Study on the medical safety management mode of pediatric emergency department

Abstract

Objective To explore how to establish the emergency model of medical safety in children to reduce medical disputes.Methotis We retrospectively analyzed the medical records for hospital deaths and medical disputes.And then we formulated the specific procedures of pediatric emergency safety,which included a clinical pathway of early screening model for high-risk patients,establishment of network for reporting potential medical disputes,creating platform to share climcal experience.The pediatric ca.ses from October 2005 to March 2007 were analyzed and a retrospective analysis was conducted to compare the difference before and after medical safety model establishment.Results Fulminant myocarditis and severe infeetions often enused medical disputes.From October 2005 tO March 2007,seven cases of fdminant myocarditis.seven cases of epidemic cerebrcapinal meningitis.and six cases of purulent meningitis were detected in the earlystage.And twelve cases of potential medical disputes were reported in time and three potential severe medical dispute cases were prevented.During the period of nine.months before the implementation of medical safety model,210 000 patients were recruited and 8 cases of medical disputes and 3 ca3es for medical compensation occurred.After the implementation of medical safety model,remarkable improvement had been achieved:during a seventeen month period,1 medical dispute and no medical compensation occurred in a total of 330 000 patients.Conclusion Application of clinical pathway of early screening high-risk patients can improve the early identification of high-risk illness.The implementation of medical safety model can significantly reduce medical disputes. Key words: Emergency department; Medical dispute; Fulminant myocarditis; Screening test