China - Beijing: long waits at 3 pediatric hospital emergency departments

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Pediatric emergency to wait for several hours

2013年07月12日01:41 |
Life Times
　　
July 7 evening 11:00, Capital Institute of Pediatrics Emergency Room is still jammed. Sitting comes Mazar, Ms. Wang holding 4-year-old daughter have been waiting for more than one hour. "My daughter is a fever of 42 degrees and I **** emergency numbers are routed No. 320, now only called more than 270 numbers, estimates have to wait one hour." Flushed uncomfortable watching her daughter, Ms. Wang feeling hot, distressed uncomfortable. During several family members went to Ms. Wang told the nurse triage requires a long time, hoping that doctors give priority to her daughter to see a doctor, but all too many people because of the emergency order line basis having refused. 　　

In addition to Capital Institute of Pediatrics, Beijing Children's Hospital in an interview with reporters, also found that night emergency basically have to wait over two hours to fancy disease. There are parents who say they from the late 8:00 arrived, waited more than four hours before treatment success. Like this "not urgent emergency" situation in the country three Children's Hospital widespread. 　　

To address this phenomenon, recently revealed Luo Yi, director of Capital Institute of Pediatrics, the Institute will be graded by reference to international practices in the emergency room doctor. In other words, the patient to the emergency room, the doctors will be first on the severity of the patient's condition to judge, and then grading treatment, rather than as they are now in chronological order treatment. He said that the emergency room are doing related programs, is expected to be implemented in September. 　　

Reporters found that most parents have welcomed that move very humane, allowing critically ill patients receive more timely treatment. However, from the Beijing Dongcheng District Liu said, every parents feel their child's disease is the most important, some children come looking condition is not heavy, but the condition may vary greatly, whether the medical classification may thus missed critical cases ? 　　

Peking University Third Hospital of Pediatrics Director Tong Xiaomei told "Life Times" reporter, emergency classification is really necessary, be given priority treatment of critically ill children in the long run, this is a imperative thing. At present, although children with respiratory arrest, convulsions, coma, poisoning, etc. can be given priority when the rescue, but the emergency classification is not obvious. For the first time a critical illness triage, triage should arrange for experienced medical personnel, and respond to their regular training to update knowledge. In addition, the implementation of the system also requires parents of children with more trust and understanding. 　　Author: Red River

http://roll.sohu.com/20130712/n381387845.shtml

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Xinhua NewsXinhua Health > Detail

Reporters visited the Children's Hospital Outpatient Big Night "line for the row of first light."

July 25, 2013 16:31:02
Source: Beijing Evening News

Late at night, anxiously waiting for medical treatment in the hospital parking lot for parents and children. Yan Tongshe Midnight, at high temperatures, "barbecue" a day of Beijing finally quiet down. GWSR side Beijing Children's Hospital , there is no parking during the day meandering long lines, but really quiet down here yet?

Emergency room as "markets"

Yesterday night, the reporter went to visit the Children's Hospital emergency building. In the darkness, the Children's Hospital upstairs "Emergency Center" four Scarlet particularly eye-catching. Into the emergency building, like catch the early to the "markets": the first floor hall, filled with dozens of waiting chair holding the child's parents, there are naked, close to the cooling paste, wah-wah crying little baby, but also sick too Danian, lying motionless in her arms and a school-age children. Parents could not find seats, holding a child sat crooked one place; infusion room on the second floor, is the infusion of children by their parents round and around, according to the press arm leg appease child emotions to cope with the nurse to the children hanging on drip, from time to time came the child husky "crying"; infusion hall, many parents direct "seat chair clothes," has **** drip child is leaning parents who seemed a little quieter; floor inspection departments, blood tests, film, gastrointestinal imaging ...... also packed with anxious parents.

Emergency room a mother is carefully with warm water and wipe the child's body. The mother told reporters that night the child sudden high fever to forty one degree Celsius, in the way to the hospital has been foaming at the mouth, convulsions symptoms. "Fortunately, we came early, half past ten on to, had never been seen emergency numbers also do not line up and you see the little girl next to him, but also fever, are Tubai Mo, but there is no way, even if it is linked to the emergency number, but also was waiting in line. "

Big night out-lined morning seven or eight points

Reporters learned that the Beijing Children's Hospital , night emergency registration can be divided into three levels: the first level is for critically ill children, including convulsions, breathing difficulties, asthma attacks and other serious life-threatening symptoms in children, these children will be given priority treatment, because they can not afford, a few minutes later, might fatal; second level is less than 28 days for the birth of the newborn, waiting time is relatively short, probably controlled in two hours or less; The third level is the most "sad reminder" big night in internal medicine outpatient numbers, mainly for medical diseases, such as acute respiratory infections, acute diarrhea, most of the time waiting for over four hours, some even seven the next morning to be discharged At eight o'clock.

Emergency center nurse station nurse on duty told reporters, emergency outpatient center on the big night every night beginning from half past ten telephone numbers into the summer has been the growing number of registered persons in internal medicine night between 250 and 300. According to Reporters rough statistics, last night, half past one this morning from half past ten to three hours, the three medical clinic, the doctor on duty only saw less than sixty patients, on average, one hour can only see twenty patients. At this rate, outside No. 100 patients need to wait until at least four or five in the morning. Last night, the reporter saw a lot of numbers linked to more than one hundred parents, ready to go home first took the number, and then come back to line up early in the morning.

Beijing foreign patients, "live" in the hospital

The field to Beijing in patients not so convenient conditions, the reporter in the emergency center on the first floor in the bathroom, to see who is the mother of laundry from Inner Mongolia. The mother told reporters, because the door does not know how long you want to wait in line here, so even with washbasin and washing powder are prepared with.

Reporters learned from the nurses' station, as long as the patient linked to the number, you certainly can see the disease. Patient clinic endless night, the next day the doctor on duty during the day and will continue to take over the longest time you may see more than nine the next morning. "Some patients have to wait until seven or eight in the morning, while she herself gave up, go directly to the GOP side, we sometimes also depending on the patient's condition to do some grooming."

The GOP's registration situation is not optimistic. Although the cards registration center hall at night all windows have played a "pause registered" sign, but reporters late into the hall, as if entering a "dormitory": instant noodles, eating watermelon, chat, excitement level that is not inferior to the day. On the ground covered with a variety of moisture-proof pad in disorder, some families "fully equipped", pillows, rugs, cushions and no shortage of everything; Some families is relatively simple, just put their clothes rolled volumes cushion under his head. From Hebei, a woman told reporters that he had waited for two days for the team, and the day before four in the morning to come, but when discharged more than nine, one hundred numbers to put over. "Tonight we are ready to sleep directly here, in the morning and then take a chance."

Recently, the Beijing Children's Hospital, the first child, Tongren Hospital, ushered in the summer peak attendance. Children's Hospital Emergency Department at the continued more than 10,000, an increase of 14%; daily outpatient and emergency first child by more than 6,000 people, more than three times the design capacity of admissions; Tongren Hospital outpatient 3,766 daily visitors, up 13% qoq .

Currently these three hospitals are already optimized spatial layout, extended treatment time, increase visits trips, visits refine management capabilities to maximize admissions. Two small children's hospital all night after extended until 22:00; first child by the hospital to cancel summer vacations, administrative support clinician-patient department; Tongren Hospital medical staff to stop off, turn the three surgical ophthalmology clinic clinic. Children's Hospital for a CT, ultrasound, magnetic resonance imaging and other large check waiting for a long time the bottleneck, to take an appointment at the outpatient service center focused initiatives, an appointment cycle from 1-2 months reduced to three days or less; first child by combining the "Beijing Medical Card "system, open pass counter services, reduce patient repeatedly queuing links, an average reduction of treatment time 18 minutes. (Reporter Wei Niu Kun reporter Gu Xiaohong)

http://news.xinhuanet.com/health/2013-07/25/c_116687597.htm

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Exposure Beijing Children's Hospital "fight like a doctor, registered as Spring Festival" Dean responded

August 18, 2013 07:44:57 Source: Beijing Youth Daily 3

"Fought like a doctor registered as Spring Festival" Children's Hospital, the hospital president responded that the load has reached the limit

6am
　　
"At a time when the summer peak attendance period, children and parents, such as a flood coming to Beijing Children's Hospital, doctors, nurses continued to work overload. Hospital admissions to find ways to increase capacity, but still face enormous pressure treatment, according to CCTV "News 1 +1" report, now children's hospital, a doctor like war, registered as Spring Festival this regard dean Ni Xin frustration that we have tried to limit understood that compared to last year, the Children's Hospital daily outpatient visits increased by nearly 20%, but the number of doctors has not changed. "
　　
【Live】
　　
Registered: hard floors, queuing overnight, ran hard
　　
Outside the Beijing Children's Hospital, a few pieces of foam board, a moisture-proof pad, a thin blanket, as long as there is an open space, would have lived to see a doctor for the child came from overseas parents. Get through a difficult night, they opened his eyes the first thing the doctor. 6am hospital, the hall a door, parents Caesar feet flying, ran hard, like a flooded registration window. But even so, many parents are still not on the number of consecutive days hanging. One parent told reporters: "row of two or three days, and yesterday morning, more than 4 points over, no rafts, discharged me, there is no number up."
　　
At a time when the peak summer visits, the children rushed to Beijing from all over the country, trying to squeeze into the children's hospital to see a doctor. According to hospital statistics, in July this year there are 18 days of outpatient hospital are more than ten thousand people, compared to last year, outpatient services and an increase of nearly 20%. According to monitoring, in every 10,000 people in the outpatient setting, watching the children with fever, colds around 3,000 people; from across the country and the Beijing local children with severe problems around 3,000 people. Another 3,000 people, was in another hospital before, but parents do not trust, and then look at the Children's Hospital diagnosed.
　　
Emergency: a place where the most concentrated smell of gunpowder
　　
Children's Hospital is a hospital emergency department in the most intense, the most busy departments, but also the patient's most conflict-prone areas, the scene often filled with gunpowder. Queuing, congestion, fatigue, anxiety, coupled with the cry of the child, many parents of children with anger from the heart, finding fault with the doctors and nurses fight, "You here, really, is responsible for the delay you ah?" "What's you!" Beijing Children's Hospital emergency department nurse Li Yan said that the face of parents groundless accusations, she loaded counseling, "I whispered out loud people, are like this, people call two words I will not." According to statistics, every child emergency department More than 400 people, but a total of only 14 emergency room physician on duty visits. They are divided into five groups, day shift, night shift, night shift rotation. For them, in addition to tired, most pressure from parents of children, doctors and nurses and even scolded beaten, almost on a daily basis.

Increase in the number of outpatient doctors still
　　
For Children's Hospital doctor difficult problem, dean Ni Xin analysis, one is the treatment of patients increased significantly compared with the same period last year increased by 20% -25%, but did not increase the number of doctors on the other hand, is still 500. So even overtime, stop a moment, the doctor is still busy. Dean Ni Xin admitted that this state the hospital is concerned, it can be said that our efforts should have reached the limit.
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http://news.xinhuanet.com/2013-08/18/c_116982573.htm