临床医师最佳管床数量与医疗安全关系的调查分析.pdf

中国医疗管理科学2014年9月第4卷第3期 Chinese JournaI of MedicaI Management Sciences, September 2014, VoI.4 No.3 11 ·医疗安全· 临床医师最佳管床数量与医疗安全关系的调查分析 李玉东 付莉萍 王征 【摘要】目的 调查临床管床医师平均每日最佳管床数量，并探讨其与医疗安全不良事件及医疗纠纷数 量的关系。方法 对该院全院临床一线管床医生及科室主任对平均每日最佳管床数量、平均每日最大管床数 量的认知情况进行调查分析，通过统计调整管床数量前、后其医疗安全不良事件与医疗纠纷数量的变化， 分析管床数量与医疗安全之间的关系。结果 该院内科、妇科、儿科每位医生认为平均每日最佳管床数量为 8张～10张，外科每位医生认为平均每日最佳管床数量为7张~8张。该院调整医师管床数量前、后其医疗安 全不良事件及医疗纠纷发生数量比较差异有统计学意义（χ2=7.347， P 0.05）。结论 合理地分配每位临 床医生的管床数量，有利于降低医疗安全不良事件及医疗纠纷的发生，从而保障医疗安全。 【关键词】 临床医师；平均每日最佳管床数量； 医疗安全 Investigation and Analysis of the Relationship between the Optimal Number of Beds Responsible by a Clinician and Medical Safety Li Yudong, Fu Liping, Wang Zheng. Nanyang City Center Hospital, Nanyang 473009, Henan Province, China. Corresponding author: Wang Zheng, E-mail: ghenta@163.com 【 】 Abstract Purpose To investigate the optimal number of beds responsible by a clinician each day on average, and discuss about its relationship with the number of adverse events of medical safety and medical disputes. Method The awareness of the optimal number of beds responsible by a clinician each day on average and the maximum number of beds responsible by a clinician each day on average of first-line clinical doctors responsible for the beds and directors of the departments is investigated and analyzed. Through the change of the number of adverse events of medical safety and medical disputes before and after statistical adjustment of number of beds responsible by a clinician, the relationship between the number of beds responsible by a clinician and medical safety is analyzed. Results Each doctor of internal medicine, gynecology and pediatrics in the hospital thinks that the optimal number of beds responsible by a clinician each day on average is 8~10. Surgical doctors