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The organization and operation of the hospital emergency treatment of disaster victims reflect the capacity to carry out general rescue. It is also what the quality construction of a hospital is trying to build up. The writers sum up the rescue experiences their hospital has gone through and suggest that the organization must be completed to do better medical record work for the victims, that the victims should be duly diverted as soon as possible under centralized coordination, and that steps should be taken... The organization and operation of the hospital emergency treatment of disaster victims reflect the capacity to carry out general rescue. It is also what the quality construction of a hospital is trying to build up. The writers sum up the rescue experiences their hospital has gone through and suggest that the organization must be completed to do better medical record work for the victims, that the victims should be duly diverted as soon as possible under centralized coordination, and that steps should be taken to intensify controls all along. 对突发事件大批伤病员院内救治的组织实施,反映医院综合救治能力,是医院质量建设的重要内容。作者总结了1990年以来该院9次重大救治工作经验,认为应着重做好以下工作:①健全组织,完善预案;②统一协调,迅速分流;③采取措施,加强管理。 Objective To establish modern pre-hospital emergency medical service system (EMSS) with the characteristics of the Armed Police Forus.Methods To reform the pre-hospital EMSS of the General Hospital of Armed Police Forces.3-level commanding system wassetup to improve organization;investment in 3 factors was increase to improve equipment,training of staff with 3 circulating links was condncted to promote technical competence,and 3-level quality control was established to strengthen the system.Results The pre-hospital... Objective To establish modern pre-hospital emergency medical service system (EMSS) with the characteristics of the Armed Police Forus.Methods To reform the pre-hospital EMSS of the General Hospital of Armed Police Forces.3-level commanding system wassetup to improve organization;investment in 3 factors was increase to improve equipment,training of staff with 3 circulating links was condncted to promote technical competence,and 3-level quality control was established to strengthen the system.Results The pre-hospital EMSS was set up, which is able to response quickly, reserves considerable competent personnel,extends emergency service from in-hospital to the out-hospital directly Conclusions The ability of coping with unexpected events in Armed Police Forces is increased through the pre-hospital emergency medical service system. 目的 建设具有武警特色的现代化院前急救系统 ,适应处置突发事件卫勤保障的需要。方法 对武警总医院院前急救系统进行改造 :建立三级指挥机构 ,完善组织 ;增加三个要素的经费投入 ,改进装备 ;实行三个环节循环培训人才 ,改进技术 ;制定三级质量监控体系 ,完善制度。做到“组织、装备、技术、制度”四落实。结果 建成了具有快速反应能力、大量人才储备、能将院内急救直接延伸到院前急救的医疗服务体系 ,提出了应进一步加强呼救系统建设、急救知识普及方面的工作。结论 通过加强院前急救系统的医院管理 ,提高了武警总医院处理突发事件卫勤保障能力。 Combining with the work features in both outpatient and emergency, the authors point out that it is important to guarantee the quality of treatment, diagnosis and physical examination of the first- visit patient, critical patient, large number of the injured and ill patients in emergency events and incidents, key healthcare subject and old cadres, foreign patient and privacy outpatient patient. The authors also promote some major measures to enhance the quality control in outpatient and emergency. 结合医院门急诊诊疗工作特点,提出要重点抓好首诊病人、危重病人、突发事件和意外事故中成批伤病员、重点保健对象和老干部、涉外医疗、隐私门诊病人的救治、诊疗质量和健康体检的质量。论述了加强门诊医疗质量管理的主要措施。
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