Henan: The hospital must reserve 7 berths to the emergency call patient

Henan: The hospital must reserve 7 berths to the emergency call patient
Henan: The hospital must reserve 7 berths to the emergency call patient
Henan: The hospital must reserve 7 berths to the emergency call patient
Business reporter Zheng XiaoQian checks the blood routine, must publish the result in half an hour; Go to register, the patient be unable to exceed 10 minutes while lining up for time These hard and fast rules, but our province implements " ten major indexes " to the tertiary hospital A part examined. Vice Chief of province department of public health Xia ZuChang says, the difficult problem of solving ordinary people and seeing the doctor, the management of the hospital must advance side by side, complement each other with medical reform. Index finish finely to chase yesterday such as responsibility, department of public health announce the whole province tertiary the intersection of hospital and macroscopic supervise " the ten indexes " ,And detailed to turn 118 indexes index, require the hospital to appear in the newspaper per month. For example, " economical operation is scientific and normal in the hospital " The goal, detailed to turn into every clinic person make a diagnosis expense, every one hundred prescriptions use 9 indexes such as the proportion against fungus medicine. Moreover, all tertiary hospitals will be 15 days ago, will sign the liability statement of the goal, every president is persons liable of targets, guarantee the implementation of the goal. The department of public health will examine the implementation situation of every hospital, and the announcement on the media, accept the social supervision. Examine once every half a year in principle, advanced unit will give commendation, the unit that and immature index, question are outstanding will be chased the responsibility. It is attacked in 93% of the cold wave of these two days of current situation that the rate of utilization of the berth was controlled, the patient in hospital increased much too. In the inpatient area of internal medicine department of a tertiary hospital, live in in the ward fully, and two platoon adds the bed to put from the east to the west all the time in the corridor, even port of the lift has been laid out the bed. Can not " manage " ,The head nurse of this inpatient area says, these a lot of patients are still lining up to be in hospital. The medical insurance of another tertiary hospital is done to a director and introduced, the rate of utilization of the berth has been above 120% all the time during these years that their hospital is in hospital, up to 130% especially last year, medical resource jitterses, " some patients made an appointment for more than one week House of Lords lived, can only live in the corridor " . As far as he know, every large hospital inside the province is in hospital the rate of utilization of the berth exceeds 100%. The goal is this time, item one of ten major indexes which the department of public health makes, require the berth to set up the scale, utilize science to be rational, propose controlling the berth scale strictly, guarantee medical quality, ensure the medical security. Propose clearly, the rate of utilization of the berth is controlled in 93%. Xia ZuChang says, the sick bed is nervous, the demand that the origin can't totally meet ordinary people to see the doctor in existing medical resources yet, but does not get rid of the specific hospital for benefit either inside, lengthen patients' hospital stays artificially. According to the regulation, the hospital berth must check and approve to set up by health authorities, but the phenomenon that some hospitals add the bed without authorization exists now, the bed is added more and more much, but the berth is more and more in short. In this way, the patient can not enjoy the good service, leave very great potential safety hazard too. The department of public health of the province cures the policy Tian Chang, division chief of beautifully and says, 7% left, are used mainly for arranging the emergency case. The patient does not exceed 15 days averagely in hospital Current situation citizens often live in the hospital red, can wait for one week, has not confirmed the time of operation yet, too anxious to control oneself. Xia ZuChang says, this is not a individual case, some hospitals call the berth on one hand in shortly, on the other hand, do not arrange patient's operation in time, or does not let the patient leave hospital in time. The goal if it is this kind of current situation, how does the hospital finish 93% of this unalterable quotas? Tian Chang is beautiful says, the most basic one is to shorten patients' average hospital stays and improve the number of times of berth turnover. As to this, Xia ZuChang has given one example, the patient of a hospital of Beijing is the shortest in the whole country in average hospital stays, only 8.6 days, if a tertiary hospital of our province, the patient can drop to 8.6 days from 12 all over the world in hospital stays on average, the turnover rate of that berth can be improved by more than 30%, needn't add the field, apparatus newly, all beneficial to the hospital, patient. This ten major indexes are clear, the tertiary general hospital chooses date for operation hospital stays can't exceed 3 days on average before patient's skill, patient hospital stays can exceed 15 days on average. At two berth current situations and 13 o'clock yesterday that a nurse is the most multicell, head nurse Luo Min (assumed name) in a neonatal inpatient area of tertiary hospital Though should come off duty an hour ago, ran in the corridor back and forth hurriedly. "Have no way, a serious disease infant comes again. " Luo Min at this moment, so hard that can not be said out. The paediatric ward of another hospital, there are dozens of berths, there are only 6 nurses, attend to a critical infant for 24 hours, while guaranteeing normal work, sending a manuscript to the compositor the class, has worked day and night for one week, and such a thing often happens. Goal prosperous to say well-known doctor no doubt important, but all healing solutions need nurse come on, implement grandfather have summer. In the goal, the proportion stipulating the tertiary hospital ward opens berth and ward nurse should be greater than equalling by 2: 1,Namely 2 most multicell berth of a nurse, as to ICU, it must be three nurses and a berth of tube. The goal proposes, ordinary clinic, the proportion of doctor with the above high professional title should be more than 60%, packs of high doctor of professional title the above produce ordinary clinic every year proportion take 50% greater than. It be unable to exceed 10 minutes to line up to get it filled Current situation yet 8 o'clock yet in yesterday, Henan college of traditional Chinese medicine first several of affiliated hospital register, arrange blow team already in front of the window. The reporter knows, line up in order to shunt patients, many hospitals have all carried out the measure of paying dues hierarchically etc.. The People's Hospital of Henan Province is at the end of 2007, the information-based system of the clinic of coming into operation, the patient holds a card, can go to a doctor, check, get it filled directly. The goal goal get out of clearly, in the clinic serve, the window waiting time of service of registering, rowing prices, charging, fetching medicines etc. can't exceed 10 minutes. And the hospital should offer test of urgent rash of 24 hours service, routine inspection, electrocardiogram, image routine inspection project such as the blood, urine, appearing for time of fruiting can't exceed 30 minutes, biochemistry, blood coagulation, immunity,etc. can't exceed 6 hours to provide the time of fruiting to examine the project, bacteriology can't exceed 4 days while examining the project. Tian ChangJun emphasizes, all checks the time of project and begins to count from checking. Such as Ultrasonography B, refer to patients from lying on checking the bed to get the time of the result in 30 minutes. It is said that 45% of the current situation fields of not ultra gross income medicines incomes are often beautiful, each tertiary hospital of our province, can basically be carried out in the control of hospitalization cost at the request of Ministry of Public Health, department of public health, for this reason, the intersection of our province and the intersection of clinic and per capita expenses, per capita expense lower than the average national level in hospital. But beautiful to say, turn on antibiotic phenomenon, stop yet while being excessive Chang Tian. He has cited a group of data, the first in the world of consumption of raw materials of antibiotic of our country, 80% ordinary the intersection of clinic and prescription have antimicrobial, national children hearing deformity 30% because of unreasonable to use Antibiotic. As for the reason, Tian Chang is beautiful says, one may be that some doctors do not really know how to use medicine rationally, but more key or the interests are driven, do some requirements have high title? Pay � and pat and rue ��'s bucktooth bag ���ס� to cut off from and entangle �� completely to print in iridium �� steps? The new medical reform of the goal proposes changing the current situation that the hospital raises medicine with medicine directly too, this time, the goal proposes clearly, the tertiary medicines income of general hospital can't exceed 45% to take the proportion of the gross income, the basic medicine system, in two, tertiary hospitals of using proportions, Ministry of Public Health is surveying and studying, after appearing on the stage in system, every hospital should carry out strictly. In addition, the goal also stipulates, medical worker's income distribution, can't tie to medical service income, forbid evolution to deduct a percentage. Guarantee the current situation of patient's right of being in know has already smallly and quickly input water for three days in the emergency call of a hospital because of having a fever, can know what disease oneself gets. It is reported, a lot of doctors and patients' disputes, all doctors and patients do not have unblocked communicative channel for the cause. The special regulation of this goal of the goal, ones that should respect and safeguard the patient are in the know to agree to right, right of privacy and right to choose. And use special treatment to the patient, the telling rate must be up to 100%. As to this, the department of public health still fixes the unalterable quota, it must be zero that the tertiary hospital bears the first class malpractice above ultimate liability and counts within the year.



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