Current Situation Of Medical Security And Countermeasures Of Its Risk Control

Objective:By studying the structural features of the cases in a city’s current medical security situation in 2012-2014, do the statistical analysis of structure of the department with medical disputes and medical damage degree, the correlation between the medical institution level and medical accident(injury) level, the correlation between the medical institution category and the amount of indemnity after medical injury, reveal the key factors or influential factors of medical disputes. Through on-site interviews and questionnaires in the administrative department of health county medical personnel and medical personnel.We explore feasible measures for medical risk control, and strengthen the medical safety supervision.We promote the improvement of medical quality and continuous to ensure medical safety to improve the medical safety supervision work in China, so as to effectively reduce the incidence of medical safety and risk country.Methods:On 2012 – 2014,The health administrative departments in handling medical records of 113 cases of risk events included in this. June 2015- June 2016, adopt the method of stratified random cluster sampling combined, according to the administrative division, we selected 32 staff from the health administrative departments. June 2015- June 2016, randomly selected from 2 administrative counties and 2 districts we extract 10 hospitals in the medical staff work number a total of 300 medical staffs questionnaired for risk prevention and control, medical safety of medical disputes and medical malpractice cognition and related legal system and in-depth interviews.Results:In January 2012-2014 year in December the city medical security cases occurred in 269 cases, cases 113 cases, 15 cases of accidents, the total amount of 6 million 550 thousand and 800 yuan. In 2012 the number of accidents accounted for 1.96% of the total number of accidents in 2013 accounted for 25% of the number of accidents in 2014 the number of accidents accounted for 13.27% of the number of reception. The compensation is 1 million 258 thousand and 200 yuan in 2012, the compensation is 2 million 357 thousand and 400 yuan in 2013.The amount of compensation is 2 million 935 thousand and 200 yuan in 2014.The medical accident technical identification for a total of 29 cases in 2012-2014, There are 22 cases of medical accidents in the county which have 15 cases formed medical accident.2012- 2014 a medical safety case identified as 15 cases of medical accident, which occurred in the county medical institutions including 15 cases in surgical department.2012-2014 years for the identification of medical accidents, 3 cases in the first grade, the amount of compensation 435 thousand yuan(43.50%), 1 cases of Grade A, the amount of compensation 220 thousand yuan(8.79%), 2 cases of B, the amount of compensation 215 thousand yuan(8.58%); 3 cases of the two incidents, the amount of compensation 702 thousand yuan(28.03%). B, C and D, which of the 1 cases, the amount of compensation was 380 thousand yuan(15.18%), 250 thousand yuan(9.98% yuan), 72 thousand(2.88%); 4 cases of the three incidents, the amount of compensation 1 million 90 thousand yuan(43.53%), B, C, D, e = 1, the amount of compensation were 140 thousand yuan(5.59%), 150 thousand yuan(5.99%), 130 thousand yuan(5.19%), 670 thousand yuan(26.76%); 5 cases of grade four in the medical accident, the amount of compensation 277 thousand and 100 yuan(11.07%), secondary 1 cases, the amount of compensation 7 thousand and 100 yuan(0.28%), mild in 4 cases, the amount of compensation 270 thousand yuan(1 0.78%).There are a total of 15 cases of death in 2012 – 2014 and the number is improving every year.The medical institutions which above the county level are rising year by year.The main causes of 15 cases of-2014 years in 2012 identified as medical malpractice in the divided, ambiguous preoperative diagnosis, misdiagnosis in 4 cases(26.67%); improper treatment, 3 cases(20%) in the improper operation; not check routine preoperative examination, 3 cases of incomplete surgical errors(20%); 2 cases(13.13%); the rescue is not timely, improper measures of 2 cases(13.33%); 1 cases of medical material defects(6.67%).The main source of hospital management personnel health administrative departments for medical disputes.Because they can not be timely handled. They do not perform their duties due diligence in the process to the health administrative departments at all levels and appraisal institutions.These lead to medical disputes is not timely handled.The medical staff whether the occurrence of medical disputes and personal cognitive attitude(area) the overall number of medical institutions for medical personnel of medical disputes in the same year interval was significantly higher than that of the medical personnel of medical institutions, people seeking help for 124 people(43.97%).Conclusions:Dispute is an important part of medical disputes, especially in surgical system.County(District) the overall number of medical institutions for medical personnel of medical disputes in the same year interval was significantly higher than that of the medical institutions and medical personnel, medical security risk prevention and control measures to avoid is the low, prone to increase the probability of medical risk.Medical technology, medical negligence and medical procedure defect poor service attitude is the high incidence of medical disputes to medical factors.They lack of medical knowledge and they aren’t satisfied with the treatment results in high incidence of medical disputes risk factors.The work of medical personnel of medical institutions than the county(District) level health units work of medical personnel related to medical safety regulations and other familiar cognition of a significant advantage.The active power of medical dispute intervention and the best part of the intervention in the medical department.Countermeasure:1 strengthen the legal concept of medical personnel2 perfect the legal system of prevention and treatment of medical disputes3 improve the medical dispute prevention and control rules and regulations, including the perfect reporting system and the establishment of the record system; improve the accountability system; to establish a system to prevent the expansion of medical damage4 establishment of medical dispute prevention and control systemIn order to strengthen prevention and control of 5 medical disputes, to carry out the implementation of prevention and control plan, including by the person responsible for serious treatment; as soon as possible, pay attention to legal effect of the agreement; coordination of medical institutions, the establishment of medical liability risk sharing mechanism; strengthening the subject construction, improve the service ability of medical institutions.6 improve the doctor-patient relationship, create a good social atmosphere, including the establishment of a sound medical insurance system to give full play to the role of the news media.