University of Michigan, Ann Arbor, 48109-5429, USA.
Ann Intern Med. 2011 Sep 6;155(5):323-4. doi: 10.7326/0003-4819-155-5-201109060-00010.
When established ward patients are unexpectedly transferred to an intensive care unit (ICU), the ward team should continue to follow them. Although there may be reasons not to do so, the advantages outweigh the obstacles. Great pedagogic value can be gained from following patients after acute decompensation, but a more important reason is that by following patients into the ICU, the ward team can enact for both patients and their families the twin virtues of caring and continuity. Doing so also demonstrates the highest ideals of medicine-that we are focused not on defined areas of turf, but on our patient's well-being. It shows that we are not merely doing narrowly defined "shift work," but that we truly care about our patients. Rounding on established patients who have been transferred into the ICU is the sort of behavior that undergirds the fundamental bases of professionalism. It takes a few minutes from a busy day, but it can be incredibly beneficial for families, patients, and the ideals of medicine.
当已在病房住院的患者被意外转至重症监护病房（ICU）时，病房团队应继续对其进行跟进。尽管可能存在不这样做的理由，但这样做的好处超过了障碍。从急性失代偿期后跟进患者中可以获得巨大的教学价值，但更重要的原因是，通过将患者转入 ICU 进行跟进，病房团队可以向患者及其家属展示关爱和连续性这两个双重美德。这样做也体现了医学的最高理想——我们不仅关注明确的管辖领域，更关注患者的福祉。这表明我们不仅仅是在做狭义的“轮班工作”，而是真正关心我们的患者。对转入 ICU 的已确诊患者进行查房是支撑专业精神的基本基础的行为。这只需要从忙碌的一天中抽出几分钟的时间，但对家属、患者和医学理想都有巨大的好处。
