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通过检索Elsevier(SDOS)、Springer Link、EBSCOhost、Wiley Blackwell、Taylor&Francis(CRC)、Elsevier ScienceDirect等数据库,收集2005年至2014年,国内外公开发表关于评价医疗质量与安全风险管理效果,同时涉及医患纠纷预防与处置相关Meta分析报告的随机对照研究文献材料(RCT),并从组织的管理能力、人员资格及能力、医疗场所安全风险管理、医疗服务过程安全风险管理以及持续改进的方法等五个方面,对医疗质量与安全风险管理的效果及医疗不良安全事件的发生情况进行综合评价,探讨管理前后平均投诉发生率、平均满意度、平均赔偿率的变化情况,对医患纠纷的预防与处置具有理论和实践意义。
From 2005 to 2014, we collected the results of evaluating the quality and safety of medical risk management in our country from the databases of Elsevier (SDOS), Springer Link, EBSCOhost, Wiley Blackwell, Taylor & Francis (CRC) and Elsevier ScienceDirect, Five RCTs are included in the Meta-Analysis Report on Dispute Prevention and Disposal, and from the five aspects of the organization’s management skills, personnel qualifications and competencies, the management of safety risks in the medical facilities, the safety risk management of medical service processes and the continuous improvement methods The aspects of the effect of medical quality and safety risk management and the occurrence of medical malpractice were comprehensively evaluated, and the changes of average complaint rate, average satisfaction and average compensation rate before and after management were discussed, and the prevention and treatment of medical dispute It has theoretical and practical significance.