Study On The Medical Quality And Safety Supervision Module’s Influence On Patient Safety And Effect Index System

ObjectiveBy a medical institution in the electronic medical record system into the practice ofquality and safety supervision module, and make use of the medical operation databefore and after comparison intuitively reflect the running effect. Using Delphi, Delphiexpert consultation method, combining with the practical experience of quality andsafety supervision module operation patients with the relevant safety management byobjectives, to build a complete and operable evaluation index system of patient safety.Methods1. Using the method of literature review to understand the domestic and foreignmedical quality and safety management present situation and the countermeasure, therelated research of patient safety evaluation index system, the preliminary evaluationindex system of patient safety.2. The application of statistical T test and chi-square analysis module of patientsafety indexes before and after the application of difference.3. Delphi expert consultation method: selection of clinical and nursing, patientsafety management, and other related domain expert25, will draw up the index systemof preliminary two rounds of expert consultation. Invite experts in the first round ofindex modification Suggestions and opinions, and according to the importance ofquantitative values for each grade index importance; According to expert advice andanalysis in the first round, then feedback the result to the experts, invited experts,according to the results of the feedback for the second round of importance ratings andgive each weighting value.Results1. Through the medical institutions where quality and safety supervision moduleapplied in the electronic medical record system was introduced, the module contain records of quality supervision, operation safety regulation, critical value of regulation,reasonable drug use regulation, hospital, hospitalization expenses in real timesupervision of adverse events, non-working time orders analysis regulation and so onseveral parts.2. The application of T test and chi-square test of statistical methods to analyze theapplication module is closely related to patient safety data before and after difference,average such confinement, hospital patients undergoing elective surgery patientshospitalized patients with preoperative average such confinement, antimicrobial druguse, drug income accounts for the proportion of business income P values <0.001, Pvalue is0.042per outpatient visits expenses for medicine, ICU unexpected24(48)hours to return to the ICU rate P value is0.039, the medical dispute reparations forrevenue share P value is0.010, undergoing elective surgery complications occurredafter death P value is0.490, critically ill patients rescue success rate of P value is0.325.3. After two rounds of expert consultation, on the part of the secondary and tertiaryindicators selection and modification. Established included "hospital daily overallindex", and "reducing error indexes in patients with diagnosis and treatment" levelindexes such as6, secondary index21items, tertiary index136patient safety indexsystem, and the weight of each index was determined after the second round, thehospital daily overall index weight is1.44, reduce patient diagnosis and operation errortypes of index weight is1.72, and drug safety index weight is1.89in patients, patientswith iatrogenic damage, injury and other kinds of index weight is1.61, take theinitiative to report adverse events and patient participation in medical safety indexweight is1.23, surgery patients in the hospital safety index weight of2.11.ConclusionThe application of the medical quality and safety supervision module does themanagement of patient safety has played a good role in promoting, while enhances theworking efficiency of the hospital management, improve the medical quality, to ensurethe safety of the patients.Through Delphi expert consultation method to establish a patient safety evaluationindex system, involving the four aspects of patient safety management by objectives,and balancing the needs of the hospital daily management; System of indexes is hospitaleveryday can obtain, strong operability; System has become an important means andjudge guarantee patient safety level tools; While the comprehensive system of medical quality management puts forward more detailed requirements, in the practice ofsupervision module has been further perfected.