What are the principles of preventing medical incidents? How to classify medical incidents by degree of injury in Vietnam in 2022?
- What is a medical incident? What are the situations that have the potential to cause medical problems?
- What are the principles to prevent medical incidents?
- What responsibilities do medical staff have when detecting a medical problem?
- Responsibilities of medical staff and medical examination and treatment facilities in the prevention of medical incidents?
- How are medical incidents differentiated by extent of injury?
What is a medical incident? What are the situations that have the potential to cause medical problems?
Pursuant to Clause 1, Article 2 of Circular 43/2018/TT-BYT, the concept of medical incident is given as follows:
“Article 2. Interpretation of terms
In this Circular, the following terms are construed as follows:
1. Medical incidents (Adverse Events) are undesirable situations that occur during the diagnosis, care and treatment process due to objective and subjective factors but not due to the pathological or geographical progression. the patient, the impact on the patient's health and life."
Accordingly, medical incidents are undesirable situations that occur in the process of diagnosis, care and treatment that are not caused by the patient's disease or location, affecting the patient's health or life.
What are the principles of preventing medical incidents? How to classify medical incidents by degree of injury in Vietnam in 2022?
In Clause 2, Article 2 of Circular 43/2018/TT-BYT, situations are likely to cause medical incidents as follows:
“Article 2. Interpretation of terms
In this Circular, the following terms are construed as follows:
…
2. A near-miss situation is a situation that has occurred but has not yet caused consequences or is almost happening but is detected and prevented in time, without causing harm to the health of the person. patient."
Accordingly, situations that are likely to cause medical incidents are situations that have happened or are about to happen but have not yet caused harm to the patient.
What are the principles to prevent medical incidents?
Pursuant to Article 3 of Circular 43/2018/TT-BYT stipulating as follows:
“Article 3. Principles of preventing medical incidents
1. The prevention of medical incidents is based on identification, reporting, analysis to find the causes, giving recommendations to prevent and avoid the recurrence of medical incidents to improve the quality of medical examination and treatment services. disease, safe for the patient and for no other purpose.
2. The prevention of medical incidents is encouraged, encouraged and protected.
3. Medical incident prevention records are managed according to information confidentiality regulations.
4. The prevention of medical incidents is the responsibility of leaders and medical staff working in medical examination and treatment establishments.”
Thus, the prevention of medical incidents needs to be ensured according to the principles listed in the above regulations.
What responsibilities do medical staff have when detecting a medical problem?
Pursuant to Article 4 of Circular 43/2018/TT-BYT stipulating as follows:
“Article 4. Identification of medical incidents
When detecting a medical incident, the medical staff is responsible for identifying and distinguishing the medical incident according to the described cases, situation development, and level of injury specified in Appendix I issued together. This circular."
Thus, when detecting a medical incident, medical staff must identify and distinguish medical incidents according to the description, situation development, and level of injury as prescribed by law.
Responsibilities of medical staff and medical examination and treatment facilities in the prevention of medical incidents?
Pursuant to Article 12 of Circular 43/2018/TT-BYT stipulates as follows:
“Article 12. Responsibilities of medical staff and medical examination and treatment establishments
1. Recognizing the need for prevention, avoiding the recurrence of medical incidents.
2. To perform specific tasks of medical examination and treatment establishments specified in this Circular.
3. Keep secret, hide the identity of individuals or medical examination and treatment establishments reporting medical incidents. Assign the Medical Incident Receipt and Management Department to be the focal point with the right to search and publish information on medical incident reports.
4. Develop regulations, procedures, guidelines, and encourage voluntary reporting of medical incidents.
5. Guide and manage medical incident reports, issue mechanisms to encourage voluntary reporting and handle sanctions for medical incidents on the mandatory list that are not reported.
6. Synthesize, analyze and report data on results of handling medical incidents in medical examination and treatment establishments and make prevention recommendations.”
Accordingly, medical staff and medical examination and treatment facilities will have responsibilities according to the above regulations in preventing medical incidents.
How are medical incidents differentiated by extent of injury?
Pursuant to Appendix I issued together with Circular 43/2018/TT-BYT, which stipulates the classification of medical incidents according to the degree of injury in Vietnam as follows:
Thus, the classification of medical incidents according to the degree of injury in Vietnam is done according to the above provisions.
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