抗疫实践交流

大型方舱医院医疗管理体系建设实践与探索

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  • 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

  网络出版日期: 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

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  • 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 date: 2022-05-13

  Online 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。

本文引用格式

杨之涛, 景峰, 谢之辉, 张祎博, 尚寒冰, 林靖生, 吴文娟, 顾志冬, 毕宇芳, 陈尔真 . 大型方舱医院医疗管理体系建设实践与探索[J]. 诊断学理论与实践, 2022 , 21(02) : 154 -159 . DOI: 10.16150/j.1671-2870.2022.02.010

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.

参考文献

[1] 杨之涛, 景峰, 吴文娟, 等. 方舱医院建设与运行管理探索[J]. 内科理论与实践, 2022, 17(2):117-122.
[1] Yang ZT, Jing F, Wu WJ, et al. Exploration on construction and operation management of shelter hospital[J]. J Inter Med Concepts & Practice, 2022, 17(2):117-122.
[2] Chen S, Zhang Z, Yang J, et al. Fangcang shelter hospitals: a novel concept for responding to public health emergencies[J]. Lancet, 2020, 395(10232):1305-1314.
[3] 国务院应对新型冠状病毒肺炎疫情联防联控机制综合组. 新冠肺炎方舱医院设置管理规范[R]. 联防联控机制综合组发[2022]22号.
[3] Comprehensive group of the State Council on joint prevention and control mechanism for novel coronavirus pneumonia. Standard for setting and management of COVID-19 shelter hospital[R]. Issued by the comprehensive group of joint prevention and control mechanism[2022]NO.22.
[4] 苏凌璎. 三级综合医院医疗安全核心制度内涵变化与思考[J]. 江苏卫生事业管理, 2019, 30(6):723-725.
[4] Su LY. Changes and Reflections on the connotation of the core system of medical safety in tertiary general hospitals[J]. Jiangsu Healthc Adm, 2019, 30(6):723-725.
[5] 徐娟, 唐艳艳, 潘振宇, 等. 我国三级综合医院医疗质量安全核心制度演化进程[J]. 中国医院管理, 2017, 37(11):37-39,42.
[5] Xu J, Tang YY, Pan ZY, et al. Evolution process of medical quality and safety core system in tertiary general hospitals in China[J]. Chin Hosp Manage, 2017, 37(11):37-39,42.
[6] 国家卫生健康委员会办公厅, 国家中医药管理局办公室. 新型冠状病毒肺炎诊疗方案(试行第九版)[R]. 国卫办医函[2022]71号.
[6] General Office of the National Health Commission, Office of the State Administration of traditional Chinese Medicine. Diagnosis and treatment plan for novel coronavirus pneumonia (trial version 9)[R]. National Health Office medical letter[2022]NO.71.
[7] Neal C, Shuffler M, Pegram R, et al. Enhancing the practice of medicine with embedded multi-disciplinary researchers in a model of change[J]. Healthc (Amst), 2021, 8(Suppl 1):100492.
[8] 上海市病历质量管理质量控制中心. 关于集中隔离治疗场所病历书写要求的通知[R]. 市病历质控[2022]1号.
[8] Shanghai medical record quality management and control center. Notice on the requirements for writing medical records in centralized isolation treatment places[R]. Municipal medical record quality control[2022]NO.1.
[9] 唐思哲, 邵建文, 王锦帆. 新冠肺炎轻症患者诊疗中医患沟通的作用及启示[J]. 中国医学伦理学, 2020, 33(10):1210-1215.
[9] Tang SZ, Shao JW, Wang JF. The role and Enlightenment of TCM patient communication in the diagnosis and treatment of mild COVID-19[J]. Chin Med Ethics, 2020, 33(10):1210-1215.
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