西部网榆林讯(记者马广浩)今天(9月11日)上午,记者从榆林市绥德“8·31”孕妇坠楼事件调查处置领导小组了解到,榆林市卫计局已于9月10日晚决定对榆林一院绥德院区主要负责人和妇产科主任停职,并责成医院即刻对管理方面存在的问题和薄弱环节进行整改。
8月31日,绥德孕妇马茸茸在榆林市第一医院绥德院区妇产科二病区待产期间坠楼身亡事件发生后,榆林市委、市政府和陕西省卫计委高度重视,成立了榆林市绥德“8·31”孕妇坠楼事件调查处置领导小组,在初步调查了解的基础上,于9月7日晚对外公布了孕妇坠楼事件初步调查结果,回应了社会和网络媒体的关切。随即,榆林市卫计、公安部门又成立了专门的调查组对坠楼事件展开深入调查,认为医院产房结构及其防护符合公共场所安全和消防要求,医院对孕妇的检查结果符合自然分娩规律指征,并履行了常规告知、家属签字同意选择自然分娩的相关手续,医院急诊科在孕妇坠楼后的抢救措施符合诊疗规范。
经过认真分析,调查组认为这次孕妇坠楼事件,主观上反映出医院对孕妇的人文关怀和周到服务不够,另一方面客观上也反映出了医院在管理上存在一定的疏漏,主要有:一是未能落实紧急情况下人员调配制度,医护人员的配备不能满足紧急情况下工作需要；二是监护存在漏洞,医护人员对孕妇观察不够细致,病程记录不够完整,对孕妇的整体评估不够全面,与患者沟通交流不够；三是医疗安全管理上存在薄弱环节,如门禁制度、患者安全管理制度和孕妇安全制度落实不到位。为了强化医院管理,9月10日晚,榆林市卫计局已决定对榆林一院绥德院区主要负责人和妇产科主任停职,责成医院即刻对存在的问题和薄弱环节进行整改。
同时,榆林市将本着客观公正、实事求是的态度,妥善处理坠楼事件的善后事宜,精心做好家属心理安抚等工作,对坠亡事件依法、依规、依纪进行严肃处理。
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EHSCity医院行业EHS顾问拥有海外及国内丰富的医院管理经验
The following werethe key health and safety elements and written programs we developed for XXX Medical Center:
1. MedicalCenter Health and Safety Policy andStatement
2. EmployeeInvolvement
Healthand SafetyCommittee
BehavioralBased SafetyProgram
HazardRecognition andIdentification
Hazard Communication. This standard was designed to ensurethat employees know about hazardous chemicals in the hospital and how toprotect themselves. Employees who may be exposed to hazardous chemicals in theworkplace must prepare and implement a written Hazard Communication Program andcomply with other requirements of thestandard.
Bloodborne Pathogens program. This program was to protectemployees from the health hazards of exposure to bloodbornepathogens.
Ionizing Radiation Safety. This standard applied tofacilities that have an x-ray machine. It required HSE department to conduct asurvey of the types of radiation used in the facility, including x-rays, todesignate restricted areas to limit employee exposure, and to require employeesworking in designated areas to wear personal radiationmonitors.
Exit RoutesStandards. Hospital must comply with OSHA's requirements for exit routes in theworkplace
Electrical Safety. Electrical hazards, such as wiringdeficiencies, were one of the hazards most frequently cause for injury. Theelectrical safety program included design requirements for electrical systemsand safety-related workpractices.
Medical and First Aid Standard. The hospital was required toprovide medical and first-aid personnel and supplies commensurate with thehazards of theworkplace.
Ergonomic hazards. Some of the major ergonomic stressors atthe hospital included lifting and repositioning patients and liftingmaterials.
Slips, Trips, and Falls. Slips, trips, and falls of employeesand patients were among the leading causes of injuries in health carefacilities.
Influenza
Tuberculosis
Compressedgas andEquipment
Laserhazards
Vehicletrafficsafety
Patienttransfer safetyprogram
EmergencyResponse
Emergency Action Plan. An Emergency Action Plan in hospitaldescribed the actions employees and patients should take to ensure their safetyin a fire or other emergencysituation.
Fire Safety Program. The fire prevention plan was mandatorywhen required by an OSHA standard.
Emergencyresponsehazards
IndustrialHygiene Exposure Assessment andManagement
Employeesand patients exposureassessment
Industrial Hygiene Monitoring Plan. The Monitoring Planincluded the air, noise, and radiation, and biohazardmonitoring.
IndustrialHygiene Reporting andCommunication
LabSafetyProgram
Hazardousdrugs
Chemicalhazards. Health care employees may beexposed to a variety of chemicals on thejob.
Hazardouschemicals inlaboratories.
HospitalAccidentInvestigations:
Labventilation system andinspection
Personal Protective Equipment (PPE). Hospital had to performan assessment of each operation in their workplace to determine if theiremployees are required to wearPPE.
Workplace violence. Health care workers faced a significantrisk of job-related violence. The hospital was to establish violence preventionprograms and to track their progress in reducing work-relatedassaults.
BiologicalAgents--Blood and BodyFluids
ChemicalAgents
PhysicalAgents
ErgonomicsRiskFactors
Trainand Education for Employees andPatients
Employeetrainingrequirements
Newhireorientation
Patentseducationposting
Recordkeeping,Reporting, andPosting
Recordkeeping.
ReportingFatalities and SevereInjuries
OSHA Poster. Hospital must post the OSHA Poster (or stateplan equivalent) in a prominent location in theworkplace
Accessto Employee Exposure and MedicalRecords.
Healthand Safety SystemImprovement
H&S Audit system. The system was established with aquantitative ranking system to reflect the status of element implementation.Any findings would be reviewed by the head of department and indicated as partof the department’sKPI.
Any discrepancies would be placed on the next quarter or yearhealth and safety improvement plan.
Health and SafetyComplianceInspections
