Exploration and practice of constructing medical risk management system based on SPO model_West China Medical Journal

Authors：

RAN Longyao ¹ , WEI Biying ² , LIU Min ¹ , XIAO Yang ¹ ,  LIU Qiwang ¹

1. Medical Affairs Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Institute for Hospital Management of Tsinghua University, Beijing 100084, P. R. China;

Corresponding?author：

LIU Qiwang, Email: 121080340@qq.com

Keywords：

Medical risk; Management system; Medical safety; Top-level design; SPO model

DOI：

10.7507/1002-0179.201901176

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To provide a reference for the implementation of risk management in other medical institutions by introducing the practical experience of building a medical risk management system in West China Hospital of Sichuan University.Methods Based on Donabedian’s SPO model, the practical experience in the construction of West China Hospital of Sichuan University was summarized from the aspects of structure, process, and results.Results The establishment of medical risk management system made the hospital adverse event management effect good, and the risk management indicators were good. The average number of medical disputes in hospitals from 2016 to 2018 was 103.33, the average number of medical disputes per 100 medical practitioners was 7.01, the average number of medical disputes per 10 000 surgical cases was 6.55, and the average number of medical disputes per 10 000 cases was 0.18.Conclusion The construction of medical risk management system is conducive to enhancing the awareness of medical risk prevention among medical institutions, continuously improving the quality of medical care and medical safety of hospitals, ensuring patient safety, promoting harmony between doctors and patients, and promoting the realization of healthy China.

Citation： RAN Longyao, WEI Biying, LIU Min, XIAO Yang, LIU Qiwang. Exploration and practice of constructing medical risk management system based on SPO model. West China Medical Journal, 2019, 34(6): 682-687. doi: 10.7507/1002-0179.201901176 Copy

1.	周長波, 張雪, 尹梅, 等. 美國醫療風險管理制度及啟示. 醫學與哲學, 2013, 34(11A): 56-58.
2.	孫紐云, 陳校云, 張宗久, 等. 我國醫療安全與風險管理的政府職能變化歷程. 中國醫院, 2012, 16(1): 36-39.
3.	黃衛東, 鄭二維, 姜巖松, 等. 三級甲等公立醫院醫療風險管理關鍵技術篩選研究. 中國醫院管理, 2014, 34(3): 47-49.
4.	趙瑩瑩. 醫院醫療風險管理研究進展. 中國衛生產業, 2018, 15(16): 66-69.
5.	于伯洋, 許蘋, 徐錚, 等. 國內外醫療風險管理比較及啟示. 解放軍醫院管理雜志, 2015, 22(11): 1097-1100.
6.	邵曉瑩. 醫療風險與醫療糾紛. 醫學與社會, 2001(5): 7-9.
7.	Donabedian A. Evaluating the quality of medical care. Program evaluation in the health fields. New York: Behavioral Publications, 1969.
8.	Donabedian A. The quality of care. How can it be assessed. JAMA, 1988, 260(12): 1743-1748.
9.	Donabedian A. Quality assurance. Structure, process, and outcome. Nurs Stand, 1992, 7(11): 4-5.
10.	盧光明, 范貞, 韓學軍, 等. 27所醫院醫療糾紛發生率和賠付情況調查. 中國醫院管理, 2015, 35(6): 34-36.
11.	粟榆, 方曉梅, 沈斌. 責任保險. 成都: 西南財經大學出版社, 2013: 154-155.
12.	薛迪. 醫院管理理論與方法. 上海: 復旦大學出版社, 2010: 114.
13.	楊立新. 醫療損害責任研究. 北京: 法律出版社, 2009: 132-133.
14.	李家鑫, 楊靜. 淺議醫療責任險和醫療意外險. 中華全科醫學, 1994, 14(1): 136-139.

1. 周長波, 張雪, 尹梅, 等. 美國醫療風險管理制度及啟示. 醫學與哲學, 2013, 34(11A): 56-58.
2. 孫紐云, 陳校云, 張宗久, 等. 我國醫療安全與風險管理的政府職能變化歷程. 中國醫院, 2012, 16(1): 36-39.
3. 黃衛東, 鄭二維, 姜巖松, 等. 三級甲等公立醫院醫療風險管理關鍵技術篩選研究. 中國醫院管理, 2014, 34(3): 47-49.
4. 趙瑩瑩. 醫院醫療風險管理研究進展. 中國衛生產業, 2018, 15(16): 66-69.
5. 于伯洋, 許蘋, 徐錚, 等. 國內外醫療風險管理比較及啟示. 解放軍醫院管理雜志, 2015, 22(11): 1097-1100.
6. 邵曉瑩. 醫療風險與醫療糾紛. 醫學與社會, 2001(5): 7-9.
7. Donabedian A. Evaluating the quality of medical care. Program evaluation in the health fields. New York: Behavioral Publications, 1969.
8. Donabedian A. The quality of care. How can it be assessed. JAMA, 1988, 260(12): 1743-1748.
9. Donabedian A. Quality assurance. Structure, process, and outcome. Nurs Stand, 1992, 7(11): 4-5.
10. 盧光明, 范貞, 韓學軍, 等. 27所醫院醫療糾紛發生率和賠付情況調查. 中國醫院管理, 2015, 35(6): 34-36.
11. 粟榆, 方曉梅, 沈斌. 責任保險. 成都: 西南財經大學出版社, 2013: 154-155.
12. 薛迪. 醫院管理理論與方法. 上海: 復旦大學出版社, 2010: 114.
13. 楊立新. 醫療損害責任研究. 北京: 法律出版社, 2009: 132-133.
14. 李家鑫, 楊靜. 淺議醫療責任險和醫療意外險. 中華全科醫學, 1994, 14(1): 136-139.

Previous Article
Exploration of in-vitro diagnostic reagent purchasing management based on knowledge
Next Article
Current status and progress in the surgical treatment of recurrent hepatocellular carcinoma

West China Medical Journal

Exploration and practice of constructing medical risk management system based on SPO model

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content