新医改背景下提高急诊综合救治能力建设的探索与成效

发布时间：2018-05-24 20:48

本文选题：急诊医学 + 综合救治能力　；参考：《中国医院》2017年01期

【摘要】：目的:评估新医改背景下复旦大学附属华山医院北院急诊综合救治能力建设的成效。方法:通过创新患者管理制度、规范就诊流程和培养医护人员急救能力等方法强化对急诊综合救治能力建设。以急诊专业医疗质量控制指标(2015版)对急诊综合救治能力进行效果评价。结果:随着急诊患者逐年增加,同期急诊医患比、医护比和患者滞留急诊时间有所下降。与2013年度比较,2015年度急诊STEMI患者平均门球时间明显降低,ROSC成功率显著提高。与2014年度比较,2015年度急危重症患者死亡率显著下降。至2015年底约2/3的急诊医师能独自完成急救操作技能,临床中所有急救工作均由急诊医师团队完成。结论:规范急诊患者管理流程和加强医护人员能力培养能显著提升急诊综合救治能力,提高对急危重症患者的处理水平。
[Abstract]:Objective: to evaluate the effectiveness of comprehensive emergency treatment in North Hospital of Huashan Hospital affiliated to Fudan University under the background of new medical reform. Methods: by innovating the patient management system, standardizing the visiting procedure and training the medical staff's ability of first aid, we should strengthen the construction of the comprehensive emergency treatment ability. The effectiveness of comprehensive emergency treatment was evaluated by the quality control index of emergency medical treatment (2015). Results: with the increase of emergency patients year by year, the ratio of emergency doctors to patients, the ratio of doctors to nurses and the retention time of patients decreased. Compared with 2013, the average gateball time of emergency STEMI patients decreased significantly. Compared with 2014, the mortality rate of critically ill patients decreased significantly in 2015. By the end of 2015, about two thirds of emergency physicians will be able to perform first aid skills alone, and all emergency work will be done by teams of emergency physicians. Conclusion: standardizing the management flow of emergency patients and strengthening the ability training of medical staff can significantly improve the ability of emergency comprehensive treatment and improve the level of treatment for critical patients.
【作者单位】：复旦大学附属华山医院北院;
【基金】：上海市科委科技支撑计划医学重点项目(16411954400) 上海市卫生和计划生育委员会面上项目(201640181) 上海申康医院发展中心临床管理优化项目(SHDC20136012) 上海市医院协会项目(2014010)
【分类号】：R459.7

【相似文献】