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[院内应急管理]

[In-hospital emergency management].

作者信息

Jantzen Tanja, Fischer Matthias, Müller Michael P, Seewald Stephan, Wnent Jan, Gräsner Jan-Thorsten

机构信息

Intensive installation service, Mecklenburg-Pomerania.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 Jun;48(6):414-21; quiz 422. doi: 10.1055/s-0033-1349007. Epub 2013 Jul 4.

Abstract

5-10% of in-hospital patients are affected by adverse events, 10% of these requiring CPR. Standardized in-hospital emergency management may improve results, including reduction of mortality, hospital stay and cost. Early warning scores and clinical care outreach teams may help to identify patients at risk and should be combined with standard operation procedure and consented alarm criteria. These teams of doctors and nurses should be called for all in hospital emergencies, providing high-end care and initiate ICU measures at bedside. In combination with standard means of documentation assessment and evaluation--including entry in specific registers--the quality of in-hospital emergency management and patient safety could be improved.

摘要

5%至10%的住院患者会受到不良事件的影响,其中10%需要进行心肺复苏。标准化的院内急救管理可能会改善治疗结果,包括降低死亡率、缩短住院时间和降低成本。早期预警评分和临床护理外展团队可能有助于识别高危患者,应将其与标准操作程序和商定的警报标准相结合。对于所有院内紧急情况,都应召集这些由医生和护士组成的团队,提供高端护理并在床边启动重症监护措施。结合标准的文件记录评估和评价方法——包括录入特定登记册——可以提高院内急救管理的质量和患者安全。

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