摘要
加强临床会诊管理是提高医疗诊治水平和医疗质量的有效途径之一。通过回顾分析临床相关资料 ,发现临床误诊误治的主要原因是专科医生受专业限制、病史资料搜集不全和过分依赖辅助检查及临床思维片面局限。提出加强临床会诊管理非常重要 ,它可以解决临床难题 ,提高诊断准确率 ;促进技术 ,提高抢救成功率 ;培养和提高年轻医生的诊治水平 ;保护患方利益 ,减少医疗纠纷。并提出了进一步完善和执行会诊制度的几点措施 :修订会诊标准 ,规范会诊程序 ,加强临床会诊管理监督 ,建立会诊结果追踪和回顾性病例讨论制度。
Stepping up clinical consultation control is an effective way to improve the level of patient care and medical quality. A retrospective analysis of relevant clinical data led to the discovery that among the leading causes of clinical misdiagnosis and mistreatment were limitation in the scope of knowledge on the part of specialized physicians, inadequate collection of medical record data, over-reliance on accessory examinations, and one-sided clinical thinking. It is pointed out that stepping up clinical consultation control is of great importance as it can help solve clinical difficulties and raise the rate of accuracy in diagnosis; promote professional exchange and raise the rate of success in emergency treatment; cultivate and enhance young doctors expertise in diagnosis and treatment; protect the interests of patients and reduce medical disputes. The paper also puts forward measures for improving and implementing the system of clinical consultation: revising consultation criteria, standardizing consultation procedure, strengthening consultation supervision, and setting up a system of consultation result follow-up and retrospective case discussion.
出处
《中华医院管理杂志》
2004年第8期489-491,共3页
Chinese Journal of Hospital Administration
