目的:了解参与“5?12”四川大地震救援医护人员的应急减灾与备灾现状,为促进备灾教育和备灾行为提供参考依据。方法： 用自行设计的调查表,对参加四川大地震医疗救援的223名医护人员及其所在医疗机构的应急减灾与备灾情况等进行调查。结果: 本调查中的全体医护人员所在医疗机构地震发生时均采取了积极的应急减灾处理,成功地履行了医护人员救死扶伤的神圣使命。经历大地震后,95.1%～83.9%医护人员所在医疗机构对急救减灾对策、物资应急供应装备与后勤保障方面的备灾措施进行了加强与完善,但信息畅通的保障与备灾行动的落实方面尚存在不足;85.7%～64.6%医护人员所在医疗机构建立或完善了相关备灾规章制度与指南。结论： 经历“5?12”大地震后,医疗机构在应急救治能力的储备、救援人员的反应力与意识、信息畅通、物资供应保障等方面具有了一定的备灾基础,同时也提示了对于促进备灾教育和备灾行动的落实以及进一步完善相关制度/手册的必要性和迫切性。
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. Conclusions It is suggested that the construction of a hospital emergency mechanism for internal supervision should involve prevention, response and recovery.
After the devastating Wenchuan earthquake, a rapid response with emergency logistic support was the basis for medical rescue. This article describes the timely and scientific measures taken by the Department of Logistics of West China Hospital shortly after the Wenchuan earthquake, based on a series of workflows that were predefined to provide an emergency response for any unexpected events. This logistic workflow may contribute to the emergency response to similar unexpected events in the future.
目的:总结汶川地震损伤院内急救护理的特点,探讨灾害事件中急诊护士蕴藏的救援能力及今后灾害护理学应关注及建设规范的任务及课题。方法:通过对2118例地震损伤伤员的护理救护活动进行分析、总结经验。结果:根据院内救治地震损伤例数数量排前几位的依次分为开放性伤口851例、闭合性伤口809例、多发伤322例、伤口感染86例、气性坏疽32例、肢体离断伤18例、死亡2例。结论:灾害损伤与急救护理密不可分。灾害应急护理是一个需要探索、重视、实践长期建设规划的任务及课题.
Medical records play an important role in medical treatment, prevention, teaching, scientific research and hospital management. The epidemic situation of coronavirus disease 2019 is very serious. How to complete the writing of medical records with high quality and high efficiency under the high-intensity, high-pressure environment of the prevention, diagnosis, and treatment of coronavirus disease 2019 is an important issue for medical quality control management departments. West China Hospital of Sichuan University has adopted various measures to continuously improve the quality management of medical records, including optimizing the medical records of fever clinics and isolation wards, and using various methods of medical record quality management under the support of electronic medical record information systems, so as to improve the writing quality and efficiency of medical records during the diagnosis and treatment of coronavirus disease 2019.
Emergency medical rescue system is an important part of public health and urban security system. Based on the emergency medical rescue practice of" 6·24”sudden high mountain collapse disaster in Diexi town of Mao county, this article mainly analyzes, summarizes and puts forward the countermeasures and suggestions for the emergency medical rescue system, which has been sharpened, explored and established in numerous disasters in Sichuan province.
Objective To explore the impact of hospital staff’s risk perception on their emergency responses, and provide reference for future responses to public health emergencies. Methods Based on participatory observation and in-depth interviews, the staff of the First Affiliated Hospital of Guangzhou Medical University who participated in the prevention and control of the coronavirus disease 2019 from April to September 2020 were selected. The information on risk perception and emergency responses of hospital staff was collected. Results A total of 61 hospital staff were included. The positions of hospital staff were involved including hospital leading group, hospital office, medical department, logistics support department and outpatient isolation area. The interview results showed that both individual and organizational factors of hospital staff would affect the risk perception of hospital staff, thus affecting the emergency responses of hospital staff, mainly reflected in the psychological and behavioral aspects. Among them, their psychological reactions were manifested as more confidence, sensitivity, and sense of responsibility and mission; The behavior aspects was mainly reflected in the initiation time, execution ability, and standardization level of emergency responses actions. Conclusion Therefore, relevant departments should pay attention to the risk perception of hospital staff, improve the risk perception and emergency responses of hospital staff by influencing the individual and organizational factors of hospital staff, so as to respond more effectively to future public health emergencies and reduce the adverse impact of public health emergencies on the work of hospital staff.
总结华西医院门诊部在2008年反“藏独”,“5·12”汶川大地震,保“奥运”期间有效的应急措施。回顾性分析了在突发事件发生时实施应急管理、常规管理双轨运作的对策,探讨用科学发展观加强区域性综合医院门诊部应急能力建设的策略,为日后门诊应急工作的组织和实施提供参考。