| 摘要: |
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目的
筛选医疗风险预警指标，为医院建立医疗风险预警系统提供参考。方法 将某军队三甲医院2010—2015年发生的60例手术纠纷患者作为研究对象，同时选取同时期入院、未发生医疗纠纷的120名手术患者作为对照，从医院信息系统调取患者年龄、住院天数、住院费用等资料，筛选22个医疗风险关键指标，运用χ2检验进行单因素分析，选择有统计学意义的指标进行条件logistic回归分析。结果 χ2检验结果显示，入院方式、住院天数、住院费用、四周内手术次数等16个指标有统计学意义（P<0.05）；logistic回归分析显示，住院天数、四周内手术次数、输血总量、病情危重、手术并发症和出院病情等6个指标是医疗风险的危险因素。结论 所选指标均为可量化、灵敏度高的指标，可以为医院建立医疗风险预警信息系统提供参考。 |
| 关键词: 医疗风险 风险预警 单因素分析 多因素分析 |
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| Study on the Early Warning and Control Indicators of the Hospital Medical Risk |
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| Abstract: |
| Selecting 60 patients in a tertiary army hospital with surgical disputes from 2010 to 2015 as the research objects, and 120 patients without medical disputes as the control group. Taking the following information from the hospital information system to screen 22 key medical risk indicators, patients’ age, hospitalization days, hospitalization expenses, etc, using the Chi-square test for unvaried analysis, choosing the statistically significant indicators for conditional Logistic regression analysis. Results Chi-square test results showed that 16 indicators such as the form of hospitalization, hospitalization days, hospitalization expenses and four weeks operations are statistically significant (P＜0.05); Logistic regression analysis showed that the total number of hospitalization days, four weeks operations, blood transfusion, patients in critical condition, complications and discharge condition had a significant influence on the occurrence of medical risk. Conclusion These six indicators are quantifiable and have high sensitivity, and can provide references for the hospital to establish medical risk early warning information system. |
| Key words: medical risk, risk early warning, unvaried analysis, multivariate analysis |
