疗不良事件，是保障患者安全、提高医疗质量的管理措施之一。超大型医院对医疗不良事件管理的实战中，建立、实施医疗安全隐患事件关键监测指标、医疗安全隐患事件筛查程序指标，积极开展医疗不良事件后台监管工作，切断医疗安全隐患事件向医疗风险事件演变、医疗风险事件向医疗纠纷事件演变的环节，保障患者安全。Abstract: Effective supervision in advance to the medical adverse event, is one of measures which hospital adopt to guarantee patient safety and enhance medical quality. The actual combat of supervision to the medical adverse event in super sized hospital, set up and put in practice on the key target of supervising the medical adverse event and the key target of ridding procedure, remain in the background and work actively on supervision on the medical adverse event, shut off the road from the medical safety issue to the medical risk issue and the road from the medical risk issue to the medical dissension in order to guarantee the patient safety.
ObjectiveTo explore the application of pre-examination and triage service for outpatients in large general hospitals to improve the quality of service and increase the satisfaction of the patients. MethodsBy using convenience sampling, the outpatients from four third-class A level hospitals were investigated with self-designed questionnaire between July and August, 2013. The patients were differentiated according to the frequency of visiting doctors; the first and subsequent visit being the variables, the rank-sum test was used to investigate the demand and satisficing of the pre-examination and triage service in the two kinds of outpatients in large general hospitals. ResultsThe satisficing of the pre-examination and triage service was high; the demand of the service was high in the first-visit patients with high satisficing. The difference in out-patient consultation between the two kinds of patients were significant. ConclusionPre-examination and triage service has a great guiding effect on outpatients in large general hospitals, and its availability is related to the type of the patients, awareness rate of the service and satisfaction to nurses.
Objective To optimize the environment of outpatient clinics in large hospitals, facilitate the patients’ visits and improve the comprehensive management level. Methods From September to November 2015, 2 hospitals in each part of a provincial city (middle, east, west, north and south), a total of 10 hospitals were chosed by convenient sampling method. The forms, types and distribution of outpatient navigation service system were investigated and analyzed by using a self-designed questionnaire. Results There were a total of 14 forms of counseling-guide services in the 10 hospitals. Just 1 hospital provided all the 14 forms of counseling-guide services, and 2 hospitals provided 13 forms of counseling-guide services, which were relatively complete. While the other 7 large hospitals provided only 4 to 6 forms of counseling-guide services, which were relatively simple. Conclusion Qualified outpatient navigation service system can help patients to receive more effective treatment, optimize the environment, highlighting the modern hospital humanistic service and the concept of intelligent service and scientific management.