Research on the causes and management strategies of medical safety adverse events
Keywords:
Medical safety; adverse events; cause analysis; strategy recommendationsAbstract
Objective: This study aims to explore the causes of medical safety adverse events in depth and propose corresponding management strategies to reduce the occurrence of similar incidents, improve the quality of healthcare services, and enhance patient safety.
Methods: A retrospective analysis was conducted to examine details of adverse events, including the department where the event occurred, the main causes, event severity levels, and the time of occurrence.
Results: Inpatient wards were found to be the primary departments where adverse events occurred, accounting for over 35% of cases, with a growing trend. The main causes of adverse events included poor doctor-patient communication, improper use of medication, unequal allocation of medical re-sources, surgical errors, and others. Among these, poor doctor-patient communication accounted for over 20% of cases, making it the most significant cause of adverse events. Furthermore, the majority of events were classified as level III and level IV, each accounting for over 30%, though level I and II events should not be overlooked. In terms of timing, adverse events primarily occurred between 1:00-4:30 AM and 7:00-10:30 PM.
Conclusion: Hospitals should strengthen the reporting mechanism for medical safety adverse events, streamline and optimize the reporting process, and establish an early warning system for such events. Additionally, a cross-departmental collaborative control structure should be implemented, with high-level leadership driving improvements. By introducing management tools and enhancing patient safety culture, these measures will help prevent the recurrence of similar incidents and improve the quality of healthcare services and patient safety.
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