{"title":"[中国危重病医学能力建设与推进指南(2025年版)]。","authors":"","doi":"10.3760/cma.j.cn112137-20250404-00829","DOIUrl":null,"url":null,"abstract":"<p><p>Critical care medicine (CCM) is a clinical discipline that focuses on the pathological mechanisms and comprehensive treatment of critically ill patients. The intensive care unit (ICU), as the clinical base of CCM, is responsible for implementing comprehensive management of critically ill patients throughout their entire care cycle, encompassing a series of integrated measures ranging from early warning to rehabilitation. Driven by national policy, the discipline achieved rapid advancement. In 2024, the National Health Commission and seven other ministries jointly issued the \"Framework on Strengthening Critical Care Medical Service Capabilities\", marking the discipline's entry into a high-quality development phase. Accordingly, the Chinese Society of Critical Care Medicine (CSCCM) formulated the\"Guidelines for the capacity building and advancement of critical care medicine in China (2025 edition)\". The guidelines focus on key aspects of discipline construction and development, covering nine areas: ICU infrastructure planning, professional staffing and technical competencies, equipment standardization, quality management, continuing education, scientific research, emergency preparedness, and service model innovation. The Recommendation development process involved initiation, literature retrieval and screening, and the synthesis of medical evidence to establish preliminary recommendations. These recommendations underwent multiple rounds of expert review, including correspondence review, remote and in-person meetings, revisions, and voting by the CSCCM Standing Committee, ultimately leading to the final version. The recommendations apply to ICUs in secondary and tertiary healthcare institutions and serve as a scientific framework for discipline planning, construction, and management, aiming to enhance the quality of critical care services.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 33","pages":"2831-2845"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Guidelines for the capacity building and advancement of critical care medicine in China (2025 edition)].\",\"authors\":\"\",\"doi\":\"10.3760/cma.j.cn112137-20250404-00829\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Critical care medicine (CCM) is a clinical discipline that focuses on the pathological mechanisms and comprehensive treatment of critically ill patients. The intensive care unit (ICU), as the clinical base of CCM, is responsible for implementing comprehensive management of critically ill patients throughout their entire care cycle, encompassing a series of integrated measures ranging from early warning to rehabilitation. Driven by national policy, the discipline achieved rapid advancement. In 2024, the National Health Commission and seven other ministries jointly issued the \\\"Framework on Strengthening Critical Care Medical Service Capabilities\\\", marking the discipline's entry into a high-quality development phase. Accordingly, the Chinese Society of Critical Care Medicine (CSCCM) formulated the\\\"Guidelines for the capacity building and advancement of critical care medicine in China (2025 edition)\\\". 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引用次数: 0
摘要
危重医学(Critical care medicine, CCM)是一门研究危重患者病理机制和综合治疗的临床学科。重症监护病房(ICU)作为CCM的临床基地,负责对危重患者实施整个护理周期的综合管理,包括从早期预警到康复的一系列综合措施。在国家政策的推动下,这门学科得到了快速发展。2024年,国家卫健委等七部委联合印发《重症医学服务能力建设框架》,标志着重症医学进入高质量发展阶段。为此,中国危重医学学会制定了《中国危重医学能力建设与进步指南(2025年版)》。《指导意见》聚焦学科建设和发展的重点,涵盖ICU基础设施规划、专业人员配备和技术能力、设备标准化、质量管理、继续教育、科学研究、应急准备和服务模式创新等9个领域。《建议》的制定过程涉及启动、文献检索和筛选以及综合医学证据以确定初步建议。这些建议经过了多轮专家审查,包括信函审查、远程和面对面会议、修订和CSCCM常务委员会投票,最终形成了最终版本。这些建议适用于二级和三级医疗机构重症监护室,为学科规划、建设和管理提供了科学的框架,旨在提高重症监护服务质量。
[Guidelines for the capacity building and advancement of critical care medicine in China (2025 edition)].
Critical care medicine (CCM) is a clinical discipline that focuses on the pathological mechanisms and comprehensive treatment of critically ill patients. The intensive care unit (ICU), as the clinical base of CCM, is responsible for implementing comprehensive management of critically ill patients throughout their entire care cycle, encompassing a series of integrated measures ranging from early warning to rehabilitation. Driven by national policy, the discipline achieved rapid advancement. In 2024, the National Health Commission and seven other ministries jointly issued the "Framework on Strengthening Critical Care Medical Service Capabilities", marking the discipline's entry into a high-quality development phase. Accordingly, the Chinese Society of Critical Care Medicine (CSCCM) formulated the"Guidelines for the capacity building and advancement of critical care medicine in China (2025 edition)". The guidelines focus on key aspects of discipline construction and development, covering nine areas: ICU infrastructure planning, professional staffing and technical competencies, equipment standardization, quality management, continuing education, scientific research, emergency preparedness, and service model innovation. The Recommendation development process involved initiation, literature retrieval and screening, and the synthesis of medical evidence to establish preliminary recommendations. These recommendations underwent multiple rounds of expert review, including correspondence review, remote and in-person meetings, revisions, and voting by the CSCCM Standing Committee, ultimately leading to the final version. The recommendations apply to ICUs in secondary and tertiary healthcare institutions and serve as a scientific framework for discipline planning, construction, and management, aiming to enhance the quality of critical care services.