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Regulations
2015年02月25日
General office of the national health and family planning commission of hunan hengyang qidong well poor county people's hospital emergency medical event notification
The 2015-02-04 national health and population and family planning commission of the People's Republic of China
Countries who do medical letter [2015] no. 38
Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the xinjiang production and construction corps health bureau:
In August 2014, the hunan hengyang qidong well county people's hospital patients with nosocomial fall on the ground, on-site rescue invalid death, caused the bad social influence. By by commission and health and family planning commission of hunan province joint investigation research, it is lack of hospital first-aid serious incident. Is presently as follows about the briefing:
A basic after, events, and processing conditions
Morning of August 19, 2014, wang mou a (male, 59 years old) with "abdominal distension, bosom frowsty, cough clinic Yu Qi east county people's hospital no family carers (), the cashier suddenly fainted in the process of waiting for payment. Patients fell about 9 minutes, there are two nurses and five doctors arrived at the scene; Patients down about six minutes later, the two doctors in about 3 minutes were carried out for patients with chest compressions, confirm patient inanimate signs, stop the rescue. The hospital medical department report to the police, 110, after police and forensic determine death, at 12 o 'clock 15 points, the body transferred to the morgue.
After the incident, the joint investigation by commission jointly with the health and family planning commission of hunan province, through field investigation that the incident was lack of medical first aid incident, concentrated exposed the hospital the following main problems: one is emergency medical personnel consciousness, a serious shortage of skills, the construction of medical ethics, hospital emergency process chaos, patients will still hasn't been transferred to the emergency department or ward for treatment. Secondly, the construction of hospital emergency department. Emergency department in hospital is remote location, the equipment configuration is simple, and no fixed medical staff personnel rotation) (both by departments, did not play to the functions of the emergency department. Three is corrective actions implementation does not reach the designated position. After the incident, the hospital understanding does not reach the designated position, the rectification work become a mere formality. Basic medical staff rescue knowledge training has not obtained actual effect, hospital equipment stored disorderly, rectification after the formation of the system of regulations, operability is poor.
Through research, qidong well county people's government and its relevant departments decided to qidong well, vice President of the county people's hospital, medical business removed; In the process of the event handling of medical personnel in accordance with the law to give warning until suspended practice 6 months of punishment; Hengyang city health bureau in accordance with the relevant regulations, revoke the order of qidong well county people's hospital level 2 grade a hospital, and the related problems are rectification within a time limit; Hunan health to family sent experts to qidong well county people's hospital for special support, to the hospital emergency consciousness, skills training, evaluation, such as transferring business post for unqualified personnel, without pay learning training; Work on after repeated training is not up to the business personnel, in accordance with the rules given in accordance with the corresponding disciplinary action or dismissal.
Second, the next request
The family planning administrative department of public health and medical institutions at various levels shall draw lessons from this event, the lines, warning, strengthen management, resolutely put an end to such events. For this, put forward the following requirements:
(a) the family planning administrative department of public health at various levels shall supervise medical institutions at all levels, especially in county hospitals, formulate perfect hospital emergency work plan, standardize the procedures of emergency rescue of medical institutions, improve the medical staff emergency rescue skills; Business for emergency power is weak, the employees lack of basic-level hospitals to carry out special support, promote hospital first aid ability in an all-round way.
(2) the family planning administrative department of public health and medical institutions at all levels should be education and guide the staff improve the medical humanities accomplishment, abide by the professional standards and norms, improve the professional ethics, strengthen the humanistic care, close doctor-patient communication, service wholeheartedly for the patient.
(3) combined with the comprehensive reform of public hospitals at the county level comprehensive overall arrangement, strengthen the "sanki steady tightening (basic theories, basic knowledge, basic skills, strict, rigorous attitude, serious attitude) training. By improving the environment, the optimization process, improve quality, safety measures, improve the medical service level, and improve people's hospital.
General office of national health and family planning commission
On January 19, 2015