在循证管理的指导下建立急诊医学科疑难病房的探索  

Under the guidance of evidence-based management,the exploration of emergency and difficult disease ward is established

作　　者：周阳[1] 柴湘平[1] 张宏亮[1] 向旭东[1] 

机构地区：[1]中南大学急诊医学及疑难疾病研究所、中南大学湘雅二医院急诊医学科,长沙410011

出　　处：《中国医师杂志》2018年第2期174-176,179,共4页Journal of Chinese Physician

摘　　要：中南大学湘雅二医院急诊医学科自2013年起尝试建立急诊疑难病房,专门收治诊断不清或者涉及多个学科的疑难复杂患者,经过四年的运行,取得了理想的效果,相关资料如下。(1)建立急诊疑难病房的必要性:急诊科抢救任务重,而疑难疾病的患者在急诊科滞留时间长,既影响了床位的正常周转,也加重了患者的经济负担。(2)建立急诊疑难病房的可行性:患者有需求,在医院的支持下,本科有能力把这件事做好。(3)建立急诊疑难病房的实践探索:我们界定了疑难病人的收治标准,同时建立了疑难病人的诊治流程。(4)急诊疑难病房4年来的初步成绩:①疑难病患者得到有效处置。②疑难病诊治水平得到提高。③科研能力得到了有效提升。Department of Emergency Medicine, The Second Xiangya Hospital of Central South University tried to establish the emergency and difficult disease ward since 2013, which specially treated patients with difficult complex involving multiple disciplines. After four years of operation, we obtained the ideal effects. The related information is as follows. ⑴ The necessity to establish the emergency and difficult disease ward： The necessity of the emergency rescue task is heavy, and difficult disease patients in the emergency department retention time is long, affects both the normal turnover of beds, also increased the economic burden of patients. ⑵ The feasibility to establish the emergency and difficult disease ward： The patient has the needs, and with the support of our hospital, we have the ability to do it well. ⑶ The exploration to establish the emergency and diffict disease ward： we defined the standard of treatment for patients with difficult problems, and established the diagnosis and treatment procedures of patients with difficult problems. ⑷ The results to establish the emergency and difficult ward： ① In four years, patients with difficult diseases are effectively disposed of. ② The levels of diagnosis and treatment of difficult diseases have been improved. ③ Scientific research ability has been effectively improved.

关 键 词：循证医学 急诊室 医院/组织与管理 

分 类 号：R197.32[医药卫生—卫生事业管理]