Supervise and guide: Let medical treatment be safely firmer

Supervise and guide: Let medical treatment be safely firmer
Staff reporter Sun Meng
A few days ago, Ministry of Public Health transferred nearly 500 experts from the whole country to make up 28 inspection groups, leave for all parts and supervise and guide medical Long March to Quality Campaign.
The reporter goes for inspection of Tianjin in company with the expert of group of Zhejiang. The reporter finds in checking, pay close attention to the fact the technological entry of medical treatment of medical organization is managed, emphasize the hospital ensures the operation patient's identity, position, skill type correct measure, continue strengthening use for special medicines and management, include the logistics in checking the content safely for the first time Supervise and guide more distinct doing in the test amount standard this time.
Confirm before the strict skill:
Needn't be afraid of opening by mistake
At the discussion summing-up meeting after checking on the first day, the confirmation form is passed round back and forth among expert of group of Zhejiang before an operation of general hospital of medical university of Tianjin. The mammary gland surgical associate professor of treatment Chen DaoBao of tumour hospital in Zhejiang Province says, he want, go back one's own hospital the watchband, can draw lessons from in the safety management in patient in the future.
Reporter find, let whom expert interested in form at confirming procedure" whether three turn off " : Confirm patient's identity and operation position when the ward meets patients, confirm labelling and operation position of body surface before anaesthetizing beginning, delay confirming before cutting covers in the operation. Each affirmation needs operation doctor, anaesthesia doctor and circuit nurse to sign.
Close it for the example by the first, when the form requires the nurse of operating room to go to the ward to meet patients, confirm the patient has not carried the valuables, ornament or moved the denture. If need to use medicine in the operation, nurses will record antibiotic lot number and skin of medicines and try the result etc..
Inspection group expert tell reporter whether take place the intersection of operation and patient, the intersection of operation and position and skill rare mistake at being clinical. According to the report that the American plastic surgeon learnt, in a plastic surgeon's career of obtaining employment in 35 years, probably 1/4 of the chances do the wrong operation position.
"Communicating or communicating insufficiently and lacking the patient's participation, lacking the procedure which confirm the operation position,etc. when being in the mark operation position invalid between operation members of group, will all increase the chance of the operation position mistake. This kind of mistake can not be prevented. Confirm playing an important role in ensuring the patient's security before the strict skill. " The expert of inspection group says.
The mistake is shared:
To prevent is more important than to punish afterwards in advance
In the general hospital of the medical university of Tianjin, the expert of inspection group " stops up" at random Cadre nurse Xiao Qi in the ward has lived in. Zhejiang University medical college attach to, ask, take place patient pigeonhole the sore, fall etc. and attend to the bad incident by first the intersection of will and celestial being Feng, Deputy Director of hospital, will the nurse report? Xiao Qi tells experts, the hospital has set up a system at present, nurse's report attends to the bad incident, no longer chased the responsibility like before.
Xiao Qi is in the mouth " The system " ,The full name is named attending to the straight newspaper system of bad incident network. In recent years, in the nursing safety management of every large hospital, this systematic " goes out of mirror rate " It is very high.
"The core of the system has not punishing nature. " These Deputy Director of institute nursing dept. Song ChenJie introduces, under these system, making mistakes so long as appear in the newspaper voluntarily, the hospital refuses to punish. Will only present nurse's age and service seniority and the patient's condition in the system, but will not expose the nurse's names and departments. But if is concealed and unreported, should merit severe punishment. Each quarter, institute this will all bad the intersection of incident and the intersection of summary and once that appear in the newspaper, and then notify to every department, analyze the reason, carry on the retrospect of scene, let everybody share these lessons.
Song ChenJie said, because the medical personnel will be forfeited while reporting the bad incident in the past, a lot of people are unwilling to appear in the newspaper. Seem to report example it counts to be little, but accident and dispute still often take place bad incident. From this year, this institute draws lessons from the analysis malpractice mode of Japan, " from investigating the personal mistake to transform into and look for the loophole in the administrative system " .
The reporter has found out and changed from the record to the bad incident of this courtyard of nursing dept.s too: In 2007, this institute attends to the mistake list there are two clear column positions that are for department and nursing dept. to fill in the handling suggestion to the nurse; But in the form of this year, the contents of these two columns are replaced to attend to the analysis on incident of Committee of Experts and suggestion on the following work.
The management of special medicines:
Of great significance to the society to the patient
Yang Ping is a hepatocarcinoma patient of Tianjin Ji county, because cancer aches, need to take narcotics for a long time. Yang Ping's husband tells reporters, before going to get medicines each time, he wants to go to the outpatient Office of county people's hospital of Ji to fetch getting rid of and aching the case history of the wife first, go to the oncology department to write a prescription, pay the fees, go to the pharmacy/dispensary of the clinic to hand in the case history of getting rid of aching, could take medicines away.
In the pharmacy/dispensary of county people's hospital of Ji, reporters have seen " iron general " in the inner room The medicine cupboard which preserves special medicines in the door. Person in charge Yang Mei of the dispensary tells reporters, this institute has set up a whole set of management systems. For example special medicines must keep doubly, by special storehouse or special counter, one pair of locks, the key to two locks should be kept separately by two people; There are two people present at the same time etc. to open the drug storage or cupboard. The getting rid of of the patient aches the case history has special messengers to retract from dispensary to the outpatient Office every day.
Deputy Director of hospital pharmacy dept. Fang HongMei says that Zhejiang University medical college attaches to Shao Yi, the narcotics department is apt to produce body dependence, medicines that can become addiction after using continuously. With the constant increasing of the anti-drug efforts of our country, some lawless persons stretch the feeler which defrauds of the drugs to the medical organization, narcotics of medical organization at the basic level runs off the incident and happens occasionally. So, strengthen the control over narcotics and not merely contribute to improving the patient's life quality, and there are realistic meanings on also social security.
The logistics is safe:
Corner that can't be ignored
Supervising and guiding containing the inspection of the logistic safety management of medical organization for the first time of this year. Every expert of inspection group will all check the safety in production of this institute (safeguard) to a hospital Wall at rules and regulations and operation sequence have, implement the intersection of safety in production and education and training, launch safe emergency drill,etc. to medical worker.
Cure person, department of policy, speak an safe example about logistics with Ministry of Public Health that inspection group go together: The circuit outage accident of operating room has taken place in the operation in a large hospital, the medical worker asks the hospital to overhaul the circuit in a hurry, the patient has been forced to wait on the operating table for an hour.
The expert of inspection group says, with the introduction, increase of hospital skyscraper in succession of modernized technology and apparatus, the logistic safety management of the hospital has been already by traditional fire control, treatment of safety of human life and property and accident,etc., expand to the apparatus of the hospital, such respects as the space, stream of people, logistics, consumptive material, meal supply and information system are safe. So, protect a patient and medical personnel security in the course of making a diagnosis, is the key of logistics.
The expert emphasizes repeatedly in checking, ensure the logistic security of medical organization to be every medical worker responsibility, the hospital must strengthen the education of safety in production of the medical worker. For example, to while enclosing operation period and preparing personnel's security against fire to train, the hospital should tell the flammable grade of daily articles of each kind of operation of their, define surgical the intersection of group and personnel in prevent and deal with role and duty that should bear that act in the fire also.
|