Casariego-Vales E, Zapatero-Gaviria A, Elola-Somoza F J
Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, España.
Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
Rev Clin Esp (Barc). 2017 Dec;217(9):526-533. doi: 10.1016/j.rce.2017.06.003. Epub 2017 Jul 19.
The Spanish Society of Internal Medicine has developed a consensus document on the standards and recommendations that they consider essential to the organisation of internal medicine units for conducting their activities efficiently and with high quality. We defined 3 groups of key processes: the care of acutely ill adult patients, the comprehensive care of complex chronic patients and the examination of a patient with a difficult diagnosis and no organ-specific disease. As support processes, we identified the structure and operation of the Internal Medicine units. As strategic processes, we identified training and research. The main subprocesses are structured below, and we established the standards and recommendations for each of them. Lastly, we proposed resulting workloads. The prepared standards must be reviewed within a maximum of 4 years.
西班牙内科医学会制定了一份共识文件，其中包含他们认为对内科科室高效且高质量开展活动至关重要的标准和建议。我们定义了3组关键流程：急重症成年患者的护理、复杂慢性病患者的综合护理以及对诊断困难且无器官特异性疾病患者的检查。作为支持流程，我们确定了内科科室的结构和运作。作为战略流程，我们确定了培训和研究。主要子流程如下所述，我们为每个子流程制定了标准和建议。最后，我们提出了相应的工作量。所制定的标准必须在最多4年内进行审查。
