美國颶風風險管理的循證評價及其對我國醫療風險管理的啟示——醫療風險系列研究之三_《中國循證醫學雜志》

作者：

文進 ¹ , 謝瑜 ¹ , 高曉鳳 ¹ , 孫丁 ¹ ,  李幼平 ¹ , 曠翠萍 ² , 謝逸瓊 ³ , 王羽 ⁴ , 張宗久 ⁴ , 趙明鋼 ⁴ , 陸君 ⁵ , 柳琪林 ⁵

1.四川大學華西醫院中國循證醫學中心（成都 610041） 2.四川大學華西公共衛生學院流行病學教研室 3.四川大學華西公共衛生學院勞動衛生學教研室 4.衛生部醫政司（北京 100044） 5.中國醫師協會（北京 100054）;

關鍵詞：

颶風風險管理醫療風險循證評價

視頻：

導出 下載 收藏 掃碼 引用

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目的　剖析美國颶風風險管理的經驗和教訓，為我國醫療風險監測與管理系統和機制的建立提供參考與借鑒模式。
方法　計算機檢索EI數據庫（1969～2005）、OVID數據庫（1966～2005）、超星電子圖書館、官方網站如聯邦緊急事務管理局、美國國家海洋與大氣管理局和疾病預防控制中心等。由兩人盲法按既定的納入和排除標準獲取并評價文獻質量。
結果　共納入分析文獻227篇，電子圖書1本。其中風險預測文獻占73.13%。從1886年起有颶風相關記錄；1950年制定了《災害救濟法》，之后形成各類政策；1979年成立了聯邦緊急事務管理局，在颶風風險管理中發揮關鍵作用。美國颶風風險實行分級預警，預測預報主要由國家海洋與大氣管理局負責。政府和非政府組織都積極參與應急反應，關注不同人群的生理和心理健康。Katrina颶風風險管理的失誤在于決策失誤和政治環境因素。
結論　美國颶風風險監測與管理體系較為成熟，但在風險防范方面仍存在某些不足。其經驗和教訓對尚處在初期階段的我國醫療風險監測與管理體系的建立和運作具有一定的參考與借鑒價值。

引用本文： 文進,謝瑜,高曉鳳,孫丁,李幼平,曠翠萍,謝逸瓊,王羽,張宗久,趙明鋼,陸君,柳琪林. 美國颶風風險管理的循證評價及其對我國醫療風險管理的啟示——醫療風險系列研究之三. 中國循證醫學雜志, 2006, 06(3): 209-217. doi: 復制

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2.	王羽. 建立和國家醫療質量保障體系與持續改進體系的探討. 中國醫院, 2005; 9(9): 1-7.
3.	謝瑜, 文進, 高曉鳳, 等. 國外航空風險管理方法及績效的循證評價. 中國循證醫學雜志, 2006; 6(2): 131～138.
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6.	王羽. 建立醫療風險監測預警體系, 提高醫療質量, 保障病人安全. 中國循證醫學雜志, 2006; 6(1): 1-2.
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1. 趙明鋼, 柳琪林. 加強我國醫療風險監管, 確保病人醫療安全. 中國醫院, 2005; 9(5): 24-26.
2. 王羽. 建立和國家醫療質量保障體系與持續改進體系的探討. 中國醫院, 2005; 9(9): 1-7.
3. 謝瑜, 文進, 高曉鳳, 等. 國外航空風險管理方法及績效的循證評價. 中國循證醫學雜志, 2006; 6(2): 131～138.
4. 佩塔克, 阿特金森. 自然災害風險評價與減災政策. 向立云, 程曉陶, 譯. 北京: 地震出版社; 1993.
5. Petak WJ, Atkinson AA. 向立云, 程曉陶, 譯. 自然災害風險評價與減災政策. 北京: 地震出版社; 1993. 36～39.
6. 王羽. 建立醫療風險監測預警體系, 提高醫療質量, 保障病人安全. 中國循證醫學雜志, 2006; 6(1): 1-2.
7. To Err is Human: Building a Safer Health System. Institute of Medicine, National Academies Press; 2000.
8. Xie Y, Wen J, Gao XF, et al. Evidence-based Evaluation on the Oversea Aviation Risk Management and Its Performance. Chin J Evid-based Med, 2006; 6(2): 131-138.
9. Petak WJ, Atkinson AA. Natural hazard risk assessment and public policy. Translated by Xiang LY, Cheng XT, Beijing: Earthquake Publishing House; 1993.
10. Average number of tropical cyclones which reached storm and hurricane strength for various periods. Available from: http://www.aoml.noaa.gov/hrd/Landsea/deadly/Table6.htm.
11. A Chronology of Major Events Affecting The National Flood Insurance Program. Available from: http://www.fema.gov/pdf/nfip/chronology.pdf.
12. Nuemann CJ, Hope JR. A diagnostic study on the statistical predictability of tropical cyclone motion. J. Applied Meteorology, 1973, 12(1): 62-73.
13. FEMA history. Available from: http://www.fema.gov/about/history.shtm.
14. Petak WJ, Atkinson AA. Translated by Xiang LY, Cheng XT. Natural hazard risk assessment and public policy. Beijing: Earthquake Publishing House; 1993. 36-39.
15. Emergency Preparedness & Response. Available from: http://www.bt.cdc.gov/.
16. Hurricane Research Division. Available from: http://www.aoml.noaa.gov/hrd/.
17. Disaster Services. Available from: http://www.redcross.org/services/disaster/0,1082,0_319_,00.html.
18. Landsea C. How are Atlantic hurricanes ranked? Available from: http://www.aoml.noaa.gov/hrd/tcfaq/D1.html.
19. Disaster Mental Health Resources. Available from: http://www.bt.cdc.gov/mentalhealth/.
20. Update on CDC’s response to hurricane. Available from: http://www.cdc.gov/od/katrina/.
21. Disaster Mental Health Primer: Key Principles, Issues and Questions. Available from: http://www.bt.cdc.gov/mentalhealth/primer.asp.
22. National Hurricane Center Forecast Verification. Available from: http://www.nhc.noaa.gov/verification/verify2.shtml?.
23. National Hurricane Center Forecast Verification. Available from: http://www.nhc.noaa.gov/verification/index.shtml?.
24. National Hurricane Center Forecast Verification. Available from: http://www.nhc.noaa.gov/verification/verify5.shtml?.
25. Gagnon EB, Aboutanos MB, Malhotra AK, et al. In the wake of Hurricane Isabel: a prospective study of postevent trauma and injury control strategies. Am Surg, 2005; 71(3): 194-197.
26. Walter GP, Samuel DB, Wes H. Hurricane risk perceptions among Florida’s single family homeowners. Landscape and Urban Planning, 2005; 73 (2-3): 120-135.
27. DeMaria M, Kaplan J. Statistical hurricane intensity prediction scheme (SHIPS) for the Atlantic Basin. Wea Fore, 1994; 9(2): 209-220.
28. DeMaria M, Kaplan J. Updated statistical hurricane intensity prediction scheme (SHIPS) for the Atlantic and eastern North Pacific basins. Wea Fore, 1999; 14(3): 326-337.
29. DeMaria M, Mainelli MS, Lynn K, et al. Further improvements to the Statistical Hurricane Intensity Prediction Scheme (SHIPS). Wea Fore, 2005; 20(4): 531-543.
30. NOAA raises the 2005 Atlantic hurricane season outlook. Available from: http://www.noaanews.noaa.gov/stories2005/s2484.htm.
31. Hurricane preparedness for New Orleans. Available from: http://www.answers.com/topic/hurricane-preparedness-for-new-orleans.
32. Hurricane Katrina hits southern US. Available from: http://www.wsws.org/articles/2005/aug2005/hurr-a30.shtml.
33. Experts Available to Comment on Aftermath of Hurricane Katrina. Available from: http://www.newswise.com/articles/view/514168.
34. David A, Ernest MM. Left behind: the legacy of hurricane Katrina. BMJ, 2005; 331(7522): 916-918.
35. The Man-Made Disaster. The New York Times. Available from: http://www.neilrogers.com/news/articles/2005090313.html.
36. Wang Y. Establishing medical risk monitoring and early warning system for quality improvement and patient safety. Chin J Evid-based Med, 2006; 6(1): 1-2.
37. Zhao MG, Liu QL. To enhance supervision of medical risk and prove patient’s medical safety. Chinese Hospitals, 2005; 9(5): 24-26.
38. WANG Y. Discuss on developing national medical quality and continuous improvement system. Chinese Hospitals. 2005; 9(9):1-7.
39. James MS, Jill R, Zelde E. Epidemiology of Tropical Cyclones: The Dynamics of Disaster, Disease, and Development. Epid Rev, 2005; 27(1): 21-35.
40. Hudson P. Applying the lessons of high risk industries to health care. Qual Saf Health Care, 2003; 12(Suppl 1): i7–i12.
41. Bartoo, G. Risk management [medical devices]. IEEE Eng Med Biol Mag, 2003, 22(4):166-172.

《中國循證醫學雜志》

美國颶風風險管理的循證評價及其對我國醫療風險管理的啟示——醫療風險系列研究之三

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《中國循證醫學雜志》

美國颶風風險管理的循證評價及其對我國醫療風險管理的啟示——醫療風險系列研究之三

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料