20 hospitals in Beijing will implement emergency classification from May 1 to ensure the life safety of patients to the greatest extent.
In order to ensure that critically ill patients can receive timely priority treatment, the reporter learned from the Beijing Municipal Hospital Administration that from May 1, 2019, 20 Beijing-owned hospitals providing emergency services will uniformly implement emergency pre-examination and triage ("emergency classification").
According to the former Ministry of Health’s Guide to the Construction and Management of Emergency Department (Trial) (Wei Yi Zheng Fa [2009] No.50) and the national health industry standard "Standardized Process of Hospital Emergency Department" (WS/T390-2012), it is clearly put forward that "emergency departments should formulate and strictly implement triage procedures and triage principles": patients should be divided into "endangered, critical, emergency and non-emergency" 1.
Level 1 patients are in critical condition and may be life-threatening at any time, and immediately enter the resuscitation room or rescue room for rescue. Such as cardiac arrest, shock, definite myocardial infarction, status epilepticus, body temperature > 41℃, systolic blood pressure < 70mmHg, blood sugar < 3.33mmol/L, etc.
Grade 2 patients are critically ill or rapidly deteriorating and life-threatening, and enter the rescue room for treatment within 10 minutes. Such as severe dyspnea, lethargy, acute stroke, ECG suggesting acute myocardial infarction, active or severe blood loss, etc.
Grade 3 patients are in an urgent condition and have potential life threats, and priority is given to diagnosis and treatment before grade 4 non-emergency patients. Such as acute asthma, foreign body inhalation, dysphagia, persistent vomiting, chest and abdominal pain, mild and moderate trauma, mild and moderate bleeding, etc.
Grade 4 patients are non-emergency, and the degree of illness is average. According to the guidelines, the waiting time is longer. Such as mild pain without dangerous features, minor abrasions without suture, follow-up visit of patients in stable recovery period, and only issuing medical certificates.
How to achieve scientific classification and give consideration to fairness and safety? According to reports, first of all, the emergency departments of all hospitals have arranged experienced personnel to engage in emergency pre-examination and triage, and organized all medical staff related to emergency to conduct special training for all staff; Secondly, the most important basis for grading is the collection of patients’ vital signs by professional instruments, including heart rate, blood pressure, blood oxygen saturation, etc., and the medical staff will combine the patient’s medical history, symptoms and signs to make the final scientific grading and subordinate to the specialty; Third, professionals monitor the condition of patients in the waiting area. For Grade 3 and Grade 4 patients, when waiting in the waiting area, there will be specialized medical personnel to patrol regularly to dynamically evaluate the condition and potential risks of the patients waiting for treatment, and they can be graded again according to the latest evaluation to ensure the safety of patients. If the patient has sudden discomfort, please inform the medical staff in time so as to take corresponding medical care measures in time.
20 municipal hospitals providing emergency services:
1. Beijing Friendship Hospital affiliated to Capital Medical University
2. Beijing Tongren Hospital affiliated to Capital Medical University
3. Beijing Chaoyang Hospital affiliated to Capital Medical University
4. beijing jishuitan hospital
5. Beijing Tiantan Hospital affiliated to Capital Medical University
6. Beijing anzhen hospital affiliated to Capital Medical University.
7. Beijing Millennium Monument Hospital affiliated to Capital Medical University
8. xuanwu hospital of Capital Medical University
9. Tsinghua Chang Gung Memorial Hospital.
10. Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University
11. Beijing Children’s Hospital affiliated to Capital Medical University
12. Children’s Hospital Affiliated to Capital Institute of Pediatrics
13. Beijing Maternity Hospital affiliated to Capital Medical University
14. Beijing Chest Hospital affiliated to Capital Medical University
15. Beijing Stomatological Hospital affiliated to Capital Medical University
16. Beijing You ‘an Hospital affiliated to Capital Medical University
17. beijing ditan hospital affiliated to Capital Medical University.
18. Beijing Anding Hospital affiliated to Capital Medical University
19. Beijing huilongguan hospital
20. Beijing Geriatric Hospital