CAJ | 학술논문

目的对广东省95家医院申报的医用高压氧治疗技术进行临床应用能力审核及分级.方法采用回顾性调查法和专家审核法.结果 95家医院中能力达到A级3家、B级37家、C级52家、D级3家.主要存在医疗文书记录不全、版本不统一、材料提交不完整;从业人员培训、设备及技术管理不完善;基层医院高压氧技术临床应用能力普遍较低等问题.结论健全高压氧治疗技术和设备安全管理制度;制定我省医用高压氧临床诊疗指南、统一技术操作规程及医疗文书模板是保障医疗质量的关键;基层从业医务人员定期参加技术培训、行业学会及审核专家传帮扶带是规范、提高该技术临床应用的有效举措;完整填写和提交申请内容与材料是技术审、等级/能力评估的基础.
목적 대광동성95가의원신보적의용고압양치료기술진행림상응용능력심핵급분급.방법 채용회고성조사법화전가심핵법.결과 95가의원중능력체도A급3가、B급37가、C급52가、D급3가.주요존재의료문서기록불전、판본불통일、재료제교불완정;종업인원배훈、설비급기술관리불완선;기층의원고압양기술림상응용능력보편교저등문제.결론 건전고압양치료기술화설비안전관리제도;제정아성의용고압양림상진료지남、통일기술조작규정급의료문서모판시보장의료질량적관건;기층종업의무인원정기삼가기술배훈、행업학회급심핵전가전방부대시규범、제고해기술림상응용적유효거조;완정전사화제교신청내용여재료시기술심、등급/능력평고적기출.
Objective To review and evaluate clinical ability and degrading of hyperbaric oxygen (HBO) treatment in 95 hospitals of Guangdong Province.Methods Retrospective survey and expert review methods were used in the study.Results With regard to clinical treatment capacity,the 95 hospitals could be divided into four grades:i.e.grade A (3 hospitals),grade B (37 hospitals),grade C (52 hospitals),grade D (3 hospitals).Current problems existed are:incomplete medical documentation,application of different editions,submission of incomplete materials,irregular training of professional workers,imperfect equipment and technology management,lower capability of basic hospitals in clinical application of HBO therapy.Conclusions The perfection of safety system for the management of HBO techniques and facilities is a fundamental guarantee for the conduction of HBO therapy.The development of guidelines for clinical application of HBO therapy and the unification of operating procedures and editions of medical documentation are key to the assurance of medical treatment quality.Regular technical training of medical professionals,passing on experience,rendering help and setting examples in the training of new hands are effective measures for the improvement of the technique clinically.Complete filling of forms and submission of application forms are indispensable stand-ground for technical reviews and grade/performance assessment.