摘要
放射治疗是肿瘤治疗的重要手段之一,因其具有涉及设备种类繁多、人员协作要求高、治疗流程复杂等特点,相较于其他治疗手段更易发生医疗差错。因此建立有效的放射治疗不良事件上报学习系统,对于保障患者安全、提高医疗质量具有重要意义。国际原子能机构(IAEA)建立的放射治疗不良事件报告与学习系统(SAFRON)通过收集、分析全球范围内放射治疗不良事件案例,构建了完善的数据库,并制定了标准化的事件报告流程和分析方法。同时,SAFRON系统注重安全文化的培养,鼓励医护人员积极上报不良事件,营造非惩罚性的学习环境,从错误中吸取教训,防止类似事件再次发生。通过介绍SAFRON的结构和使用方法,了解其使用流程、系统架构和安全文化,为科室不良事件报告与学习系统的建立以及使用提供参考,促进医疗质量持续改进。
Radiotherapy,as one of the important means of treating cancer,is more prone to medical errors than other treatment methods due to its involvement of a wide variety of equipment,high demands for personnel collaboration,and relatively complex treatment processes.Therefore,the establishment of an effective reporting and learning system for adverse events of radiotherapy is of great significance for ensuring patients'safety and improving healthcare quality.The International Atomic Energy Agency(IAEA)has established the Safety Reporting And Learning System For Radiotherapy(SAFRON),which constructed comprehensive database and formulated standard procedures of reporting event and analytical methods through collected and analyzed the worldwide cases of adverse event of radiotherapy.At the same time,the SAFRON system emphasizes the cultivation for safety culture,and encourages healthcare professionals to actively report adverse events,and creates a non-punitive learning environment to learn from mistakes and prevent the recurrence of similar incidents.This review introduced the structure and usage method of reporting and learning system of adverse event of SAFRON radiotherapy,so as to understand the using processes,system architecture and security culture of that,which can provide references for the establishment and use of reporting and learning system of adverse event of department,and promote continuous improvement of healthcare quality.
作者
殷旭君
张汝婷
蒋华
秦颂兵
陈龙
Yin Xujun;Zhang Ruting;Jiang Hua;Qin Songbin;Chen Long(Department of Radiotherapy,Guangci Tumor Hospital of Suzhou,Suzhou 215128,China;First Affiliated Hospital of Soochow University,Suzhou 215000,China)
出处
《中国医学装备》
2025年第4期155-160,共6页
China Medical Equipment
