Abstract：Objective To analyze the characteristics and rules of medical safety (adverse) events in a tertiary children′s hospital and provide countermeasures and suggestions for hospital quality and safety. Methods A retrospective analysis was performed on 2 586 medical safety (adverse) events reported in a tertiary children′s hospital from January 2018 to December 2020. Results The constitute ratios of rank Ⅱ and Ⅳ adverse events were decreasing and the constitute ratios of rank Ⅲ was rising (P<0.001). The proportion of departments participating in reporting adverse events were increasing (P<0.05). ADR and fall remained in the top two in three years, while consumables, ADR of blood transfusion, and iatrogenic skin injury events had an increasing trend (P<0.05). The proportion of needle stick injuries and medical equipment events had a decreasing trend (P<0.05). The proportion of technicians and other occupations reporting adverse events increased (P<0.001). Conclusion Standardizing the management of adverse events and actively creating a safe cultural atmosphere in the hospital can enhance the awareness of reporting adverse events in the departments. We should also scientifically improve the reporting system, broaden a variety of reporting channels, and strengthen the publicity and training for new and low seniority employees to enhance individual reporting enthusiasm.
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