基于急诊绿色通道多学科治疗团队模式的县域创伤救治体系构建

Establishment of a county-level trauma treatment system based on the multidisciplinary treatment team model of emergency green channel

目的以效率优先为主导,构建急诊绿色通道多学科治疗团队模式的县域创伤救治模式。方法以粤西某县人民医院为例,参考《地市级综合医院创伤中心建设管理专家共识(2020)》,以广东省创伤中心创建方案为蓝本,结合自身优势和特点,因地制宜地以急诊科为依托,建立多学科治疗团队模式的县域创伤中心。结果通过信息化建设,建成双向转诊信息平台及县域医共体三级诊疗体系,提高了救治效率和质量。通过急诊绿色通道多学科治疗团队模式建设,疑难危重收治率及新技术开展例数明显增长。结论以创建省级创伤中心为主导的急诊绿色通道多学科治疗团队模式的县域救治体系构建,可减少创伤患者等待时间,提高诊断速度和治疗效果,促进县域医院医疗技术的提高。

Objective To establish a county-level trauma treatment model,designed to prioritize efficiency and guided by a multidisciplinary approach for emergency green channels.Methods Adhering to the Consensus of Experts on the Construction and Management of Trauma Centers in Municipal Comprehensive Hospitals(2020),and using the trauma center creation plan from Guangdong Province as a reference,we established a county-level trauma center,leveraging its strengths and unique attributes,with the emergency department as its core.Results The application of information technology facilitated the establishment of a two-way referral information platform and a three-tiered diagnosis and treatment system for county medical communities,thereby enhancing the efficiency and quality of healthcare.The implementation of the emergency green channel multidisciplinary treatment team model significantly improved the admission rates for complex and critical cases and increased the utilization of new technologies.Conclusion The development of a county-level emergency treatment system,spearheaded by the establishment of a provincial-level trauma center and a multidisciplinary team model for emergency green channels,can expedite trauma patient care,augment diagnostic efficiency and treatment efficacy,and catalyze advancements in medical technology within county hospitals.