中铁协铁人三项赛医疗救护风险管理分析与探讨

发布时间：2018-03-05 01:09

本文选题：风险管理　切入点：医疗救护　出处：《北京体育大学》2017年硕士论文　论文类型：学位论文

【摘要】：随着体育与社会、经济、文化发展的互动越来越密切,各类体育赛事增多,赛事规模加大,赛事风险增加,在众多风险中参与者最关注的无非是自身的安全问题。赛事本身存在风险,在赛事进行过程中运动员如果发生意外情况,赛事医疗救助部门便成为了第一时间能对运动员伤势进行救助的医疗力量。如果在出现医疗事故时发生处理不当等情况,既耽误受伤选手的病情诊治,又会给赛事带来负面影响。尤其对于大量业余选手参赛的赛事来说,医疗救护应急管理显得更为重要。本文以近年来发展迅速的中铁协铁人三项赛事为例,采用文献资料法、专家访谈法、比较分析法和实地调查法,将风险管理理论与中国铁人三项运动协会所负责的铁人三项赛事相结合,再根据铁人三项运动自身的特点,调查其铁人三项赛医疗救护方面的风险现状及存在问题,对赛事进行过程中医疗救护的整个过程作以实际调查分析,总结出一套适合其赛事运行模式的医疗救护风险管理方案,提高赛事主体的风险意识,从而达到以最小的成本换取最大的安全保障。通过对中铁协铁人三项赛事医疗救护环节的深入了解,发现在赛事中存在以下风险事件:(1)制度落实不到位;(2)举办地过度重视赛事经济利益;(3)赛前选手现场资格审核时易混乱;(4)赛后未重视医疗救助信息整理;(5)国际性赛事中存在交流困难。并结合铁人三项相关赛事在医疗救护保障方面的举措,对中铁协铁人三项赛事医疗救护风险管理提出以下完善对策:(1)赛前风险防范与演习:包括制定医疗救护保障应急预案、编制医疗救护手册、网上进行选手参赛资格审核、医疗救护保障环节外包、赛前培训和演习。(2)赛中风险应对与干预:包括“铁人医师”参赛、工作人员充当“医疗观察员”、记录医疗救护流程信息。(3)赛后跟踪与总结;包括建立选手-医院-组委会-保险公司联络机制、医疗统计数据存档。同时本文对中铁协铁人三项赛事医疗救护风险管理提出以下建议:(1)在赛前筹备时为参赛选手准备包括安全提示及自救提示的医疗救护手册。(2)多培养具有专业性、运动针对性的医疗代表,保障人员后备力量,提高人员专业化素质。(3)加大政策制度落实力度,提高举办地对医疗救护保障环节的重视程度。(4)发现并寻找“铁人医师”,组织其参赛,为赛道医疗救护保驾护航。(5)在赛事淡季组织爱好者、赛时组织参赛者进行铁人三项运动安全教育。
[Abstract]:As the interaction between sports and social, economic and cultural development becomes closer and closer, the number of sports events increases, the scale of events increases, and the risks of events increase. Among the many risks, the participants are most concerned about their own safety problems. There are risks in the event itself, if an unexpected situation occurs in the course of the event, The medical rescue department of the event has become a medical force that can rescue the athlete's injuries in the first place. If improper treatment occurs in the event of a medical accident, it will delay the treatment of the injured player's condition. Especially for a large number of amateur contestants, the emergency management of medical rescue is even more important. This article takes the rapid development of the China Railway Association triathlon as an example, using the method of literature. Expert interviews, comparative analysis and field investigations combine the theory of risk management with the triathlon events for which the Chinese Ironman Triathlon Association is responsible, and then according to the characteristics of Ironman Triathlon itself, This paper investigates the present situation and existing problems of the medical rescue risk in the triathlon, analyzes the whole process of the medical rescue in the course of the race, and sums up a set of medical rescue risk management scheme suitable for the running mode of the race. To raise the risk awareness of the main players of the event, so as to achieve the minimum cost in exchange for the greatest safety protection. Through in-depth understanding of the medical rescue links in the triathlon of the China Railway Association, Found the following risk events in the event: 1) the implementation of the system is not in place. 2) too much emphasis on the economic interests of the event. 3) pre-competition contestants on the spot qualification audit is easily confused. 4) after the match did not attach importance to medical assistance information sorting out the international competition. It is difficult to communicate in the event. And in combination with the measures of triathlon related events in the field of medical and ambulance support, The following perfect countermeasures are put forward for the management of medical rescue risk in the triathlon of the China Railway Association: 1) Prerace risk prevention and exercise: including the formulation of emergency plans for medical rescue support, the compilation of medical rescue manuals, and the examination of contestants' qualifications on the Internet. (2) risk management and intervention: including "Ironman physician" participating, staff acting as "medical observer", recording medical rescue process information. 3) tracking and summing up after the match; Including the establishment of a contestant, hospital, organizing committee and insurance company liaison mechanism, Medical statistics data archived. At the same time, this paper puts forward the following suggestions for the risk management of medical rescue in the triathlon of the China Railway Association. Multi-culture is professional, Sports targeted medical representatives, ensuring reserve strength of personnel, improving the professional quality of personnel, and strengthening the implementation of policies and systems, Raise the level of attention that the host places attach to the link of medical rescue support. 4) find and seek out "doctor Ironman", organize their participation, and escort the track medical rescue. 5) organize enthusiasts in the off-season events. During the competition, participants were organized to conduct safety education in triathlon.
【学位授予单位】：北京体育大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：G888.1

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