医院内配置公共自动体外除颤仪的研究
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摘要
为了使整个院内门诊区域及公共区域自动体外除颤仪(Automated External Defibrillator,AED)的配置程序更加系统化,从而更好地发挥自动体外除颤仪在院内应急状况中的作用,本文通过层次分析法对三种型号AED的功能等参数进行模型化,根据现有情况对我院的AED制定了管理办法。通过对本院配置的4台AED进行管理,确保心脏骤停病人能在3 min内取得AED并使用,从而确保病人的安全。本研究提供了一个高效的、合理的配置院内公共自动体外除颤仪的项目流程,有效提高了医院的服务质量与医疗质量。
In order to make the whole hospital outpatient service area and public area automated external defibrillator(AED) more systematic configuration program and so as to better play the role of automatic external defibrillator in hospital emergency situation, the functions and other parameters of three types of AED were modeled by analytic hierarchy process according to the existing situation of our AED formulated the measures for the administration in this paper. Through the management of 4 AEDs allocated by our hospital, AED could be obtained and used within 3 minutes in patients with cardiac arrest, so as to ensure the safety of patients. This study provides an efficient and reasonable project flow for the allocation of public automatic external defibrillator in the hospital, and effectively improves the service quality and medical treatment quality of the hospital.
In order to make the whole hospital outpatient service area and public area automated external defibrillator(AED) more systematic configuration program and so as to better play the role of automatic external defibrillator in hospital emergency situation, the functions and other parameters of three types of AED were modeled by analytic hierarchy process according to the existing situation of our AED formulated the measures for the administration in this paper. Through the management of 4 AEDs allocated by our hospital, AED could be obtained and used within 3 minutes in patients with cardiac arrest, so as to ensure the safety of patients. This study provides an efficient and reasonable project flow for the allocation of public automatic external defibrillator in the hospital, and effectively improves the service quality and medical treatment quality of the hospital.
引文
[1]廖彦昭,陈子奇,张焕基.自动体外除颤仪的研究及应用进展[J]中国心脏起搏与心电生理杂志,2018,32(1):82-84.
[2]钟德杨,刘晶晶.老年化与中国养老机构发展问题研究[J].特区经济,2014,(4):39-41.
[3]李晓静,徐国和.中国亚健康研究及干预对策的探讨[J].中国慢性病预防与控制,2011,19(4):427-429.
[4]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[5]Berdowski J,Berg RA,Tijssen JG,et al.Global incidences of out of-hospital cardiac arrest and survival rates:systematic review of 67 prospective studies[J].Resuscitation,2010,81:1479-1487.
[6]Kong MH,Fonarow GC,Peterson ED,et al.Systematic review of the incidence of sudden cardiac death in the United States[J].JAm Coll Cardiol,2011,57(7):794.
[7]魏捷,胡念丹.《2015年美国心脏协会心肺复苏及心血管急救指南更新》解读之急救系统和持续质量改进[J].临床急诊杂志,2016,17(1):1-3
[8]Neumar RW,Shuster M,Callaway CW,et al.Part 1:Executive summary:2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care[J].Circulation,2015,132(S2):S315.
[9]李久胜.体外自动除颤仪在心搏骤停患者抢救中的应用效果[J].医疗装备,2018,31(12):28-29.
[10]JCI.Joint Commission International Accreditation Standards for Hospitals[M].6th Version.Chicago:Joint Commission Recourses,2017:1
[11]丁静.自动体外除颤仪你会用吗[J].江苏卫生保健:今日保健,2016,(11):30.
[12]陈琪,赵丽蓉,张红霞.基础生命支持课程在临床急救教学中的应用研究[J].护士进修杂志,2017,32(23):2191-2193.
[13]许树柏.实用决策方法:层次分析法原理[M].天津:天津大学出版社,1988.
[14]郭金玉,张忠彬,孙庆云.层次分析法的研究与应用[J].中国安全科学学报,2008,18(5):148-153.
[15]焦树锋.AHP法中平均随机一致性指标的算法及MATLAB实现[J].太原师范学院学报(自然科学版),2006,(4):45-47.
[16]王丽.图论在算法设计中的应用[D].西安:西安电子科技大学,2010.
[17]陶尚轩,郑义.基于Floyd算法的最优路由选择模型[J].中国高新区,2018,(13):65.
[18]徐权智,杨晋浩.数学建模[M].北京:高等教育出版社,2004.
[19]张林,李会荣.0-1非线性规划问题改进的教与学优化算法[J].计算机与数字工程,2017,45(5):835-838.
[20]尚飞.Matlab在线性规划中的应用[J].中华建设,2016,(6):90-93.
[21]刘莹.Lingo软件在运筹学中的应用[J].科教文汇(中旬刊)2017,(11):47-50.
[22]WS/T 603-2018,心脏除颤器安全管理[S].
[2]钟德杨,刘晶晶.老年化与中国养老机构发展问题研究[J].特区经济,2014,(4):39-41.
[3]李晓静,徐国和.中国亚健康研究及干预对策的探讨[J].中国慢性病预防与控制,2011,19(4):427-429.
[4]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[5]Berdowski J,Berg RA,Tijssen JG,et al.Global incidences of out of-hospital cardiac arrest and survival rates:systematic review of 67 prospective studies[J].Resuscitation,2010,81:1479-1487.
[6]Kong MH,Fonarow GC,Peterson ED,et al.Systematic review of the incidence of sudden cardiac death in the United States[J].JAm Coll Cardiol,2011,57(7):794.
[7]魏捷,胡念丹.《2015年美国心脏协会心肺复苏及心血管急救指南更新》解读之急救系统和持续质量改进[J].临床急诊杂志,2016,17(1):1-3
[8]Neumar RW,Shuster M,Callaway CW,et al.Part 1:Executive summary:2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care[J].Circulation,2015,132(S2):S315.
[9]李久胜.体外自动除颤仪在心搏骤停患者抢救中的应用效果[J].医疗装备,2018,31(12):28-29.
[10]JCI.Joint Commission International Accreditation Standards for Hospitals[M].6th Version.Chicago:Joint Commission Recourses,2017:1
[11]丁静.自动体外除颤仪你会用吗[J].江苏卫生保健:今日保健,2016,(11):30.
[12]陈琪,赵丽蓉,张红霞.基础生命支持课程在临床急救教学中的应用研究[J].护士进修杂志,2017,32(23):2191-2193.
[13]许树柏.实用决策方法:层次分析法原理[M].天津:天津大学出版社,1988.
[14]郭金玉,张忠彬,孙庆云.层次分析法的研究与应用[J].中国安全科学学报,2008,18(5):148-153.
[15]焦树锋.AHP法中平均随机一致性指标的算法及MATLAB实现[J].太原师范学院学报(自然科学版),2006,(4):45-47.
[16]王丽.图论在算法设计中的应用[D].西安:西安电子科技大学,2010.
[17]陶尚轩,郑义.基于Floyd算法的最优路由选择模型[J].中国高新区,2018,(13):65.
[18]徐权智,杨晋浩.数学建模[M].北京:高等教育出版社,2004.
[19]张林,李会荣.0-1非线性规划问题改进的教与学优化算法[J].计算机与数字工程,2017,45(5):835-838.
[20]尚飞.Matlab在线性规划中的应用[J].中华建设,2016,(6):90-93.
[21]刘莹.Lingo软件在运筹学中的应用[J].科教文汇(中旬刊)2017,(11):47-50.
[22]WS/T 603-2018,心脏除颤器安全管理[S].