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：

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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

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3.	黄卫东, 郑二维, 姜岩松, 等. 三级甲等公立医院医疗风险管理关键技术筛选研究. 中国医院管理, 2014, 34(3): 47-49.
4.	赵莹莹. 医院医疗风险管理研究进展. 中国卫生产业, 2018, 15(16): 66-69.
5.	于伯洋, 许苹, 徐铮, 等. 国内外医疗风险管理比较及启示. 解放军医院管理杂志, 2015, 22(11): 1097-1100.
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9.	Donabedian A. Quality assurance. Structure, process, and outcome. Nurs Stand, 1992, 7(11): 4-5.
10.	卢光明, 范贞, 韩学军, 等. 27所医院医疗纠纷发生率和赔付情况调查. 中国医院管理, 2015, 35(6): 34-36.
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12.	薛迪. 医院管理理论与方法. 上海: 复旦大学出版社, 2010: 114.
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1. 周长波, 张雪, 尹梅, 等. 美国医疗风险管理制度及启示. 医学与哲学, 2013, 34(11A): 56-58.
2. 孙纽云, 陈校云, 张宗久, 等. 我国医疗安全与风险管理的政府职能变化历程. 中国医院, 2012, 16(1): 36-39.
3. 黄卫东, 郑二维, 姜岩松, 等. 三级甲等公立医院医疗风险管理关键技术筛选研究. 中国医院管理, 2014, 34(3): 47-49.
4. 赵莹莹. 医院医疗风险管理研究进展. 中国卫生产业, 2018, 15(16): 66-69.
5. 于伯洋, 许苹, 徐铮, 等. 国内外医疗风险管理比较及启示. 解放军医院管理杂志, 2015, 22(11): 1097-1100.
6. 邵晓莹. 医疗风险与医疗纠纷. 医学与社会, 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. 卢光明, 范贞, 韩学军, 等. 27所医院医疗纠纷发生率和赔付情况调查. 中国医院管理, 2015, 35(6): 34-36.
11. 粟榆, 方晓梅, 沈斌. 责任保险. 成都: 西南财经大学出版社, 2013: 154-155.
12. 薛迪. 医院管理理论与方法. 上海: 复旦大学出版社, 2010: 114.
13. 杨立新. 医疗损害责任研究. 北京: 法律出版社, 2009: 132-133.
14. 李家鑫, 杨静. 浅议医疗责任险和医疗意外险. 中华全科医学, 1994, 14(1): 136-139.

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