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"Emergency door" party questioned 999 Investigation Report

2015年12月06日

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"Emergency door" party questioned 999 Investigation Report

2015-12-02
Source: Beijing News

 

Recently, the "Southern emergency door," Mr. Zhang microblogging party issued a statement saying 999 Emergency Center deception to force the referral of patients, Wei Beijing Planning Commission has complained to the claimant 999 emergency center.
Two days ago, 999 first response called a referral conform to the principles of patient examination is also compliant. And said that if there is any objection can be resolved through legal channels. 999 emergency center for the declaration, the parties immediately release Mr. Zhang long microblogging respond to a few controversial focus.
In 999 the previous statement, in line with its examination of patients for diagnostic and treatment practices, if Mr. Zhang on the "999" disposal objections, according to the law can be resolved through legal channels. Mr. Zhang said the public response, "I personally do not want to destroy such an organization, in fact, I hope that the public, the relevant departments to thoroughly discuss pre-hospital care, emergency referral especially how to get specification." Zhang told reporters, 999 Emergency Center survey did not ask itself, its that "from the perspective of avoiding conflicts of interest, the findings of itself does not hold." It does not currently considering suing, we will wait for the findings of the city guard Planning Commission.
Focus 1 whether the patient encounter to lift buck?
Dispute: "999", he said in his briefing, to the rescue when he made contact with the patient, and security together will help patients get on the train. But Mr. Zhang said the day before the ambulance came, not received a phone call EMU staff. Secondly, emergency personnel and security jointly Mr. Zhang Fu on the details of the car, Mr. Zhang said, when pain, just remember to help their own security on the bus, do not remember that emergency personnel helped. But it is clear that after emergency personnel arrived, the first to say, "You too heavy, we could not lift move, climb yourself go."
Since then, media reports said, interviewed 999 emergency center staff when to lift issues, which represents a stretcher by "families lift", "we can take the handle"; if the family members of the patient is not around, you should "find a neighbor, security, family members own Think of ways to".
Survey: Reporters call 999 emergency center, its staff said there was no special stretcher workers, only a driver and a doctor, whether to lift the stretcher is subject to availability. "As is the four corners of the stretcher, families may still need a hand."
Staff also said not to lift charges, "is compulsory."
120 emergency center staff said that with or without a stretcher on the ambulance workers, their families require helped lift together, "not every ambulance workers are equipped with a stretcher."
Focus 2 How to choose the referral hospital?
Dispute: 999 emergency center said in response, and ultimately recommended that patients referred to the 999 emergency center received a command center on the day of the reasons 9:59 informed Concord Hospital Medical Service emergency decompression full request for notification. And relevant staff found leading mobile navigation Chaoyang Hospital, Union Hospital of road traffic congestion, and the patient is not accompanied by family members and mobility.
999 emergency center for a response, Zhang believes, Concord Hospital Medical Service 9:59 Notice "full emergency", while the ambulance is two and a half hours later to the airport. Therefore, he questioned, "take more than two hours before the state of the emergency room to determine whether it should be served is inappropriate."
Survey: Beijing Wei Planning Commission, responsible person had said earlier that pre-hospital emergency referral currently not quantified and rigid standards, however, do not hang on the issue of emergency situation does not even exist.
How hospitals communicate with the emergency center in the end? A hospital official says the top three, the hospital will be a corresponding "green channel", but if the emergency bed tense, will communicate with the emergency center telephone in advance, "is to go to another appropriate hospital." He explained that sometimes the emergency communication center will advance the emergency bed if tension.
An emergency expert, told reporters that the situation of traffic congestion may not be able to judge, "but in general, the phone is not used as a reference map will be judged according to the site's traffic in real time."
In addition, the experts said, will encounter some of the top three hospitals beds tight to call emergency communication, whether the case can be referred to other hospitals, but he said, "will certainly consult the wishes of patients and their families." But if the patient insists to which hospital will eventually go to the hospital and hospital emergency communication. "Top three hospital emergency bed is mobility, emergency center to consider the instant case, on the one hand to immediately communicate with the hospital, on the other hand to respect the patient's wishes."
According to the 999 emergency center official website, it has "advanced all-digital intelligent command platform, the computer automatically analyzes the system can automatically select the nearest vehicle and the best travel route, the emergencies scene of the accident site and multi-point, 2 seconds to dozens of cars with multiple cars or the nearest ambulance issue commands. "
Focus 3 "flat level referral" common it?
Dispute: Zhang said, the airport hospital emergency room director clarified that should turn higher hospital. He questioned 999 emergency center and the airport are both dimethyl emergency center, referral generally find a better hospital treatment conditions, to higher level hospitals or hospital, "999 emergency center to understand why his own hospital to hospital peer Airport superiors hospital. "
Survey: According to Beijing is being heard, "Beijing pre-hospital emergency medical services (Draft)", the hospital medical aid institutions should adhere to the first patient responsibility, and shall not refuse to accept the organization of pre-hospital emergency medical transport acute danger, heavy patients.
In addition, the draft states that "due to special circumstances require referral treatment should be judged by the first doctor transit security, and receiving hospital contact, transfer to another hospital emergency medical institutions in the premise of ensuring patient safety."
In this regard, the industry said the aid, if the patient has been diagnosed at a hospital, then, will give priority to communicate with emergency personnel transferred out of the hospital the patient should go to which hospital. He explained that this time, the emergency center bear is "inter-hospital transfer between" the way forward should be possible to ensure that patients vital signs were stable.
MCH Fengtai District of Beijing two hospitals, the relevant person in charge told reporters that "the referral process is rarely the same level referral."
A well-informed source, be sure to go to the same level as the hospital, unless transferred to hospital compared with the roll-out of the hospital in the treatment of similar diseases really have skills.
The official told reporters, will first and higher hospital handover and communication, including the progress of the disease, treatment, etc., "if necessary, will pass directly over a single disease."
In addition, "will communicate referral hospitals and first aid centers, emergency center will take the initiative to ask whether a referral hospital good contact."
In the ambulance will temporarily change the referral hospital? She said that unless the patient or family to which hospital is explicitly requested, "Otherwise, not free to referral."
Focus 4999 and a referral hospital "stakeholders" it
Dispute: Mr. Zhang questioned after a comprehensive variety of conditions, 999 ambulance detour violate the principle of the transfer, "can not help but suspect that they caused due to profit-driven disregard my condition."
999 Emergency responsible person interview when he said that 999 stands for Beijing Red Cross Emergency Rescue Center, Beijing Red Cross is subordinate institutions. The full name of the emergency rescue center, compared with Beijing Red Cross Emergency Rescue Center, is social capital-run hospitals. He said, "Although nearly two away, people completely separate property."
Survey: insiders, compared to the 120 emergency system, so special 999 emergency system is that its owner can conduct hospital emergency medical service center. The 120 emergency system in the 2005 revocation of the business.
Reporters at the official website to see the 999 emergency center, "Beijing Red Cross Emergency Rescue Center" and "Beijing Red Cross Emergency Rescue Center" appear side by side in the upper left corner of the site.
Now Beijing correspondent of legal institutions of credit information network discovery, two of the organizers are "Beijing Red Cross." The purpose and scope of business column, are also clearly stated, "to provide emergency medical services to accident and emergency patients," and so on.
In addition, two units sheet submitted in March this year, "2014 Annual Report." Annual report 2014, including the name, legal representative, organizers, gains and losses and so on. Among them, filling two units per capita is 史翠芳. According to the Central Broadcasting Network reported that Shi Cuifang 2008 once the emergency rescue center dedicated cadre status to win an Olympic women's award.