关键词: 医疗不良事件, 内部报告系统, 医院信息化

Abstract:

Objective To explore the establishment of internal network reporting system of medical adverse events based on the hospitalization information system and cooperative office system, unify the classification criteria, and normalize reporting terms in order to improve the reporting efficiency for adverse events and optimize medical safety management. Methods Combined with previous qualitative and quantitative research results, the internal reporting system of medical adverse events was designed and established based on the hospital information system according to retrieved literature on reporting system of medical adverse events both at home and abroad. Results The internal reporting system of medical adverse events, which consisted of five functional modules, namely event reporting, events inquiry, statistics and analysis, authority management and system setting, was established. The reporting system can be embedded in the electronic medical record system and circulate in the cooperative office system. Realized key technologies included staging reporting, precise classification, classification and screening of reporting factors, and unified and normalized default settings. The system also took into account the clinical operability, as well as standardization and integrity of data collection. Conclusion The application of the reporting system can increase the reporting efficiency for adverse events, thus improving the reporting willingness of clinicians to a certain extent. The information collected by the system is convenient for functional departments to perform data statistics and analogy analysis, summarize regular problems in adverse events, identify system risks, and develop improving measures, so as to elevate the efficiency of medical safety administration.

Key words: medical adverse events, internal reporting system, hospital informatization