Discussion on Homogenization of Emergency Clinical Decision
- 1 Department of Emergency Medicine, Hebei General Hospital, Shijiazhuang, China
- 2 Department of Emergency Medicine, Hebei General Hospital, Shijiazhuang, China
- 3 Department of Emergency Medicine, Hebei General Hospital, Shijiazhuang, China
- 4 Department of Emergency Medicine, Hebei General Hospital, Shijiazhuang, China
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.
- Lai, W., Xu, H.F. and Wan, W. (2015) View of China’s Major Task in Medium and Long Term Healthcare Reform: Promoting Medical Treatment Homogenization. Chinese Hospital Management, 35, 1-3.
- Wu, D. (2015) The Principle and Method of Clinical Decision-Making. Chinese Journal of Diagnostics (Electronic Edition), No. 4, 235-239.
- Chen, P. J., Wang, Z. Y., Jia, Y. P. et al. (2019). Exploration and Thinking of the Construction of Zhujiang Medical Specialism Alliance. Chinese Hospital Management, 39, 76-77.
- Wang, P.Y. (2007) Distinctive Diagnosis of Emergency Clinical Thinking-Stepping. World Journal of Critical Care Medicine, 4, 1828.
- Quan, Y. (2016) Analysis on the Thinking of Clinical Diagnosis and Treatment of Primary Doctor Emergency. Knowledge of Prevention and Treatment of Cardiovascular Diseases, No. 2, 159-160.
- Guo, H., Zhao, Q. and Li, J.G. (2019) Discussing How Medical Humanities Enter into Clinic from the Angle of Clinical Thinking. Medicine and Philosophy, 40, 17-20.
- Li, J.G., Lv, C., Zhao, Q., et al. (2019) A Brief Discussion on Uncertainty of Clinical Thinking and Coping Strategies. Medicine and Philosophy, 40, 14-17.
- Yu, X.Z. (2016) Blessing China Emergency. Chinese Journal of Emergency Medicine, 25, 2.
- Ding, B., Meng, Q.Y., Chen, X.H., et al. (2016) Misdiagnosis of Triple Sign of Acute Chest Pain in China (2004-2013). China Emergency Medicine, 36, 817-823.
- Kohn, L.T., Corrigan, J.M. and Donaldson, M.S. (1999) To Err Is Human: Building a Safer Health System. National Academy Press, Washington DC.
- Du, Z.Z. (2017) Clinical Judgment: Based on the Real World of the Patient. Medicine and Philosophy (A), 8, 1-5, 20.
- Mandin, H., Harasym, P., Eagle, C., et al. (1995) Developing a “Clinical Presentation” Curriculum at the University of Calgary. Academic Medicine, 70, 186-193. https://doi.org/10.1097/00001888-199503000-00008
- Huang, Y.C. (2017) A Light of Operation. Electronic Industry Press, Beijing, 69-79.
- Zhao, Q., Guo, H., Shen, Z.S., et al. (2019) Discussion on the Nature and Principle of Clinical Thinking. Medicine and Philosophy, 40, 15-19.
- Zhang, Y.Z., Xu, J., Sun, F., et al. (2018) A Brief Discussion on the Auxiliary Application of Mind Map in Clinical Decision-Making. Clinical Misdiagnosis and Mistreatment, 31, 5-8.