地震灾害后构建医院内部监督应急机制的中文文献分析  

Construction of a Hospital Emergency Mechanism for Internal Supervision after the Earthquake Disaster——From the Perspective of Evidence-based Health Care

作　　者：周瑞敏[1] 周亮[1] 刘华[1] 王有志[1] 

机构地区：[1]四川大学华西医院,成都610041

出　　处：《中国循证医学杂志》2008年第7期489-491,共3页Chinese Journal of Evidence-based Medicine

摘　　要：目的分析医院内部监督应急工作的要求与措施,为地震灾害后医院内部监督应急机制的构建提出思路和建议。方法采用广义循证观、管理学研究方法,通过系统收集中国科技期刊全文数据库(CNKI)和国内主要官方网站信息,并参考汶川地震中的经验性证据,进行描述性分析。结果最终纳入182篇文献。医院内部监督应急机制在突发公共事件的应对中十分重要,该机制应当由事前、事中与事后三部分组成,执行力与资金物资保障是监督的重点,注重联动、明确纪律、规范流程是机制功效发挥的重要环节。结论根据上述研究结果,提出了由预防、反应和恢复三个子机制组成的医院内部监督应急机制的基本框架。Objective To provide evidence for the construction of a hospital emergency mechanism for internal supervision, based on and analysis of demands and the identification of effective measures. Methods The concepts of evidence-based health care and management methods were applied. Through the systematic collection of relevant information from CNKI and other sources, and in the light of empirical evidence following the Wenchuan earthquake, suggestions were presented. Results We identified 182 studies. The hospital emergency mechanism for internal supervision is very important in dealing with unexpected incidents. The implementation, funding and material support are the focus of supervision. Cooperation, discipline, and standardized procedures are the key to an effective mechanism. Condusions It is suggested that the construction of a hospital emergency mechanism for internal supervision should involve prevention, response and recovery.

关 键 词：循证医学 地震灾害 医院内部监督 应急机制 

分 类 号：R197.3[医药卫生—卫生事业管理]