Evidence-Based Evaluation of a Medical Risk Management System and Preventative Measures in New Zealand_Chinese Journal of Evidence-Based Medicine

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Medical risk; Medical error; Patient safety; Risk management; New Zealand

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Objective 　To provide information for the establishment of a medical risk monitoring and precaution system in China, by reviewing and analyzing the current status of medical risk management system and preventative measures in New Zealand,
Methods 　We searched EI (1969-2006), SCI and SSCI (1975-2006), EMBASE (1966-2006), SCOPUS (included 100% MEDLINE) (1960-2006), VIP (1989-2006), CNKI (1979-2006) and relevant official and governmental websites. This search was conducted in January 2006 and articles about medical risk management and prevention were collected.
Results 　We included 10 articles involving medical adverse events, patient safety and medical litigation. New Zealand took many measures in order to prevent medical error and improve medical quality, including strengthening medical practice standards, doctor-patient communication, safety awareness and promoting informationization of hospitals. New Zealand also revised “The Health Practitioners Competence Assurance Act” and improved medical litigation to form an appropriate law environment.
Conclusions 　New Zealand has taken many measures and established a medical risk management system to prevent medical risk. Some issues of particular relevance to China include building corresponding medical litigation and relevant laws and regulations.

Citation： LIU Yali,JING Tao,TIAN Jinhui,MA Bin,TAN Jiying,YANG Kehu,LI Youping,Wang li,XU Li,CAO Xiaoyuan,DUAN Mingyou,WANG Xiaohu,TENG Yongjun,WANG Yu,ZHANG Zongjiu,ZHAO Minggang,LU Jun,LIU Qilin. Evidence-Based Evaluation of a Medical Risk Management System and Preventative Measures in New Zealand. Chinese Journal of Evidence-Based Medicine, 2006, 06(9): 673-681. doi: Copy

1.	杨克虎, 马彬, 田金徽, 等. 美国医疗风险监测预警机制现状及绩效的循证评价. 中国循证医学杂志, 2006; 6(6): 439～450.
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3.	File/hpcaupdate02.pdf.2006.8.28.
4.	李大川. 加强我国医疗风险建监管, 确保病人安全“2005国际医疗风险管理与病人安全研讨会”资料汇编; p24.
5.	World Health Organization. The World Health Report 2005. Available from URL: http://www.who.int/countries/nzl/en/ 2006.1.12.
6.	The New Zealand Health Care System: Views and Experiences of Adults with Health Problems. Findings from the Commonwealth Fund 2002 International Health Policy Survey. Available from URL: http://www.cmwf.org/usr_doc/nz52003_db_642.pdf.
7.	Survey Finds High Rate of Medical Errors and Lack of Communication Between Doctor and Patient. Press Release Provided by The Commonwealth Fund. May 6, 2003. Available from URL: http://www.gswi.org/current_issues/Medical%20Error.htm.
8.	Morton J, MacMillan S. Adverse events in New Zealand healthcare. N Z Med J, 2003 Oct 10; 116(1183): U623. Available from URL: http://www.nzma.org.nz/journal/116-1183/623/.
9.	Yang KH, Ma B, Tian JH, et al. Evidence-based evaluation of American medical risk monitoring and precaution system. Chin J Evid.-based Med, 2006; 6(6): 439–450.
10.	Helen C Q. Review of Processes Concerning Adverse Medical Events. the Ministry of Health, Wellington, New Zealand. March 2001. Available from URL: http://www.moh.govt.nz/moh.nsf/49ba80c00757b8804c256673001d47d0/9565e9869641cd26cc256a1d0074172b/.
11.	The Health Practitioners Competence Assurance Act. Available from URL: http://www.mja.com.au/public/issues/180_01_050104/bri10815_fm.pdf.2006.8.28.
12.	The Health and Disability Commissioner Amendment Act 2003. Available from URL: http://www.moh.govt.nz/moh.nsf/0/5E9A57B78F812424CC256EB7000B0DE9/.
13.	The Injury Prevention, Rehabilitation, and Compensation Amendment Act. Available from URL: http://www.hdc.org.nz/files/hdc/publications/injury_prevn_rehab_comp_amend_bill.pdf. 2006.8.28.
14.	HPCA and ACC changes – update from legal. CAG meeting. 3 June 2005. Available from URL: http://www.hdc.org.nz/files/files/hpca_&_acc_changes.doc.2006.1.12.
15.	Paterson R. Candour and the Code. Health and Disability Commissioner .02 May 2002. Available from URL: http://www.hdc.org.nz/publications/articles?Candour%20and%20the%20Code. 2006.8.28.
16.	Taragin MI, Martin K, Shapiro S, et al. Physician malpractice: Does the Past Predict the Future. Journal of General Internal Medicine. 1995; 10(10): 550–556.
17.	Tilyard M, Dovey S, Hall K. Avoiding and fixing medical errors in general practice: prevention strategies reported in the Linnaeus Collaboration’s Primary Care International Study of Medical Errors. N Z Med J. 2005; 118(1208): U1264.
18.	Li DC. Ensuring the patient safety by strengthening medical risk management in China. 2005 International Symposium on Healthcare Risk Management and Patient safety. BeiJing. China, 2005; p24.
19.	Australian/New Zealand Standard. Risk Manegement. Licence for AS/NAS 4360: 2004.
20.	Leape L, Lawthers AG, Brennan TA, et al. Preventing Medical Injury. Qual Rev Bull, 1993; 19(5): 144–149.
21.	Du HL. To suppress the increase of the medical disputions- questionnaire for 326 hospitals. Available from URL: http://www.legaldaily.com.cn/gb/content/2002-02/21/content_32287.htm 2006.8.28.

1. 杨克虎, 马彬, 田金徽, 等. 美国医疗风险监测预警机制现状及绩效的循证评价. 中国循证医学杂志, 2006; 6(6): 439～450.
2. FILE/cullreport3.pdf. 2006.8.28.
3. File/hpcaupdate02.pdf.2006.8.28.
4. 李大川. 加强我国医疗风险建监管, 确保病人安全“2005国际医疗风险管理与病人安全研讨会”资料汇编; p24.
5. World Health Organization. The World Health Report 2005. Available from URL: http://www.who.int/countries/nzl/en/ 2006.1.12.
6. The New Zealand Health Care System: Views and Experiences of Adults with Health Problems. Findings from the Commonwealth Fund 2002 International Health Policy Survey. Available from URL: http://www.cmwf.org/usr_doc/nz52003_db_642.pdf.
7. Survey Finds High Rate of Medical Errors and Lack of Communication Between Doctor and Patient. Press Release Provided by The Commonwealth Fund. May 6, 2003. Available from URL: http://www.gswi.org/current_issues/Medical%20Error.htm.
8. Morton J, MacMillan S. Adverse events in New Zealand healthcare. N Z Med J, 2003 Oct 10; 116(1183): U623. Available from URL: http://www.nzma.org.nz/journal/116-1183/623/.
9. Yang KH, Ma B, Tian JH, et al. Evidence-based evaluation of American medical risk monitoring and precaution system. Chin J Evid.-based Med, 2006; 6(6): 439–450.
10. Helen C Q. Review of Processes Concerning Adverse Medical Events. the Ministry of Health, Wellington, New Zealand. March 2001. Available from URL: http://www.moh.govt.nz/moh.nsf/49ba80c00757b8804c256673001d47d0/9565e9869641cd26cc256a1d0074172b/.
11. The Health Practitioners Competence Assurance Act. Available from URL: http://www.mja.com.au/public/issues/180_01_050104/bri10815_fm.pdf.2006.8.28.
12. The Health and Disability Commissioner Amendment Act 2003. Available from URL: http://www.moh.govt.nz/moh.nsf/0/5E9A57B78F812424CC256EB7000B0DE9/.
13. The Injury Prevention, Rehabilitation, and Compensation Amendment Act. Available from URL: http://www.hdc.org.nz/files/hdc/publications/injury_prevn_rehab_comp_amend_bill.pdf. 2006.8.28.
14. HPCA and ACC changes – update from legal. CAG meeting. 3 June 2005. Available from URL: http://www.hdc.org.nz/files/files/hpca_&_acc_changes.doc.2006.1.12.
15. Paterson R. Candour and the Code. Health and Disability Commissioner .02 May 2002. Available from URL: http://www.hdc.org.nz/publications/articles?Candour%20and%20the%20Code. 2006.8.28.
16. Taragin MI, Martin K, Shapiro S, et al. Physician malpractice: Does the Past Predict the Future. Journal of General Internal Medicine. 1995; 10(10): 550–556.
17. Tilyard M, Dovey S, Hall K. Avoiding and fixing medical errors in general practice: prevention strategies reported in the Linnaeus Collaboration’s Primary Care International Study of Medical Errors. N Z Med J. 2005; 118(1208): U1264.
18. Li DC. Ensuring the patient safety by strengthening medical risk management in China. 2005 International Symposium on Healthcare Risk Management and Patient safety. BeiJing. China, 2005; p24.
19. Australian/New Zealand Standard. Risk Manegement. Licence for AS/NAS 4360: 2004.
20. Leape L, Lawthers AG, Brennan TA, et al. Preventing Medical Injury. Qual Rev Bull, 1993; 19(5): 144–149.
21. Du HL. To suppress the increase of the medical disputions- questionnaire for 326 hospitals. Available from URL: http://www.legaldaily.com.cn/gb/content/2002-02/21/content_32287.htm 2006.8.28.

Chinese Journal of Evidence-Based Medicine

Evidence-Based Evaluation of a Medical Risk Management System and Preventative Measures in New Zealand

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