The causes of medical errors and accidents mainly come from human factors, mainly in four aspects.
1.1.1 Sense of mission and responsibility is not strong
A few medical personnel lack the sense of mission to save lives and help the injured, no sense of enterprise and work responsibility, negligence and carelessness at work, not serious in the fulfillment of their duties, the implementation of the rules and regulations and medical operating procedures are lax, AWOL, diagnosis and treatment is not serious, inspection and observation of the patient is not meticulous, disposal of the treatment in a timely manner resulting in the aggravation of patient conditions and The damage to the organism.
1.1.2 Poor sense of responsibility for safety, lax implementation of the system
In recent years, although the hospital has formulated a series of rules and regulations in the area of safety management, but the implementation of many core systems of medical safety is lax. For example, the first medical responsibility system, three-level physician room system, difficult case discussion system, consultation system, critical patient rescue system, and so on, which in turn led to the occurrence of medical errors and accidents.
1.1.3 Insufficient motivation to study the business, the technical level is not high
Medicine is a comprehensive, practical science, the knowledge of the rapid update, requiring medical personnel to continue to learn and summarize, both solid medical theory and superb clinical operation technology. However, a few medical personnel learning business is not serious, do not seek progress, sloppy work, encountered difficult problems neither consult the information, and shy to consult others, the technical level is not high, resulting in patients misdiagnosis and misdiagnosis.
1.1.4 The concept of "people-oriented" is weak, and patient communication is not in place
Patients need to be cared for when receiving medical services, to be respected, to be accepted, to understand his condition and diagnosis and treatment programs, to feel safe and eager to get well soon. This requires serious communication and explanation of medical staff, but a few medical staff "patient-oriented" concept is weak, self-centered, lack of basic quality of the patient's responsibility, communication awareness is not strong, the attitude is not positive, the way inappropriate, the explanation is not in place, the content of the patient should know not seriously mission, the patient should not know the content of the arbitrary nonsense, and some of the content of the patient should not know The content of the random nonsense, there are medical personnel service consciousness fade, hard words, rude attitude, and triggered the patient's resentment, suspicion and take a non-cooperative attitude, which can easily lead to the occurrence of doctor-patient conflicts.
1.2 Medical equipment safety hazards
There are three main aspects of the performance: First, improper use of medical equipment to bring the hidden danger. Mainly manifested in the use of instruments and equipment is not in strict accordance with the operating procedures, did not do the necessary adjustments and inspections, so that the equipment electrical safety, mechanical safety, physical safety and other risks are controlled in an acceptable range, otherwise it will bring serious harm to the patient. According to the survey, in the application of emergency equipment, the failure rate of equipment due to improper operation of the medical staff itself accounts for 60% to 70%. The resulting physical damage to the patient also occurs frequently. Secondly, the hidden danger of poor maintenance. Medical instruments in the use of the process requires regular maintenance, but the instrument maintenance technology is insufficient, the level is low. According to statistics, about 30% of the medical equipment "with disease" work, increasing the medical risk. Thirdly, the safety index of medical devices is not clear. Such as protection against grounding, leakage, electric shock and so on. Exceeding the standard value of energy is easy to patients and operators to bring the potential danger of not easy to detect.
1.3 Safety hazards in the management of drugs
With the gradual improvement of China's drug standards, the requirements for the storage conditions of drugs are also getting higher and higher. Sunlight, air, humidity, time are important factors affecting the quality of drugs, drugs due to improper storage, not only lead to reduced efficacy, but also make the drug toxic side effects increase. Some drugs need to be stored under refrigerated conditions, in the high temperature season, such as not taking the necessary refrigeration measures, can lead to drug deterioration. For example, vitamin C, vitamin K1 is easy to decompose and change color and reduce its effect when it meets light, A.P.C increases gastrointestinal irritation after deliquescence, and cod liver oil oxidizes to produce toxicity, etc. This is also a safety hazard for medicines. This is also a potential safety hazard of medicines. In terms of rational use of drugs, there is still the phenomenon of "talking on paper". The irrational use of medicines with contraindications occupies a certain proportion in prescriptions, which leads to a decrease in drug safety; according to statistics, the utilization rate of antibiotics in our hospital is more than 50%, which indicates that there is the phenomenon of antibiotic abuse. In addition, there are loopholes in the management of expired drugs. Especially some infrequently used emergency medicines, often appear expired phenomenon, is a major hidden danger of drug safety.
1.4 Security risks in medical management
1.4.1 The management of troops wounded and sick has certain difficulties
The reason is that most of the troops wounded and sick young, light condition, while the psychological pressure and ideological burden is heavier, there are a small number of grass-roots troops to the ideological mood of the heavy, light condition, difficult to manage the soldiers sent to the hospital hospitalization in order to manage the medical, coupled with the minority of the leadership and medical staff of a small number of sections only focus on medical treatment and neglect the management of the medical personnel, and the medical staff of a small number of sections only focus on medical treatment and neglect the management of the medical staff. Medical staff only focus on medical care and management, do not pay attention to ideological education, resulting in patients hospitalized management is not in place and the occurrence of disciplinary violations.
1.4.2 Inter-departmental work coordination is not in place
The generation of inter-departmental tug-of-war, shirking responsibilities, delays in the diagnosis and treatment of patients. The normal operation of medical work is affected.
1.4.3 Safety management is not in place
A few medical personnel safety meaning is weak, the management of medical safety is not wide, in the face of medical errors occurring in a timely manner, the punishment is not strict enough, to plug the loopholes in the implementation of the measures are not strict, and some of the obvious medical safety responsibility can not be disciplined in a timely manner to trace the accountability system is not clear enough.