三级公立医院高质量发展背景下急危重症医学中心建设及其对护理的启发

Construction of emergency and intensive care unit medicine centers in the context of high-quality development of tertiary public hospitals and its inspiration for nursing

随着我国公立医院高质量发展的推进,急危重症医学中心建设成为现阶段国家医疗卫生体制改革的重要举措。本文回顾了我国急危重症医学的发展历程及研究热点,总结学科发展中所面临的问题,以北京世纪坛医院为例阐述了急危重症医学中心的建设内容和要点,整体布局了清晰的医院急危重症救治能力全面发展战略规划,充分联动急救“八大中心”,整合医院内部急危重症医学资源,互联互通平台信息,全流程打通急危重症患者救治多个环节,形成基础夯实的网格化急危重症医疗体系。为顺应急危重症医学的发展形势,将建设专业科学研究平台作为急危重症医学中心实现可持续发展的不竭动力,逐步规范急危重症医学人才核心技术培训体系,持续构建实时、高效、同质化的急危重症监测预警系统。期望未来在全国推广建设更多高水平的急危重症医学中心,以全面提升急危重症患者的救治水平,为急危重症患者提供安全、高效和个性化的医疗护理服务。

With the advancement of high-quality development in public hospitals in China,the construction of emergency and intensive care unit medicine centers has become an important measure in the current national healthcare system reform.Our manuscript reviews the development process and research hotspots in emergency and intensive care medicine in China,summarizes the problems faced in discipline development,and illustrates the construction content and key elements of emergency and intensive care unit medicine centers using Beijing Shijitan Hospital I as a case study.It emphasizes the comprehensive development strategic planning of the hospital's emergency and intensive care medicine capacity with a clear layout,the seamless coordination with the"Eight Major Emergency Centers",the integration of emergency and intensive care unit medicine resources within the hospital,the interconnection of platform information,and the integration of multiple stages of treatment for critically ill patients,forming a robust and grid-based emergency and intensive care medical system.To adapt to the development of emergency and intensive care medicine,the establishment of specialized scientific research platforms serves as an inexhaustible driving force for the sustainable development of emergency and intensive care unit medicine centers,and we gradually standardize the core technical training system for emergency and intensive care medicine personnel and continuously develop a real-time,efficient,and homogeneous emergency and intensive care monitoring and early warning system.In the future,more high-level emergency and intensive care unit medicine centers will be promoted nationwide,comprehensively improving the level of treatment for critically ill patients and providing safe,efficient,and personalized medical and nursing services for them.