Study On Multi-agency Patient Safety In The Rural Basic Health System

ObjectiveOn the base of analyzing systematically the connotation and extension of multi-agencypatient safety security in the rural area, this study build a multi-agency safety hazard tree,and understand the hidden factor of multi-agency patient safety. Besides, the study analyzesthe condition of multi-agency patient safety in the rural, and explain the reason, so as tohelp the government in policy-making.Method1.Data resourceWe Collected information from the Pub Med, Proquest, ISI Web of Science, the CNKIdatabase, VIP, Wanfang data service platform. Apart from that, we surfed the Web site ofMinistry of Health, WHO.In order to We went to Qianjiang of ChongQing selected as the interest location in Augustof2011, and got the copy of medical record which recorded the medical information ofin-patient in the10township hospitals and the county hospital.2. methodBuild a multi-agency patient fault hazard tree by the method of Fault Tree Analysis. Then,invent six respiratory doctors evaluating the medical information in the medical recordswith the index of medicine safety. After that, using descriptive analysis, chi-square test andother statistical methods analyze the relevant data.Conclusion1.The patient safety of inter-agency drug convergence is low. The main reasons are that thecollaboration between agency is missing, and the treatment information of patient is fewlyshared.2. service under-utilized or over-utilized is more when the patient decided when to discharge from the first health institution, that reduces the systematic security ofmulti-agency. The main reasons are that the first health institution did not encouragepatients to participate safety management, the initiation of participating safety managementis not enough, and the incentive and control of health insurance for referral is inadequate.3. The patient safety in self-care phase is low. The first reason is because the dischargeguidance of the first health institution is not specific; secondly, initiation, compliance andhealth literacy is comparatively low.4. the drug safety in single agency is still worrying. The main reasons are that knowledge ofdoctors is different form the medicine information, and the patient safety management ofhealth institution is not sufficient.SuggestionWe can integrate health resources and health service of the basic rural health system toimprove the condition of multi-agency patient safety firstly. Then strengthen internal safetymanagement to prevent adverse events or patient harm. Thirdly patients participate inpatient safety so they can be responsible for themselves. Finally realize regional healthinformation share.