Fourth investigation and analysis of the quality control situation in the critical care medicine of traditional Chinese medicine hospitals in Sichuan province
10.3969/j.issn.1008-9691.2024.04.015
- VernacularTitle:第四次四川省中医医院重症医学科质控工作现状调查及分析
- Author:
Jun CHEN
1
,
2
,
3
;
Xingyue CHEN
;
Kunlan LONG
;
Rui YUAN
;
Song ZHANG
;
Xiaobin LI
;
Xingmei ZHONG
;
Kaichen ZHANG
;
Peng DING
;
Peiyang GAO
Author Information
1. 成都中医药大学附属医院重症医学科,四川 成都 610072
2. 四川省中医重症医学质量控制中心,四川 成都 610072
3. 成都中医药大学附属德阳医院重症医学科,四川 德阳 618000
- Keywords:
Sichuan;
Traditional Chinese medicine hospital;
Intensive care unit;
Quality control;
Current situation
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2024;31(4):459-464
- CountryChina
- Language:Chinese
-
Abstract:
Objective To enhance the quality of medical services in the intensive care unit(ICU)of provincial traditional Chinese medicine(TCM)hospitals.Methods In November 2023,Sichuan Provincial Critical Care Medicine Quality Control Center of TCM launched the"quality control supervision project scoring standard for critical care medicine of TCM"to conduct quality control evaluation and business guidance for all TCM hospitals with independent ICU.The survey covered structural indicators,control indicators,participation of TCM,development of new technologies,and diagnosis and treatment programs for dominant diseases.Results In terms of structural indicators:a total of 110 TCM hospitals in the province have independent ICU,an increase of 1.12 times compared with 2019.The control indicators showed that the ICU patients admission rate was higher than that of the national ICU admission rate in 2017,and the admission rate of patients with acute physiology and chronic health evaluation Ⅱ(APACHEⅡ)score≥15 points increased.However,the mortality of ICU exceeded the national average.The implementation of core indicators had been significantly improved,but the incidence of outcome indicators such as ICU ventilator-associated pneumonia(VAP),ICU intravascular catheter-related bloodstream infection(CRBSI),and ICU catheter-related urinary tract infection(CAUTI)had increased since 2019,mainly in secondary hospitals.The average number of new technologies was about(5.5±3.4),the participation rate of TCM decreased,and the dominant diseases increased compared with 2019,mainly sepsis,respiratory failure and hemorrhagic stroke.Conclusions The number of ICU units in TCM hospitals at all levels in Sichuan province has grown rapidly,and key performance indicators have also improved compared to previous periods.However,greater efforts are still needed in preventing the occurrence rates of VAP,CRBSI,and CAUTI.There is a shortage of medical resources allocation,and the imbalance in regional medical resources and professional training remains an urgent issue to be addressed.Additionally,the participation rate of TCM and the dominant diseases need further enhancement.
