Strategy Study On Medical Safety Management Of China's Hospital

Objective: At present, China still do not understand the direction of health care reform, and many hospitals are in waiting for the situation around, although there is a part of the hospital having carried out a series of hospital in-house medical safety management reform and boldly try them, however, because of the lack of the support of a series of medical safety management theory and the recommendation of the research results, our hospital has encountered a critical situation of medical disputes between doctors and patients which was still not controlled and improved effectively, and resulted in a number of hospital administrators confused and lingered. The reason was related to the current health care environment, as well as the defect in medical and safety management theory research. At present, some of the experts in Japan and other countries are putting forward the idea of medical safety management and its implementation, and the United States, Britain, Australia, Japan and other countries learned from the experience and management of aviation safety and afterwards they have made a preliminary attempt and have obtained a better effect. In our country, with the rapid development of the global integration process, medical research has been in the rapid development that medical instruments has emerged, and new treating skills has been renewed with each passing day, thus bringing many patients with confidence and hope, while at the same time, many insecurity risks and blind spots in management are hid to bring a wake-up call to medical health safety management, particularly when the new regulations was introduced, which has become one of the social focuses. How to carry out medical research and theoretical innovation of the systematic medical safety management, how to effectively change the idea of medical safety management and control the happening of medical defects and incidents, and how to adapt to the new situation of ever-changing health care market in order to provide a theoretical basis and the proposed strategy for our government and health administration Management departments, as well as hospital managers, has formed the purpose and the key of this study.Method: 1. Bibliography Method: to collect a wide range of medical safety management related bibliography, materials and data including the management of aviation safety, hospital medical safety management system, systematical management theory, contingency management theory, and other related theories and methods in and abroad, and to make in-depth analysis after adopting analytic methods of bibliography and data optimized analysis, content analysis, meta analysis, in order to provide theoretical support for exploring key issues and causes of defining the hospital medical safety management system concept, making the core elements of a comprehensive medical safety management, and identifying medical security early warning system and evaluating the system. 2,Delphi method: To investigate the relevant experts by letter. To make a 2-round consultation about the hospital medical safety external environment factors, internal system management risk factors, a comprehensive safety management core elements, and medical safety warning system and its evaluation system by mailed letters, combined with AHP to establish the core elements and the indicator evaluation system. 3,on-site survey method: the research region and object of the study is based at location and economic level as a stratified random basis, 10,9 or 8 provinces in China's eastern, central and western regions were taken as the investigation, and first-class hospitals and second-class hospitals were chose by systematic sampling methods in each provinces according to cities of provincial-level and city-level to carry out research and collect information and data. 27 provinces and 103 hospitals were total surveyed. Data collection methods: hospital situation survey, focus group discussion and expert consultation are included. 4,analytic method: qualitative analytic method and quantitative analytic method are adopted in this study, and qualitative analytic method includes analytic method of descriptive, AHP, cause and effect, FCE, multiple regression and so on. 5, quality control: to identify the source of error to be controlled so as to ensure the reliability of conclusions.Conclusion: (1) president or vice president had little effects on growth of hospital operation, operating income and medical disputes in the near future, which seemed that the current hospital administrators still failed to find the main reason for growth in medical disputes of the hospital. As hospitals in particular the major hospitals generally has a long history, has formed its own unique culture of itself, even if the hospital leaders could not play the short term impact of the hospital, it will continue to operate, which is very different from enterprises. (2) both of president and vice president regard it important for the doctors and nurses individually and the internal system of the hospital which relates to the medical errors in hospitals, thus taking measures against the medical personnel or internal systems of the hospital, but few resulted, reflecting that the vast majority of hospital leaders lack of contingency management philosophy, who are not good at finding ways to resolve medical disputes outside the hospital environment. (3) there are very few presidents or vice presidents of hospitals are willing to learn from other industries. Most of the current leaders in the hospital taking it as granted as the management experts, so that they are not good at learning from other high-risk industries, and always keeping themselves unable to become a high-reliability organizations, and moreover, China's current hospital operation mode is very different form that of business, so professional managers can not play a greater role in hospital management, thus making China's current dilemma in the realm of hospital management. (4) The ambiguous or hesitated attitude of the government decision-makers often causes hospital managers at a loss and enhances people's dissatisfaction with the hospital, and the medical security will not be guaranteed with medical complaints and disputes inevitably continuing if the government does not consciously guide to reduce the patients' over-expectations about the hospital.Innovation and recommendations: (1) This study found through a survey questionnaire that: the incidence of medical disputes has increased to varying degrees; hospital administrators still failed to find the main reason for growth in medical disputes of the hospital; the vast majority of hospital leaders lack of contingency management philosophy, who are not good at finding ways to resolve medical disputes outside the hospital environment; there are very few leaders of hospitals are willing to learn from other industries. The safety reporting system, aviation risk analysis systems, disaster early warning indicator system, aviation safety culture and so on adopted in the commercial aviation industry enhance the safety and reliability of aviation as an important factor, which provides a medical safety management with a reference model. (2) By the theory analysis of medical security and systems management and the theory of contingency management, this study proposed that leaders of the main hospitals should pay more importance to actively learning from other industries in addition to the management and transformation of the hospital internal system, apply contingency management theory to assess the hospital external environment and act responding to circumstances, so as to make strategic decisions fit for the development of their own hospitals to guide the staff boldly and resolutely forward. It should take warning from those tenaciously astound or hesitated leaders of hospital who will only lead the retreat and no return on current circumstances of very grim medical security situation and unclear healthcare reform. (3) This study proposed for the first time a total medical safety management concepts and total medical management of the core elements of security, organizational framework and its functions. This study summed up specific measures to implement total medical safety management: total quality management, hospital medical safety reporting system, hospital early warning indicator system of major medical risks, the hospital medical safety management performance evaluation system and the creation of a safety culture in hospitals, etc. The national medical security managing integration from the Health Ministry to the grassroot level hospitals and a feedback system are practiced to show a great significance and protection to promote to create a harmonious relationship between doctors and patients, hence walking in a medical safety management path with Chinese characteristics and exploring to fix the feasible China's practical medical safety management system beneficial to the security between doctors and patients.