地震灾难救治的医院内医疗资源配置与合理使用
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摘要
目的:探讨地震灾害救援中院内医疗资源合理配置的方法与原则。方法:回顾我们医院在汶川地震救援中医疗资源的配置使用实践。结果:从5月12日～6月30日共接诊伤员37.96万例次,住院21 628例,帐篷手术6057例,住院死亡846例。结论:按伤情分区域分组集中管理、充分提高医药物质使用效率、专职小组平行分工、分级管理、综合救治、突出重点可以充分利用医院地震伤员救治力量,提高救治效率和质量。
Objective:To explore the way of reasonable equipment and use of medical resource in hospital for the remedying work of mass earthquake casualties.Methods:The practices of early medical management in the hospitals of Mianyang after Wenchuan earth-quake were analyzed retrospectively.Results:Basing on the working method of special team and other ways,21628 casualties were hospi-talized up to 30 June,and 6057 operations were completed.But the deficiency of staff and medical materials,especially sterile materials,was serious very much.Conclusion:In hospital,the group management of specially medical team in individual zone and improving utility rate of medical materials are the keys to improve the quality and efficiency of casualty management in hospital after earthquake.
Objective:To explore the way of reasonable equipment and use of medical resource in hospital for the remedying work of mass earthquake casualties.Methods:The practices of early medical management in the hospitals of Mianyang after Wenchuan earth-quake were analyzed retrospectively.Results:Basing on the working method of special team and other ways,21628 casualties were hospi-talized up to 30 June,and 6057 operations were completed.But the deficiency of staff and medical materials,especially sterile materials,was serious very much.Conclusion:In hospital,the group management of specially medical team in individual zone and improving utility rate of medical materials are the keys to improve the quality and efficiency of casualty management in hospital after earthquake.
引文
[1]袁素平,杜光会,杨红,等.汶川地震大批量伤员的救治与管理[J].中国医院管理,2008,28(6):5.
[2]雷百灵,周云,朱颖等.汶川地震绵阳极重灾区医疗救援应急指挥纪实[J].中国循证医学杂志,2008,8(8):1.
[3]代小舟.医院震灾应急管理及实践[J].中华医院管埋杂志,2008,28(6):6.
[4]冯惠坚,李捷玮,陈盛新,等.地震伤救治药品的需求分析[J].药学实践杂志,2003,21(2):100.
[5]Nia MS,Nafissi N,Moharamzad Y.Survey of Bam earthquake sur-vivors'opinions on medical and health systems services[J].Prehosp Disaster Med,2008,23(3):263.
[6]武秀昆.破坏性地震医疗救护应急预案制定要点[J].中华医院管理杂志,2002,18(12):720.
[2]雷百灵,周云,朱颖等.汶川地震绵阳极重灾区医疗救援应急指挥纪实[J].中国循证医学杂志,2008,8(8):1.
[3]代小舟.医院震灾应急管理及实践[J].中华医院管埋杂志,2008,28(6):6.
[4]冯惠坚,李捷玮,陈盛新,等.地震伤救治药品的需求分析[J].药学实践杂志,2003,21(2):100.
[5]Nia MS,Nafissi N,Moharamzad Y.Survey of Bam earthquake sur-vivors'opinions on medical and health systems services[J].Prehosp Disaster Med,2008,23(3):263.
[6]武秀昆.破坏性地震医疗救护应急预案制定要点[J].中华医院管理杂志,2002,18(12):720.
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