摘要
目的了解天津市综合医疗机构在面对批量伤员时应急救治能力与水平。 方法采取制定方案与检查形式、建立评估指标与评估标准、模拟演练等一系列措施的方式,评价28家综合医疗机构在应对批量伤员组织架构、应急响应、事件报告和总结评估等工作中的处置能力。采用描述性统计学方法分析数据。 结果建立应急救治评估体系,包括4个一级指标、19个二级指标和58个三级指标;28家医疗机构应急救治能力总体较高,但也有部分医疗机构存在短板;"组织架构"在4个一级指标中得分率最高,为88.91%,"事件报告"得分率最低,为67.99%;二级指标中,急救专业流程、初次报告等项目得分率较低。 结论为进一步提升医疗机构应急救治能力,应完善医疗机构的应急医疗后备建设,提高相关医务人员急救知识认知程度与急救技能,并强化首次报告时效性与进程报告完整性等工作。
Objective To understand the ability and level of emergency rescue at general hospitals in Tianjin city. Methods Such actions as formulating plans and examination forms, establishing assessment indicators and evaluation criteria, and simulation exercises were performed to evaluate the capacity of 28 general hospitals in terms of their organizational structure, emergency response, event reporting, and summary assessment. Results The emergency response assessment system consisted of 4 level-1 indicators, 19 level-2 indicators and 58 level-3 indicators. 28 hospitals were found high in their overall emergency response capacity, but some were found with setbacks. For example, the " organizational structure" scored the highest in 4 first-level indicators, up to 88.91%, while " incident report" scored the lowest, down to 67.99%. Among level-2 indicators, professional emergency professional procedures and initial reporting scored the lowest. Conclusions In order to further improve the ability of medical institutions to respond to emergency events, the hospitals are recommended to enhance their backup resources for emergency response, their staff′s awareness of first aid knowledge and first aid skills, as well as their timeliness of initial reports and the completeness of progress reports.
作者
王延赏
郝良宸
郭宜鹏
陈喜芸
杜汋
Wang Yanshang;Hao Liangchea;Guo Yipeng;Chen Xiyun;Du Yue(School of Public Health,Tianjin Medical University,Tianjin 300070, China;Emergency Office of Tianjin Health Commission,Tianjin 300070,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2019年第2期163-167,共5页
Chinese Journal of Hospital Administration
基金
天津市科技计划项目(18ZLZXZF00430)
天津市哲学社会科学规划资助项目(TJGL17-030)
天津医科大学大学生创新创业资助计划项目(Ztmuurop2018-29).
关键词
急救医学
应急演练
突发事件
医疗机构
天津市
Emergency medicine
Emergency drills
Emergencies
Medical institutions
Tianjin
