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加强医疗安全管理的伦理学思考
引用本文:谢春燕,黄海,王蜀燕,申东翔. 加强医疗安全管理的伦理学思考[J]. 中国医学伦理学, 2012, 25(1): 79-80
作者姓名:谢春燕  黄海  王蜀燕  申东翔
作者单位:1. 南方医科大学研究生学院,广东广州510000;广州军区广州总医院,广东广州510010
2. 广州军区广州总医院,广东广州,510010
3. 广州军区广州总医院科训科,广东广州,510010
4. 广州军区广州总医院医疗科,广东广州,510010
基金项目:广东省科技厅基金“基于循证医学的临床科研数据采集关键技术的研究”,广东省重大科技专项资助项目
摘    要:从伦理学角度剖析了当前医疗安全问题的根源,提出了进一步加强医疗安全教育,即加强医德医风教育,强化医疗安全意识,加强医护人员的培训等;逐步完善管理制度,即完善医疗安全工作制度,完善管理部门责任制度,完善不良事件报告制度等;建立纠纷处理机制,即成立医疗纠纷处理机构,建立医疗纠纷报告及处置机制,加强与媒体的沟通等;狠抓管理工作落实,即强化管理职能,做好医技科室管理,规范用药行为,紧抓临床护理管理,加强临床医疗质量管理等措施来确保并提高医疗质量.

关 键 词:医疗安全  医疗质量  伦理制度  伦理学思考  医疗安全教育  纠纷处理机制

Ethical Thinking on Enhancing Management in Medical Safety
XIE Chun-yan , HUANG Hai , WANG Shu-yan , SHEN Dong-xiang. Ethical Thinking on Enhancing Management in Medical Safety[J]. Chinese Medical Ethics, 2012, 25(1): 79-80
Authors:XIE Chun-yan    HUANG Hai    WANG Shu-yan    SHEN Dong-xiang
Affiliation:1 Graduate School of Southern Medical University,Guangzhou 510000,China;2 Guangzhou General Hospital of Guangzhou Military Command,Guangzhou 510010,China;3 Division of Research and Training of Guangzhou General Hospital of Guangzhou Military Command,Guangzhou 510010,China;4 Division of Clinical Affairs of Guangzhou General Hospital of Guangzhou Military Command,Guangzhou 510010,China)
Abstract:This article analyzed the roots of current medical safety problems from the view of ethics,and proposed some measures to insure and improve the quality of medical care.The measures include: further strengthening medical safety education including ethical education,safety awareness,the training of medical staff and so forth;perfecting management system step by step,including working system for medical safety,liability system for management department,reporting system for adverse events and so on;establishing dispute resolution mechanism including setting up a department for the dispute,reporting and resolution mechanism,enhancing the communication with media and so forth;working hard on implementation of management,including improving management function,doing well in the management of medical laboratory,standardizing pharmacy using,improving clinical nursing and clinical quality management and so forth.
Keywords:Medical Safety  Medical Quality  Ethical System  Ethical Thinking  Medical Safety Education  Dispute Resolution Mechanism
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