Volume 20 Issue 4
Apr.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(4): 639-642
SHENG Qing, ZHU Guang-hua, CAI Li-qiang. Construction and application of community geriatric ward risk management system based on Australia and New Zealand risk management standards[J]. Chinese Journal of General Practice, 2022, 20(4): 639-642. doi: 10.16766/j.cnki.issn.1674-4152.002419
Citation: SHENG Qing, ZHU Guang-hua, CAI Li-qiang. Construction and application of community geriatric ward risk management system based on Australia and New Zealand risk management standards[J]. Chinese Journal of General Practice, 2022, 20(4): 639-642. doi: 10.16766/j.cnki.issn.1674-4152.002419
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Construction and application of community geriatric ward risk management system based on Australia and New Zealand risk management standards

doi: 10.16766/j.cnki.issn.1674-4152.002419
  • 1.

    Jiangchuan Community Health Service Center, Minhang District, Shanghai 202400, China

Funds:

 PWRsd2019-07

  • Received Date: 2021-04-05
    Available Online: 2022-08-20
    Abstract
  •   Objective  On the basis of the Australia and New Zealand (ANZ) risk management standard, a risk management system for the geriatric ward in community health service centre was constructed, implemented, applied and evaluated.  Methods  According to the ANZ risk management standard, risk management system of geriatric ward was established, organisational structure and post responsibilities were established, the target, environment, appraisal, analysis, evaluation and control system of risk management were planned. Using the tools of risk quantification matrix, the risk of community geriatric ward was evaluated through risk type, risk description, existing control measures, initial consequences, initial occurrence possibility, initial risk score Increase other control measures, residual consequences, residual possibility and other ways.  Results  According to the statistics of the hospital and the department in 2019, 63 adverse events were reported in the geriatric ward throughout the hospital. The top five events with high frequency or serious consequences were scabies (18 cases), pressure sores (13 cases), falls (8 cases), sudden death (7 cases) and suicide events (4 cases). Therefore, scabies, pressure sores, falls, sudden deaths and suicides in community geriatric wards were regarded as five important risk points. Using the risk management system and the tools of the risk quantification matrix, the five important risk points were evaluated, which had a score of 16, 15, 12, 10 and 10 points, respectively. The PDCA management cycle model was used to implement risk control, and then the residual risk was evaluated as 8, 12, 9, 5 and 5 points, respectively.  Conclusion  The risk management system of geriatric ward in community health service center based on ANZ risk management standards can achieve risk prevention and control. It is a management tool that can effectively control the risk of geriatric ward, which is worthy of learning and promotion.

     

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