诊断学理论与实践 ›› 2022, Vol. 21 ›› Issue (02): 154-159.doi: 10.16150/j.1671-2870.2022.02.010

• 抗疫实践交流 • 上一篇    下一篇

大型方舱医院医疗管理体系建设实践与探索

杨之涛1a,1b, 景峰1b, 谢之辉1a, 张祎博1c, 尚寒冰1a,1d, 林靖生1c, 吴文娟2, 顾志冬1d,1f, 毕宇芳1g,1h, 陈尔真   

  1. 1.上海交通大学医学院附属瑞金医院,a. 医务一处;b. 急诊科;c. 医院感染管理科;d. 海南医院;e. 学科规划与大设施管理处;f. 北部院区医疗运营部;g. 内分泌与代谢病科;h. 院长办公室,上海 200025
    2.上海市东方医院南院检验科,上海 200123
  • 收稿日期:2022-05-13 出版日期:2022-05-30 发布日期:2022-04-25
  • 基金资助:
    国家社会科学基金项目(19BGL245)

Practice and Exploration on the construction of medical affairs management system in large Fangcang hospitals

YANG Zhitao1a,1b, CHEN Ying1b, JING Feng1b, XIE Zhihui1a, ZHANG Yibo1c, SHANG Hanbin1a,1d, LIN Jingsheng1c, WU Wenjuan2, GU Zhidong1d,1f, BI Yufang1g,1h, CHEN Erzhen   

  1. 1a. Department of Medical Affairs; 1b. Department of Emergency; 1c. Department of Nosocomial Infections Control; 1d. Hainan Hospital; 1e. Department of Disciplinary Development and Planning; 1f. Department of Medical Operation of North Branch; 1g. Department of Endocrine and Metabolic Disease; 1h. the Dean’s office, of Ruijin hospital, Shanghai Jiaotong University School of Medicine. Shanghai, 200025, China, Shanghai 200025
    2. Department of Laboratory Medicine, Shanghai East Hospital (South Campus), Shanghai 200123, China
  • Received:2022-05-13 Online:2022-05-30 Published:2022-04-25

摘要:

针对大型方舱医院的设施简单、团队临时组建、工作强度大、医疗安全隐患多、应急处置难、医患关系复杂等医疗管理难点,从组建医疗管理团队、制定医疗管理制度和诊疗规范、严格安全防范控制、细化质量控制评价、强化全员培训督查等方面,探索大型方舱医院的医疗管理体系建设,总结实践经验。从强化医疗制度和优化工作流程,以患者安全为核心出发,以质量为目标,来提升医疗质量,发挥大型方舱医院应对新冠疫情突发公共卫生事件的优势。

关键词: 方舱医院, 新冠疫情防控, 医疗管理, 医疗安全

Abstract:

In view of the difficulties, including simple facilities, temporary team formation, high working intensity, medical safety hazards and difficult emergency disposal etc. in medical management when large-scale Fangcang hospitals admitted and treated large quantity of patients during the epidemic period of the COVID-19 Omicron variant. We explored the medical management system of large-scale Fangcang hospital from the aspects of establishing a medical management team, formulating medical management system and disease diagnosis and treatment standards, upgrading the safety precautions and control, refining quality control evaluation and strengthening hospital-wide training and supervision. Aiming at improving the safety and the medical quality as the core goal, strengthening the medical system and optimizing the workflow are optimized via summarized the practical experience, to make large-scale Fangcang hospitals respond well to public health emergencies.

Key words: Fangcang hospital, Medical affairs management, Medical safety

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