应对二孩高峰构建荔湾区重症儿童转诊管理体系

The construction of referral management system for severe children in liwan district to cope with the peak of two children

应对二孩高峰,为了构建荔湾区重症儿童转诊管理体系,通过以下措施:1.建立宏观管理、监督机制:(1)制定辖区重症儿童工作方案,组织开展辖区重症儿童救治工作并进行监督管理;(2)搭建对口的市级重症救治中心、辖区助产和儿科医疗保健机构之间的重症儿童救治工作平台或沟通工作机制。(3)收集、质控和汇总辖区各助产及儿科医疗保健机构报送的重症儿童信息报表及个案资料,并及时报送市妇女儿童医疗中心。2.加强儿科卫生人才队伍建设:(1)培训荔湾区儿科专业技术骨干。(2)开展荔湾区新生儿窒息复苏、儿科高级生命支持技术全员培训工作。(3)组织辖区各助产及儿科医疗保健机构技术服务人员参加重症儿童救治培训,规范紧急救治技术和转运技术,使患儿得到及时有效的救治。并通过管理协调,实行院间联动机制,提高我区重症儿童识别能力和急救反应能力,以减少重症儿童的发病率及转诊率,降低儿童死亡率。

In order to cope with two children peak,Liwan District Maternal and Health Hospital constructed the referral management system for severe children in Liwan District through the steps hereinafter:1.The mechanism of macro management and supervision was established as following measures:(1)We formulated work plans for critically ill children in areas under our jurisdiction,organized and carried out treatment of severely ill children,and conducted supervision and management.(2)Our hospital set up a working platform or communication mechanism for the treatment of severe children between the municipal severe care center,the midwifery in the jurisdiction and the pediatric medical care institutions.(3)We collected quality control and summarize case information of severely ill children what submitted by the midwifery and pediatric health care institutions in the district,and submitted them to the Municipal Women and Children Medical Center in time.2.The construction of pediatric health talent team was strengthened as following measures:(1)Liwan District Maternal and Child Health Hospital trained the professional and technical backbone of pediatrics in areas under our jurisdiction.(2)We carried out training for newborns with asphyxia and pediatric advanced life support technology in Liwan District.(3)We organized the technical service personnel of the midwifery and pediatric health care institutions in the district to participate in the training of severely ill children,standardized emergency treatment techniques and transport technology to make the child get timely and effective treatment.Through management and coordination,the linkage mechanism within the hospital is implemented to improve the identification ability and first-aid responsibility of severe children in our district,so as to reduce the incidence and referral rate of severe children and reduce child mortality.