The medical organization of Shanghai improves the service: The emergency call of Xinhua hospital is graded It is urgent to solve disease

The medical organization of Shanghai improves the service: The emergency call of Xinhua hospital is graded It is urgent to solve disease
Author: Sun Gang
A few days ago, the citizens in Shanghai explained the gentleman felt the discomfort uncomfortable in chest, went to Shanghai Communications University medical college subsidiary Xinhua hospital to register for the emergency call. After grading the emergency call, the appeal correlated to emergency call of the hospital is reduced by a wide margin, the serious medical incident incidence has lowered 70% suddenly. An investigation revealed a few days ago, 85% of the patients expressed to the critical preferential hierarchical mode of emergency call that " agreed " Or would " like to cooperate " .
A few days ago, the citizens in Shanghai explained the gentleman felt the discomfort uncomfortable in chest, went to Shanghai Communications University medical college subsidiary Xinhua hospital to register for the emergency call. Though has already been 11 o'clock at night, still very " lively " among the emergency call ,On nurse's working bench" Have pressed " More than forty case history one waitings. While waiting, the ones that explain to the gentleman uncomfortable in chest are more and more serious. The nurse will have an electro-cardiogram for him at once, will find that pursues to have section ST to raise, it is an acute heart stem symptom. Explain to gentlemen and is classified as immediately " Have priority " ,Pull through through rescuing.
Do not see the emergency call just " Come to see first first " ,But grade according to the disease situation, the critical one is treated preferably. Xinhua hospital takes the lead in exploring in Shanghai " The emergency call is graded " The mode of making a diagnosis newly, has reduced the great medical incident incidence caused because waiting time passes long by a wide margin, having raised the efficiency of making a diagnosis and giving treatment of the ordinary emergency call at the same time, " the emergency call is difficult " Relieve tentatively.
Xinhua hospital is located loud Yangpu, emergency call quantity had ranked first in the whole city for many years, topped 250,000 persons last year, it is estimated that will also increase sharply by 40% this year. But according to the analysis, among them it is a condition " non- urgent " to analogous to the proportion Patient. Serious disease little disease crowd in emergency ward standing in a long queue, make some really " anxious " Critical patient delay treatment.
It is extremely urgent to change the emergency call mode. Studied and weigh repeatedly, Xinhua hospital tries to introduce and implement the hierarchical system for many years in America and Europe, divide emergency case into 5 grades: 1 2 park suddenly for heartbeat, go into a coma, serious wound, serious patient, person who ache, have difficulty in breathing of chest, send and rescue the room directly; 3 grades and 4 grades of general emergency calls of aching to suffer from diarrhoea for cold and fever, belly etc., 5 grades are patients of less than emergency call indication, make a diagnosis and give treatment according to the common mode. Emergency call doctor's corresponding positioning adjustment too, 1/5 are rescuing the room " ready for battle " ,Adhoc high the intersection of age and service seniority and expert meet can examine condition, can lay, grade difficult patient that distinguishing, other main force gather to handle the ordinary emergency call.
New measure put out at the beginning of, used to " following the prescribed order " A lot patients lining up do not suit, even there are many noisy people. But the patient has accepted gradually this kind of emergency call is new " The view " ,Because of the hierarchical standard positively " Objective and fair" : In the preexamination platform, advanced multi-function guards the appearance and examines blood pressure, pulse, heart rate, especially blood and oxygen saturation lever (a kind of index with dyspneal assessment, it is critical to lower than 90%) Wait for the physical sign of the life, these data combine patient's private prosecution symptom, basically very accurate science judges the condition. Assign, it examines nurses to be on duty to train through a special one, guard constantly, condition change when patient wait for, monitor physical sign again immediately, adjust the rank.
After grading the emergency call, the appeal correlated to emergency call of the hospital is reduced by a wide margin, the serious medical incident incidence has lowered 70% suddenly. Grade clear, all consulting room doctor each performs its own functions, made a diagnosis efficiency has been raised much tooed, unit period handle ordinary the intersection of emergency call and case, count, rise by nearly 50%. In order to step forward " Raise speed " ,Inspection that blood routine, electrocardiogram,etc. want the doctor to connect carried on after examining first and then originally, also can get to in advance and make first while waiting, further shorten and go to a doctor for time entirely.
An investigation revealed a few days ago, 85% of the patients expressed to the critical preferential hierarchical mode of emergency call that " agreed " Or would " like to cooperate " . The relevant persons in charge of Xinhua hospital say, in order to further improve the patient's support degree, hygiene administrative department trust medical association and nurses association while being necessary, make the unified hierarchical standard and combine announcement jointly, doctors and patients make joint efforts, let the emergency call grade this one and give consideration to efficiency and fair making a diagnosis the new mode is popularized in more hospitals.
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