Discussion on Homogenization of Emergency Clinical Decision

H. Qi, Zhang-shun Shen, Hui Guo, Jian-Guo Li
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Abstract

The objective of this work is to explore how to realize the homogenization of emergency clinical decision, and it means that patients receive the same effect of clinical decisions and the treatment in a different hospital. In order to achieve that, emergency doctors should first have the same clinical thinking and thinking mode which is the biggest challenge for homogenization of emergency clinical decision. The task of emergency medicine is to give priority to the treatment of critically ill patients, so step-down thinking of “excluding life-threatening symptoms first” is the basis, the preemptive thinking is the means, and Process thinking is the key of homogenization; The initial diagnosis and treatment mode of symptom-oriented is the starting point for emergency decision; establishing a unified “checklist” can not only broaden the lateral thinking of emergency doctors, but also unify the thinking of differential diagnosis of emergency; dynamic observation should run through the whole diagnosis and treatment process, which is necessary for the homogenization of emergency decision.
急诊临床决策同质化的探讨
本研究的目的是探讨如何实现急诊临床决策的同质化,即患者在不同的医院获得相同的临床决策和治疗效果。要做到这一点,急诊医生首先要有相同的临床思维和思维模式,这是急诊临床决策同质化的最大挑战。急救医学的任务是优先救治危重病人,“先排除危及生命的症状”的降压思维是基础,先发制人的思维是手段,过程思维是同质化的关键;以症状为导向的初步诊疗模式是应急决策的起点;建立统一的“检查表”,既能拓宽急诊医生的横向思维,又能统一急诊鉴别诊断的思维;动态观察应贯穿于整个诊疗过程,这是应急决策同质化的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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