The management of medical defects and errors

1. The management of medical defects and errors Li Songlin Civil Aviation General Hospital

2. Introduction of the Hospital • Civil Aviation General Hospital was established in 1982. It is a 3A hospital and a clinical hospital of Peking University. • The area occupies 46 thousand square meters; total area of house: 5,5000 square meters ； • Total assets: 359 million (yuan)

3. The number of hospital beds: 500

4. The structure of hospital staff • Total staff: 864 • - medical professional:734（84.95%） - administrators: 49名（5.67%） - workers: 81（9.37%） • Retiree: 180 • Total ：1044 The number of hospital staff 1044

5. 2001-2007 Business development Million

6. 2001-2007 Economic income Billion

7. 2003-2007 medical errors and defects

8. The classification of medical errors and defects • Treatment defects and errors 31 • Operation defects and errors42 • Diagnostic errors 19 • examine-assisted errors 7 • Specimens missing 3 • The drugs to the wrong patients2 • Nursing defects and errors 24

9. The reasons for medical defects and errors • Subjective reasons: The concept of the supremacy of technology The economic interests of the temptation Tired of the occupation

10. The reasons for medical errors and defects • Objective reasons: Unscientific process, inadequate equipment Rules and regulations do not work The work load is too large Technical limitations and the characteristics of individual diseases Education and training deficiencies

11. Nursing defects and errors The statistics of nursing errors（n=24） year cases percentage（%） 2003 4 16.7 2004 1 4.2 2005 6 25.0 2006 6 25.0 2007 7 29.2 Total 24 100

12. Nursing defects and errors The statistics of nursing errors（n=24 ） Item cases percentage（%） transfusion 12 50.0 injection 2 8.3 Oral medicine 3 12.5 others 7 29.2 Total 24 100

13. Nursing defects and errors The reasons for errors（n=24） Item cases percentage（%） No strict examinations 15 62.5 No responsibility 4 16.7 No proper supervision 2 8.3 Disobey the operational rules 3 12.5 Total 24 100

14. Nursing defects and errors The error distribution among nursing people （n=30） Working years cases percentage（%） 0-5 21 70.0 5-10 2 6.7 10-15 1 3.3 Over 15 6 20.0 total 30 100

15. Establish a safety culture of hospital The continuous improvement of rules and regulations Optimizing the medical process Apply computer information technology Optimize the allocation of medical equipment The training of medical staff The building of professional ethics Medical error prevention and management

16. Thanks！