刘超伦, 张宏亮, 李朝争, 张成军, 郑威. 基于风险评估矩阵Kaiser模型的某医院应急管理体系建设[J]. 职业卫生与应急救援, 2022, 40(3): 336-340. DOI: 10.16369/j.oher.issn.1007-1326.2022.03.016
引用本文: 刘超伦, 张宏亮, 李朝争, 张成军, 郑威. 基于风险评估矩阵Kaiser模型的某医院应急管理体系建设[J]. 职业卫生与应急救援, 2022, 40(3): 336-340. DOI: 10.16369/j.oher.issn.1007-1326.2022.03.016
LIU Chaolun, ZHANG Hongliang, LI Chaozheng, ZHANG Chengjun, ZHENG Wei. Construction of hospital emergency management system based on Kaiser model of risk assessment matrix[J]. Occupational Health and Emergency Rescue, 2022, 40(3): 336-340. DOI: 10.16369/j.oher.issn.1007-1326.2022.03.016
Citation: LIU Chaolun, ZHANG Hongliang, LI Chaozheng, ZHANG Chengjun, ZHENG Wei. Construction of hospital emergency management system based on Kaiser model of risk assessment matrix[J]. Occupational Health and Emergency Rescue, 2022, 40(3): 336-340. DOI: 10.16369/j.oher.issn.1007-1326.2022.03.016

基于风险评估矩阵Kaiser模型的某医院应急管理体系建设

Construction of hospital emergency management system based on Kaiser model of risk assessment matrix

  • 摘要:
      目的  运用科学的评价方法找出医院应急管理工作的重心, 建设一套客观、高效的应急管理组织体系, 持续提升医院应急管理水平。
      方法  规范建立应急管理组织架构, 通过资料分析法和头脑风暴法确定灾害风险事件名称。基于风险评估矩阵Kaiser模型, 设计医院灾害脆弱性调查表, 邀请医院科室的安全应急专管员分析突发事件发生的可能性、严重性和准备情况, 得出灾害事件的相对风险, 并根据结果持续改进医院当前应急防控的薄弱环节。
      结果  发放调查表 103份, 回收有效评价表 101份, 有效率为98.06%。该医院的灾害风险事件分为人员伤害类(相对风险为33.6%)、技术事故类(相对风险为30.0%)、自然灾害类(相对风险为14.2%)3大类危险项目和细分的18项危险小项目。医院当前阶段面临的18项危险项目中, 风险排名前5位的事件依次为: 职业暴露、电梯困人事件、院内安全保卫事件、信息网络故障、火灾事故。根据灾害脆弱性分析, 历经半年的改进, 医院应急防控管理效果逐渐显现。
      结论  应重点关注职业暴露对医院医务人员的伤害。基于Kaiser模型建立的应急管理体系能有效提升医院的应急反应能力。

     

    Abstract:
      Objective  The core of emergency management work in hospital was found out by using scientific evaluation methods, to form a set of objective and efficient emergency management organization system, and finally improve continuously the level and ability of hospital emergency management.
      Methods  The names of disaster risk events were determined by data analysis and brainstorming and then emergency management organization structure was established in standard form. The safety emergency managers in hospital were consulted with the hospital disaster vulnerability questionnaire designed on the Kaiser model of the risk assessment matrix to analyze the possibility, severity and preparedness of emergencies, obtain the relative risk of disaster events, and continuously improve the weak links of the current emergency prevention and control of the hospital according to the results.
      Results  A total of 103 questionnaires were distributed and 101 effective evaluation forms were recovered. The disaster risk events of the hospital were divided into three categories, namely personal injury(relative risk: 33.6%), technical accident(relative risk: 30.0%) and natural disaster(relative risk: 14.2%), with 18 subdivided risk items. Among these 18 dangerous projects faced by the hospital at the current stage, the top five risk events were occupational exposure, elevator trapped incident, hospital security incident, information network failure and fire accident. According to the analysis of disaster vulnerability, after six months of improvement, the effect of hospital emergency prevention and control management was gradually appeared.
      Conclusions  We should focus on the harm of occupational exposure of hospital medical staff. The emergency management system based on Kaiser model can effectively improve the hospital's emergency response ability.

     

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