国家卫生健康委员会办公厅日前发布通知，要求进一步加强医疗质量（安全）不良事件的管理。此次通知旨在提升医疗机构对不良事件的报告率和处理能力，以保障患者的医疗安全。
通知指出，医疗质量（安全）不良事件是指在医疗机构内发生或发现的，除疾病自然过程之外的各种因素所致的不安全隐患或造成负性后果的事件。不良事件管理是医疗机构加强自我管理、识别医疗服务风险隐患、预防负性事件发生、保障医疗质量安全的重要方法。
通知要求各地指导二级以上医院提高对不良事件管理的认识，建立健全不良事件报告、分类、分析、处置等相关管理制度，完善不良事件管理组织体系。同时，要建立不良事件“非惩罚性”主动报告机制，鼓励员工自愿、主动进行不良事件报告，并注意保护报告人隐私。
此外，通知还强调要建立健全不良事件闭环管理机制，对能够立即改进的问题或隐患要明确责任部门，及时采取措施消除；对频繁发生或产生严重负面结果的事件要进行重点分析，采用台账管理等方式重点督办。同时，完善不良事件处理情况的常态化反馈机制，尽量将处理情况反馈报告人，增强报告人的获得感。
通知还要求各地结合全面提升医疗质量行动和患者安全专项行动要求，强化全员参与的患者安全教育与培训，将不良事件管理作为员工入职培训、日常培训学习等教育培训的重要内容，提高员工不良事件识别能力和报告意识，构建“全员、全流程、全方位”的不良事件管理氛围，塑造人人有责的质量安全文化。
此次通知的发布，体现了国家卫生健康委员会对医疗质量和患者安全的高度重视，旨在通过加强对医疗质量（安全）不良事件的管理，进一步提升医疗服务质量，保障患者安全。
英语如下：
News Title: “National Health Commission: Strengthening Management of Medical Adverse Events”
Keywords: Medical Management, Adverse Events, Quality and Safety
News Content: The Office of the National Health Commission has recently issued a notice requiring further strengthening the management of medical quality (safety) adverse events. The purpose of this notice is to enhance the reporting and handling capabilities of medical institutions for adverse events, thereby ensuring the medical safety of patients.
The notice points out that medical quality (safety) adverse events refer to the unsafe conditions or events that lead to negative outcomes, other than the natural course of disease, which occur or are discovered within medical institutions. Adverse event management is an important method for medical institutions to strengthen self-management, identify risks and vulnerabilities in medical services, prevent negative events, and ensure the quality and safety of medical care.
The notice requires that local areas guide secondary and above hospitals to enhance their awareness of adverse event management, establish and improve systems for reporting, classifying, analyzing, and handling adverse events, and complete the organization system for adverse event management. At the same time, it is necessary to establish an “unpunitive” proactive reporting mechanism for adverse events, encouraging employees to voluntarily and actively report adverse events while ensuring the privacy of reporters.
Furthermore, the notice emphasizes the need to establish a closed-loop management mechanism for adverse events, clearly assigning responsibility departments for issues or vulnerabilities that can be immediately improved, and taking timely measures to eliminate them. For events that frequently occur or produce serious negative outcomes, they should be given special analysis and priority follow-up through methods such as record management. Additionally, it is necessary to improve the routine feedback mechanism for the handling of adverse events, aiming to feedback the handling situation to the reporter as much as possible, thereby enhancing the reporter’s sense of achievement.
The notice also requires that local areas combine the requirements of the comprehensive improvement of medical quality action and the patient safety action, to strengthen the education and training of all staff members on patient safety, including the management of adverse events as an important part of new employee training, daily training, and learning, to improve the staff’s ability to identify adverse events and their awareness of reporting, to build an atmosphere of adverse event management that involves everyone and every aspect, and to shape a culture of quality and safety where everyone is responsible.
The release of this notice reflects the National Health Commission’s high regard for medical quality and patient safety, aiming to further improve the quality of medical services and ensure patient safety by strengthening the management of medical quality (safety) adverse events.
【来源】http://www.chinanews.com/life/2024/07-29/10259608.shtml
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