Shenzhen hospital criticized for using ambulance to send employees out on the streets

by xue94fwsh on 2012-02-25 11:09:12

Zhou Qiang said that after the experience of the Universiade, Shenzhen Internet emergency hospital's response speed has become faster. In 2011, the citywide network hospital set a new record for in-hospital responses, reducing from 57 seconds in 2010 to 51.82 seconds, with a 72% rate of departure within one minute. The speed from when the network hospitals receive emergency instructions and then depart to the scene of the emergency has also increased. Zhou Qiang mentioned that generally within the network range under close distance and smooth traffic conditions, it takes 5-8 minutes to arrive. For longer distances, over 90% can arrive within 8-12 minutes. However, during rush hour when traffic is not smooth, reaching the scene within 12 minutes is also an issue.

The Southern Daily reported (reporter/Xiang Yu Hang, correspondent/Yu Ping Jiang) that yesterday, the Shenzhen pre-hospital emergency and emergency comprehensive assessment situation notification conference was held. I learned from the meeting that after the Universiade, last year Shenzhen’s network hospital set a new record for in-hospital responses, reducing from 57 seconds in 2010 to 51.82 seconds, with a 72% rate of departure within one minute. However, there were instances where hospitals in Luohu and Bao'an districts refused to dispatch vehicles, and one hospital in Longgang even misused an ambulance to send employees out. At the meeting, the Municipal Health Commission commended advanced units and individuals in pre-hospital emergency comprehensive assessments.

Non-compliance with dispatch instructions will result in penalties.

In "120" dispatch management, Zhu Hong introduced that most network hospitals comply with command dispatches. However, last year, one municipal hospital and two district hospitals each had one instance of non-compliance with dispatch orders. One hospital in Longgang misused an ambulance once to send employees out, and 21 network hospitals often have delayed reporting situations with their ambulances. Last year, the city experienced 496 emergencies, among which 162 cases did not report basic situations and casualties to "120" within five minutes.

According to the introduction, 66 ambulances purchased for the Universiade, except for eight left at the Emergency Center as backup, the other 58 ambulances have already been allocated to hospitals above the street level with relatively weak emergency equipment strength. This batch of emergency equipment will further enhance the emergency capabilities of network hospitals above the street level.

Deputy Director of the Shenzhen Emergency Center, Zhou Qiang, introduced that before the Universiade, in order to improve Shenzhen's medical and health emergency rescue capabilities, Shenzhen specially purchased 66 advanced ambulances and a batch of rescue equipment, and also conducted strict emergency training for more than 1,000 medical staff in Shenzhen. Both the emergency hardware and software of Shenzhen have greatly improved, playing a significant role in subsequent rescue work.

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Low scores in hospital emergency operation assessments

More than 50 Universiade emergency vehicles reinforce hospitals

At yesterday's meeting, the Emergency Center announced the comprehensive assessment results. In terms of institutional management, 90% of the hospitals in the city can implement various emergency management systems, with 54 hospitals scoring full marks in pre-hospital institutional management. In terms of personnel allocation, all emergency medical personnel in the city have legal practice qualifications, and the personnel in the emergency departments of municipal and district hospitals are relatively stable. The proportion of in-service medical staff in tertiary general hospitals reaches over 60%. In terms of emergency response, the pre-hospital emergency process assessment link changed this year from theoretical exams to simulated scenarios combined with case studies, making it closer to clinical practice. A total of 68 groups of pre-hospital doctors and nurses were randomly checked for practical operations, with a 100% pass rate and an average score of 78.6 points, lower than other single technical achievements, indicating that the comprehensive flexible application and adaptability of emergency techniques still need improvement.

Zhou Qiang pointed out that for hospitals that do not follow dispatch instructions, the Emergency Center will impose penalties according to relevant regulations. For example, misuse of ambulances will be publicly criticized throughout the city, and accumulated deductions in annual performance reviews may lead to suspension or revocation of the hospital's emergency qualification. Refusal to accept dispatch orders will result in public criticism of the hospital, while individuals who do not go out on calls will be put on unpaid leave. Personnel who fail in the assessment must undergo training within one month. Those who refuse to undergo training will have their personal emergency qualifications revoked. Zhou Qiang stated that the Emergency Center has criticized units and individuals who failed the pre-hospital emergency and emergency department assessments and ordered the unqualified units to rectify within a specified time limit.

To improve emergency medical rescue capabilities and ensure medical safety, the Emergency Center conducted a comprehensive assessment at the end of last year on the pre-hospital emergency service quality of 68 hospitals and the emergency service quality of 75 hospitals in the city, including aspects such as department setup, institutional management, personnel requirements, emergency handling, and emergency techniques.