基于 Kaiser 模型的山西省肿瘤医院灾害脆弱性分析研究探讨
Research and Discussion on Disaster Vulnerability Analysis of Shanxi Cancer Hospital Based on the Kaiser Model
投稿时间:2025-03-21  修订日期:2025-05-20
DOI:
中文关键词:  Kaiser模型  国家区域医疗中心建设  灾害脆弱性分析  安全运营  比较研究
英文关键词:Kaiser Model  Construction of National Regional Medical Centers  Disaster Vulnerability Analysis  Safety operation  Comparative study
基金项目:
作者单位邮编
杨晔* 山西省肿瘤医院院办 030013
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中文摘要:
      目的和方法 通过开展基于 Kaiser 模型的山西省肿瘤医院灾害脆弱性分析比较研究,将所有可能影响到医院正常运行的因素,全部罗列统计得出医院可能受到的潜在灾害、可能发生的突发事件,通过专家打分,赋予权重,进行筛选和名称修定,确定评价指标体系,进行调查问卷,计算得出相对风险值。 结果 对医院近几年的灾害危险事件风险排序,明确流行病爆发、地震、暴力性伤医、电梯故障、医务人员职业暴露、患者院内跌倒、坠落、患者院内自杀、信息安全、医疗纠纷、院内传染病传播为医院灾害危险事件防范重点,在医院运营管理中应予以重点关注。 结论 过去四年,医院通过强化安全管理、优化应急预案、提升医务人员职业防护等措施,显著降低了暴力性伤医、医务人员职业暴露、患者院内跌倒/坠落及药品供应短缺等风险事件的发生率。医院增设安保人员、实现监控全覆盖、建立矛盾纠纷化解机制,并与属地派出所紧密合作,确保紧急事件快速响应。未来,医院计划更换老旧电梯、提升网络安全预算、引入第三方调解平台,进一步降低电梯故障、信息系统故障及医疗纠纷风险,持续推进平安医院建设,促进高质量发展,为国家区域医疗中心建设保驾护航,并为其他区域医疗中心建设发展提供参考,为区域政策的制定提供理论依据。
英文摘要:
      Objective and Method By conducting a comparative study on disaster vulnerability analysis of Shanxi Provincial Cancer Hospital based on the Kaiser Model, this research comprehensively enumerated all factors potentially affecting normal hospital operations to identify latent disasters and possible emergencies. Through expert scoring and weight assignment, followed by screening and nomenclature revision, an evaluation index system was established. Questionnaire surveys were administered to calculate relative risk values, enabling risk prioritization of hospital hazard events in recent years. Result Key disaster prevention priorities were identified as: epidemic outbreaks, earthquakes, violent assaults on medical staff, elevator malfunctions, occupational exposure of healthcare workers, in-hospital patient falls/plummeting incidents, patient suicides, information security breaches, medical disputes, and nosocomial infection transmission - all requiring focused attention in hospital management.Conclusion Over the past four years, the hospital has significantly reduced incidence rates of risk events including violent assaults on staff, occupational exposures, patient falls/plummeting incidents, and medication supply shortages through enhanced safety management, optimized emergency response protocols, and improved occupational protection measures. Security upgrades include expanded surveillance coverage, additional security personnel, establishment of dispute resolution mechanisms, and strengthened collaboration with local police stations to ensure rapid emergency response. Future initiatives encompass replacing aging elevators, increasing cybersecurity budgets, and implementing third-party mediation platforms to further mitigate risks associated with equipment failure, system outages, and medical disputes. These measures advance the Safe Hospital Initiative while supporting high-quality development, safeguarding the construction of national regional medical centers. This study provides valuable references for regional medical center development and evidence-based policy formulation, contributing theoretical foundations for regional healthcare policymaking.
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