医院医疗质量评价体系中的患者安全指标

doi:10.16352/j.issn.1001-6325.2023.11.1758

基础医学与临床 ›› 2023, Vol. 43 ›› Issue (11): 1758-1764.doi: 10.16352/j.issn.1001-6325.2023.11.1758

医院医疗质量评价体系中的患者安全指标

武娟¹, 张昀^1*, 彭华², 曾学军¹

中国医学科学院北京协和医学院北京协和医院疑难重症及罕见病国家重点实验室(北京协和医院) 1.全科医学科(普通内科);
2.医务处,北京 100730

收稿日期:2023-05-18 修回日期:2023-09-19 出版日期:2023-11-05 发布日期:2023-10-30
通讯作者: ^*zykmpl@163.com
基金资助:
北京协和医院中央高水平医院临床科研专项2022年专科提升、重点培育及科技创新人才计划项目(2022-PUMCH-B-044);北京协和医学院2022年度校级本科教育教学改革项目(2022zlgc0104)

Patient safety indicators in hospital medical quality evaluation system

WU Juan¹, ZHANG Yun^1*, PENG Hua², ZENG Xuejun¹

1. Department of Family Medicine & Division of General Internal Medicine(Department of Medicine);
2. Medical Office, Peking Union Medical College Hospital, CAMS & PUMC, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Beijing 100730, China

Received:2023-05-18 Revised:2023-09-19 Online:2023-11-05 Published:2023-10-30
Contact: ^*zykmpl@163.com

摘要/Abstract

摘要： 本文综述了国内外常用的基于医院的医疗质量评价体系,并重点关注了关于患者安全的评价指标。通过不同医疗质量评价体系间的对比分析,试图对中国医疗质量评价体系、尤其是患者安全相关的指标有所启示。本综述旨在了解并借鉴国外对患者安全的评价体系,有助于中国医疗质量的进一步改进。

关键词: 医疗质量, 患者安全, 评价体系

Abstract: This review summarizes commonly used hospital-based healthcare quality evaluation systems at home and abroad, and focuses on evaluation indicators regarding patient safety. Through the comparative analysis between different evaluation systems, it tries to shed light on China's healthcare quality evaluation system, especially the indicators related to patient safety. The purpose of this review is to understand and learn from foreign evaluation systems on patient safety, which can help further improve the quality of healthcare in China.

Key words: medical quality, patient safety, evaluation system

中图分类号:

R197.323

武娟, 张昀, 彭华, 曾学军. 医院医疗质量评价体系中的患者安全指标[J]. 基础医学与临床, 2023, 43(11): 1758-1764.

WU Juan, ZHANG Yun, PENG Hua, ZENG Xuejun. Patient safety indicators in hospital medical quality evaluation system[J]. Basic & Clinical Medicine, 2023, 43(11): 1758-1764.

0
/ / 推荐

导出引用管理器 EndNote|Reference Manager|ProCite|BibTeX|RefWorks

链接本文: http://journal11.magtechjournal.com/Jwk_jcyxylc/CN/10.16352/j.issn.1001-6325.2023.11.1758

http://journal11.magtechjournal.com/Jwk_jcyxylc/CN/Y2023/V43/I11/1758

参考文献

[1]马雯, 赵乐平, 马谢民. 国际主要医疗质量评价体系选择的临床指标及其共性[J]. 中国医院管理, 2014, 34: 17-19.
[2]吴谦, 邱映贵. 国内外医院医疗质量评价方法分析研究[J]. 中国医院, 2019, 23: 25-28.
[3]胡松年, 陈丹, 周亚娜, 等. 我国医院医疗质量评价指标研究[J]. 中国医院, 2021, 25: 27-29.
[4]孙莉, 徐德朋, 江学成, 等. 医疗不良事件护理防范策略综述[J]. 中国卫生质量管理, 2018, 25: 66-69.
[5]Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies[J]. BMJ Qual Saf, 2013, 22: 809-815.
[6]World Health Organization. Patient safety[EB/OL]. (2023-03-10)[2023-03-10]. https://www.who.int/zh/news-room/fact-sheets/detail/patient-safety.
[7]World Health Organization Executive Board. Patient safety[EB/OL]. (2018-12-12)[2023-04-08]. https://apps.who.int/gb/ebwha/pdf_files/EB144/B144_29-ch.pdf.
[8]汪海琴, 王伟, 严非, 等. 国际医疗质量评价指标体系的比较分析[J]. 中国卫生资源, 2018, 21: 456-460.
[9]梁铭会, 舒婷, 焦亚辉. 美国的国际医疗质量指标体系[J]. 中国医院, 2009, 13: 14-17.
[10]World Health Organization. Regional Office for Europe. Performance assessment tool for quality improvement in hospitals (PATH)[EB/OL]. (2007)[2023-03-12]. https://apps.who.int/iris/handle/10665/107808.
[11]AHRQ. AHRQ QI: About us[EB/OL]. (2023-03-12)[2023-03-15]. https://qualityindicators.ahrq.gov/home/about.
[12]Agency for Healthcare Research and Quality (AHRQ). Agency for Healthcare Research and Quality (AHRQ) quality indicators: patient safety indicators[EB/OL]. (2023-03-12)[2023-03-12]. https://qualityindicators.ahrq.gov/.
[13]Agency for Healthcare Research and Quality (AHRQ). Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) fact sheet[EB/OL]. (2023-03-12)[2023-03-12]. https://qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf.
[14]黄欢欢, 赵庆华, 陈治宇, 等. 中美两国医院评审中患者安全评价指标内容比较与思考[J]. 中国医院, 2022, 26: 29-32.
[15]OECD.org. OECD health care quality indicators project-background[EB/OL]. (2023-03-12)[2023-03-12]. https://www.oecd.org/els/health-systems/oecdhealthcarequalityindicatorsproject-background.htm.
[16]OECD.org. Health care quality and outcomes indicators[EB/OL]. (2023-03-12)[2023-03-12]. https://www.oecd.org/health/health-care-quality-outcomes-indicators.
htm.
[17]The Australian Council on Healthcare Standards (ACHS). ACHS 2022 Clinical Indicator Program Information[EB/OL]. (2022-10-01)[2023-03-14]. https://www.achs.org.au/getmedia/e2b78142-55dd-4204-8b34-620d3c87e233/ achs_2021_clinical_indicator_program_information_march.pdf.
[18]邓利虹. 医疗服务质量的研究进展与述评[J]. 管理观察, 2018:173-175.
[19]马丽平, 赵明刚, 郭艳红, 等. 中英两国医疗质量评价比较研究[J]. 中国医院管理, 2015, 35: 21-24+69.
[20]李霜枫, 海晶美, 王圣治, 等. 辽宁省中医医院医疗质量基本情况调查分析[J]. 中国医院管理, 2021, 41: 50-53.
[21]冯思琪, 苏波, 周亚娜, 等. 湖北11所中医医院医疗质量管理体系调查研究[J]. 中国医院, 2021, 25: 15-17.
[22]Fullman N, Yearwood J, Abay SM, et al. Measuring performance on the healthcare access and quality index for 195 countries and territories and selected subnational locations: a systematic analysis from the global burden of disease study 2016[J]. Lancet, 2018, 391: 2236-2271.

医院医疗质量评价体系中的患者安全指标

Patient safety indicators in hospital medical quality evaluation system

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 4

编辑推荐

Metrics

本文评价

[1]	梁思宇, 郑莹, 葛楠, 曲璇, 李红滟, 王巍, 宁晓红. 护理专业实习生对缓和医疗照护现状的满意度[J]. 基础医学与临床, 2022, 42(7): 1156-1159.
[2]	王玉, 张昀, 赵丹青, 储晓天, 张琦, 曾学军. 某三级甲等医院患者安全及医疗质量改进现状调查问卷[J]. 基础医学与临床, 2020, 40(7): 999-1003.
[3]	高晓星, 陈政, 杨莹莹, 潘慧. 基于Citespace软件的患者安全研究知识图谱分析[J]. 基础医学与临床, 2020, 40(1): 110-114.
[4]	郑雯王娟汤亚娥董妍马慧群. 医学文献内容质量等级评价体系的探索[J]. 基础医学与临床, 2019, 39(1): 140-143.