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结合鄂州市医疗紧急救援中心(简称为120急救中心)的运作模式,针对鄂州市第二医院首次加入统一的急救网络,急救技术力量薄弱,急救半径大,涉及乡镇医院的转诊服务等特点,在院前急救转运的过程中还得根据患者的病情特点、患者选择就诊医院、各种医疗保险限制的特点,需要转至相关医院救治。这样就存在急救片区交叉,救治转诊医院交错的院前救治局面,在整个急救链接过程中易出现安全隐患和医患纠纷。针对以上情况,鄂州市第二医院急诊科设计了《120院前急救信息登记本》《120院前救治登记本》,通过具体应用体会到登记本记录简单、方便、快捷,内容完整、客观、准确。可在短时间内完成病情分析、治疗措施、相关告知等各种记录要求,充分反映了院前急救工作的环环相扣无缝对接的特点,便于院前院内查询和交接班,便于统计,易于保管,利于质控检查。通过表格记录内容的分析,结合院前救治的效果,可以了解急救小组的急救水平和对疾病的观察分析处置能力。对院前急救的时效性、有效性作出分析,利于提高综合处置能力和规范院前急救的抢救流程,有效的保障了医疗安全。
Combined with the operation mode of Ezhou Medical Emergency Relief Center (referred to as 120 emergency center) for the first time, the Second Hospital of Ezhou joined the unified emergency network, the first aid technology is weak, the radius of emergency rescue is large, involving referral services of township hospitals, Emergency treatment in the hospital before and after the transfer have to be based on the characteristics of the patient’s condition, the patient choose to visit the hospital, a variety of medical insurance limits the characteristics need to go to the relevant hospital for treatment. So there are first-aid area cross, treatment referral hospital interlaced pre-hospital treatment situation, in the entire first aid link prone to security risks and doctor-patient disputes. In response to the above, Ezhou Second Hospital Emergency Department designed a “120 pre-hospital emergency information registration book,” “120 pre-hospital treatment registration book”, through the specific application to register this record is simple, convenient and fast, complete, objective, accurate. In a short period of time to complete the condition analysis, treatment measures, related to inform and other records requirements, fully reflects the pre-hospital emergency work seamlessly connected with the characteristics of the loop to facilitate hospital inquiries and handover, easy to statistics, Easy to store, conducive to quality control checks. Analysis of the contents of the table records, combined with the effect of pre-hospital treatment, emergency rescue team can understand the level of observation and analysis of disease treatment capacity. Analysis of the timeliness and effectiveness of pre-hospital emergency help to improve the comprehensive disposal capacity and standardize the rescue process of pre-hospital emergency, effectively ensuring the medical safety.