Thực trạng và một số yếu tố ảnh hưởng đến quản lý sự cố y khoa tại bệnh viện Quận 2, thành phố Hồ Chí Minh năm 2021

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Tác giả: Thị Tú Quyên Bùi, Hoàng Anh Ngô, Thị Thảo Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2022

Mô tả vật lý: tr.98-107

Bộ sưu tập: Metadata

ID: 337421

Thêm vào giỏ Liên kết toàn văn

Medical incident management is the activities to take remedial measures and prevent recurrence of the incident. Research is conducted to understand the issues surrounding medical incidents. This mixed-method study was conducted at the District 2 Hospital, Ho Chi Minh city in 2021 with the aim to identify the current situation and analyze some factors aﬀecting adverse event management at the hospital. We selected 98 reported incidents, there were seven indepth interviews (IDIs) and two focus group discussions (FGDs) have been conducted. Results: 60.2% of adverse events reported by nurse/technician. Adverse events due to practice errors of medical staﬀ (MS) accounted for 52.04%. 76.53% of adverse events have been reviewed with root cause analysis (RCA). A number of factors aﬀect medical incident management: (1) Positive factors: many forms of encouragement, fnding and fxing system errors instead of looking for individual errors
(2) Negative factors: difculty in accessing information
fear of punishment
work pressure, Lack of leadership interest in medical incident management, the trainings have not been eﬀective, the cumbersome regulations and procedures, lack of coordination of departments/departments in medical incident management. Recommendations: Improving the training on access to information and awareness of medical incidents
Increasing leadership interest in medical incident management
Simplifying the medical incident reporting process and form
Increasing the involvement of departments in medical incident management.Mục tiêu: Nghiên cứu được thực hiện nhằm xác định thực trạng và phân tích một số yếu tố ảnh hưởng đến quản lý sự cố y khoa tại bệnh viện Quận 2, thành phố Hồ Chí Minh năm 2021. Phương pháp nghiên cứu: Nghiên cứu cắt ngang, nghiên cứu định lượng kết hợp nghiên cứu định tính được triển khai tại Bệnh viện Quận 2, Thành phố Hồ Chí Minh năm 2021. Nghiên cứu định lượng sử dụng biểu mẫu thu thập thông tin của 98 sự cố được báo cáo, nghiên cứu định tính đã tiến hành phỏng vấn sâu và thảo luận nhóm các nhân viên y tế. Kết quả: 60,2% sự cố được báo cáo bởi kỹ thuật viên/điều dưỡng. Sự cố do sai sót thực hành của nhân viên y tế chiếm 52,04%. Phân tích nguyên nhân gốc rễ ở 76,53% sự cố. Tỉ lệ sự cố lặp lại là 51,02%. Một số yếu tố ảnh hưởng đến quản lý sự cố y khoa: (1) Yếu tố tích cực: Có nhiều hình thức động viên khuyến khích, bệnh viện không truy lỗi cá nhân, tìm và khắc phục lỗi hệ thống
(2) Yếu tố tiêu cực: khó khăn khi tiếp cận thông tin
sợ bị trừng phạt
áp lực công việc, lãnh đạo chưa thực sự quan tâm tới công tác quản lý sự cố y khoa, đào tạo, tập huấn về quản lý sự cố y khoa chưa đem lại hiệu quả, quy định, quy trình về quản lý sự cố rườm rà, chưa có sự phối hợp của các khoa/phòng trong quản lý sự cố y khoa. Kết luận: Đào tạo tập huấn nâng cao khả năng tiếp cận thông tin và nhận thức về sự cố y khoa
Tăng cường sự quan tâm của lãnh đạo với công tác quản lý sự cố y khoa
Đơn giản hoá quy trình, biểu mẫu báo cáo sự cố y khoa
Tăng cường sự tham gia của các khoa, phòng trong quản lý sự cố y khoa.

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