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目的:探讨安徽省公立医院应急救援装备管理对策,提高医疗应急救援水平和能力,推进应急救援体系建设。方法:对安徽省114家二级以上公立医院的应急救援装备配备情况进行问卷调查,调查内容包括医疗应急救援携行装备、急救装备、手术装备、特诊装备、消毒供应装备、检验装备、防疫防护装备、机动卫生装备和其它救治装备的配备情况。结果:8种必须配置的医疗应急救援携行装备和急救装备中,除复苏(抗休克)背囊的配置缺口较多,其他种类的装备在医疗机构中基本可以配备到位;医疗应急救援急救装备、手术装备、特诊装备、消毒供应装备、检验装备、防疫防护装备、机动卫生装备和其它救治装备等视情况选配的装备中,除清创缝合包、导尿包、气管切开包、骨科器械包、电动呼吸机、电动吸引器、多参数监护仪、心电图机、氧气瓶(40L)、监护型急救车、折叠担架、硬式担架这12种能达到半数以上的配置,其余25种装备的平均配备水平不足30%,个别装备如组合式帐篷医疗单元、检水检毒箱均未能达到10%。结论:安徽省公立医院医疗应急救援装备的整体配备种类不全、数量不足,缺乏系统性和配套性,各医疗机构对一般日常使用的常见装备配备相对较好,而对于携行装备、可移动和可折叠类的种类配备相对不足,建议加强信息共享与协调联动,建立统筹布局、分层分级和因地制宜的应急救援装备配备策略。
Objective: To explore the management strategies of emergency rescue equipment in public hospitals in Anhui Province, improve the level and ability of medical emergency rescue and promote the construction of emergency rescue system. Methods: A questionnaire survey was carried out on the emergency rescue equipment in 114 public hospitals above the second class in Anhui Province. The investigation includes medical emergency rescue equipment, first aid equipment, surgical equipment, special equipment, disinfection supply equipment, testing equipment, epidemic prevention Equipments, maneuvering equipment and other treatment equipment. Results: In addition to the configuration gap of the resuscitation (anti-shock) rucksack, the other 8 kinds of medical emergency rescue carrying equipment and first aid equipment that are necessary to be equipped can basically be equipped in the medical institutions; the medical emergency rescue aid equipment, Surgical equipment, special equipment, disinfection and supply of equipment, testing equipment, epidemic prevention and protection equipment, motor and health equipment and other treatment equipment, such as optional equipment, depending on the circumstances, in addition to debridement suture bag, catheterization bag, tracheostomy bag, orthopedic Equipment package, electric breathing machine, electric suction device, multi-parameter monitor, ECG machine, oxygen cylinder (40L), ambulance ambulance, folding stretcher, hard stretcher which can reach more than half of the configuration, the remaining 25 kinds of equipment The average level of equipment is less than 30%, individual equipment such as modular tents medical units, water seized drug checkbox failed to reach 10%. Conclusion: The overall equipment of medical emergency rescue equipment in public hospitals in Anhui Province is not sufficient in type, quantity, lack of systematicness and matching. Each medical institution is relatively well equipped for the common equipment used in daily routine, while for portable equipment, Folding types of the relative lack of equipment, it is recommended to strengthen information sharing and coordination of linkage, the establishment of overall layout, hierarchical classification and according to local conditions, emergency rescue equipment with strategies.