患者意外伤害事件是医疗卫生系统中最常见和普遍的患者安全问题之一,严重影响患者的生命健康和医院的声誉。本文借鉴了1例在心胸外科监护室床边摄片致患者砸伤的案例,按照根本原因分析法(root cause analysis,RCA)的要求,使用时序法找...患者意外伤害事件是医疗卫生系统中最常见和普遍的患者安全问题之一,严重影响患者的生命健康和医院的声誉。本文借鉴了1例在心胸外科监护室床边摄片致患者砸伤的案例,按照根本原因分析法(root cause analysis,RCA)的要求,使用时序法找近端原因、“5Why”法找根本原因,采取多部门联动,规范床边摄片的流程及监护室的空间布局管理。改进后,技师床边摄片规范率、床边摄片的效率、患者的满意度明显提高,未再发生相关事件。对安全事件进行根本原因分析,易于制定有效、系统的改进措施,使解决方案切实落到实处。展开更多
面对人口老龄化带来的挑战,延迟退休年龄政策逐渐成为各国应对老龄化问题的重要举措。本文系统性地回顾了国内关于渐进式延迟退休年龄的研究文献,利用文献计量分析,探讨了延迟退休的必要性、公众意愿、实施效果及政策设计。研究结果显示...面对人口老龄化带来的挑战,延迟退休年龄政策逐渐成为各国应对老龄化问题的重要举措。本文系统性地回顾了国内关于渐进式延迟退休年龄的研究文献,利用文献计量分析,探讨了延迟退休的必要性、公众意愿、实施效果及政策设计。研究结果显示,渐进式延迟退休年龄政策在提高老年劳动力参与率、缓解养老金支付压力等方面具有显著效果,但其实施仍面临公众接受度低和制度设计复杂等挑战。文章以期对相关政策制定者和研究者提供有价值的理论参考与实践指导。此外,文章还提出了未来研究的方向,强调了跨学科研究和配套制度改革的重要性。In the face of the challenges brought about by the aging population, the policy of delaying the retirement age has gradually become an important measure for countries to cope with the aging problem. This study systematically reviews the research literature on progressive delayed retirement age in China, and discusses the necessity, public willingness, implementation effect, and policy design of the delayed retirement. Results show that the gradual postponement of retirement age policy has significant effects in improving the labor force participation rate of the elderly and alleviating the pressure of pension payment, but its implementation still faces challenges such as low public acceptance and complex system design. This study provides valuable theoretical reference and practical guidance for relevant policymakers and researchers. In addition, this study proposes the direction of future research, emphasizing the importance of interdisciplinary research and supporting system reform.展开更多
文摘患者意外伤害事件是医疗卫生系统中最常见和普遍的患者安全问题之一,严重影响患者的生命健康和医院的声誉。本文借鉴了1例在心胸外科监护室床边摄片致患者砸伤的案例,按照根本原因分析法(root cause analysis,RCA)的要求,使用时序法找近端原因、“5Why”法找根本原因,采取多部门联动,规范床边摄片的流程及监护室的空间布局管理。改进后,技师床边摄片规范率、床边摄片的效率、患者的满意度明显提高,未再发生相关事件。对安全事件进行根本原因分析,易于制定有效、系统的改进措施,使解决方案切实落到实处。
文摘面对人口老龄化带来的挑战,延迟退休年龄政策逐渐成为各国应对老龄化问题的重要举措。本文系统性地回顾了国内关于渐进式延迟退休年龄的研究文献,利用文献计量分析,探讨了延迟退休的必要性、公众意愿、实施效果及政策设计。研究结果显示,渐进式延迟退休年龄政策在提高老年劳动力参与率、缓解养老金支付压力等方面具有显著效果,但其实施仍面临公众接受度低和制度设计复杂等挑战。文章以期对相关政策制定者和研究者提供有价值的理论参考与实践指导。此外,文章还提出了未来研究的方向,强调了跨学科研究和配套制度改革的重要性。In the face of the challenges brought about by the aging population, the policy of delaying the retirement age has gradually become an important measure for countries to cope with the aging problem. This study systematically reviews the research literature on progressive delayed retirement age in China, and discusses the necessity, public willingness, implementation effect, and policy design of the delayed retirement. Results show that the gradual postponement of retirement age policy has significant effects in improving the labor force participation rate of the elderly and alleviating the pressure of pension payment, but its implementation still faces challenges such as low public acceptance and complex system design. This study provides valuable theoretical reference and practical guidance for relevant policymakers and researchers. In addition, this study proposes the direction of future research, emphasizing the importance of interdisciplinary research and supporting system reform.
