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[1]王能祎刘洋刘继海朱华栋.2021年-2022年全国急诊医学专业医疗服务与质量安全报告分析[J].中国卫生质量管理,2025,32(01):27-31.[doi:10.13912/j.cnki.chqm.2025.32.1.07]
　WANG Nengyi,LIU Yang,LIU Jihai.Analysis of National Emergency Medical Specialty Medical Service and Quality and Safety Report from 2021 to 2022[J].Chinese Health Quality Management,2025,32(01):27-31.[doi:10.13912/j.cnki.chqm.2025.32.1.07]

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2021年-2022年全国急诊医学专业医疗服务与质量安全报告分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年01期页码: 27-31 栏目: 医疗质量出版日期: 2025-01-15

Title:: Analysis of National Emergency Medical Specialty Medical Service and Quality and Safety Report from 2021 to 2022

作者:: 王能祎刘洋刘继海朱华栋; 国家急诊医学专业医疗质量控制中心

Author(s):: WANG Nengyi; LIU Yang; LIU Jihai; National Center for Quality Control of Emergency Medicine Specialty

关键词:: 急诊医学; 医疗服务; 医疗质量; 质控指标

Keywords:: Emergency Medicine; Medical Service; Medical Quality; Quality Control Indicators

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2025.32.1.07

文献标志码:: A

摘要:: 目的了解全国急诊医学专业医疗服务质量现状，为急诊医疗服务质量持续改进提供参考。方法从国家医疗质量管理与控制信息网（National Clinical Improvement System, NCIS）收集并分析2021年和2022年全国31个省、自治区、直辖市（含新疆生产建设兵团）4 152所医院急诊专业质量控制指标相关数据。结果2022年脓毒症患者3 h内抗生素使用率、上消化道出血患者24 h内急诊胃镜完成率均较2021年明显提高，多发伤患者死亡率较2021年有所上升，急诊科Ⅳ级患者占比、急诊重症监护病房设置率、院内心脏骤停复苏成功率和急诊中毒患者病死率较2021年变化不大。不同类型医院各指标数据存在差异。结论各类医院应持续提升急诊患者救治的过程质量和结果质量。国家急诊质控中心应持续开展针对性质量改进工作，促进全国急诊医疗服务质量持续提升。

Abstract:: ObjectiveTo understand the current situation of medical service quality of emergency medicine specialty in China, and to provide reference for the continuous improvement of emergency medical service quality.MethodsThe data of medical quality control indicators of emergency medicine in 4 152 medical institutions in 31 provinces, autonomous regions and municipalities (including Xinjiang Production and Construction Corps) in 2021 and 2022 were collected and analyzed from the National Clinical Improvement System (NCIS).ResultsIn 2022, the use rate of antibiotics within 3 hours in patients with sepsis and the completion rate of emergency gastroscopy within 24 hours in patients with upper gastrointestinal bleeding were significantly higher than those in 2021. The mortality rate of patients with multiple injuries was higher than that in 2021. The proportion of grade IV patients in the emergency department, the setting rate of emergency intensive care unit, the success rate of in-hospital cardiac arrest resuscitation and the mortality rate of patients with poisoning did not change much compared with 2021. There were differences in the index data of different types of medical institutions. Conclusion All kinds of medical institutions should continuously improve the process quality and result quality of emergency patient treatment. The National Emergency Quality Control Center should continue to carry out targeted quality improvement work to promote the continuous improvement of national emergency medical service quality.

参考文献/References:

［1］于学忠,陆一鸣.急诊医学［M］.2版.北京:人民卫生出版社,2021:9.［2］于学忠.四十年三个时代——中国急诊3.0时代到来［J］.中国急救医学,2019,39(7):617-619.［3］黄先涛,靖超,王晨宇.基于《医疗质量管理办法》的医疗质量控制体系建设实践［J］.中国卫生质量管理,2021,28(2): 20-22,34.［4］急诊预检分诊专家共识组.急诊预检分诊专家共识［J］.中华急诊医学杂志,2018,27(6):599-604.［5］胡滨,贺凌婕,王斯佳,等.北京市属三级医院急诊拥挤度现状调研与分析［J］.中国医院,2018,22(11):34-38.［6］卫生部.关于印发《急诊科建设与管理指南（试行）》的通知:卫医政发〔2009〕50号［EB/OL］.(2009-06-10)［2024-04-08］.http://www.nhc.gov.cn/bgt.［7］曹钰,柴艳芬,邓颖,等.中国脓毒症/脓毒性休克急诊治疗指南(2018)［J］.临床急诊杂志,2018,19(9):567-588.［8］中国医师协会急诊医师分会.急性上消化道出血急诊诊治流程专家共识［J］.中国急救医学,2015,35(10):865-873.［9］徐军,戴佳原,尹路.急性上消化道出血急诊诊治流程专家共识［J］.中国急救医学,2021,41(1):1-10.［10］BRAY JE, GRASNER JT, NOLAN JP, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: 2024 update of the utstein out-of-hospital cardiac arrest registry template［J］.Circulation, 2024,150(9):203-223.［11］国家卫生健康委办公厅.关于印发2022年国家医疗质量安全改进目标的通知:国卫办医函〔2022〕58号［EB/OL］.(2022-03-02)［2024-04-08］. http://www.nhc.gov.cn/yzygj.

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更新日期/Last Update: 2025-01-15