**Rejecting patients will be downgraded

The Beijing Municipal Bureau of Health plans to announce the “Notice on Further Strengthening the Emergency Work of Medical Institutions” at the recent office. The "New Emergency" will publicly criticize the hospitals that push emergency patients to the public. For those hospitals that are incompetent and responsible for emergency treatment, the health administrative department must re-examine the capabilities and levels of the medical institutions, and fail to meet the requirements of the medical institutions. "Degradation, drop, etc." This means that in the future, the hospital emergency department will reject the patient with "no bed or no equipment." The hospital is planned to be downgraded.

The emergency department must implement the "first consultation responsibility system"

In mid-November, an emergency department doctor at the Union Hospital called "Superwoman of the Emergency Department" vomited on her real name certification: a coma old man rushed to five emergency department in the ambulance and was unable to be picked up. rule. This incident led to discussion and reflection.

Fang Laiying, director of the Beijing Municipal Bureau of Health, said: "The first thing that was exposed was medical ethics. In any case, the emergency department cannot refuse patients."

It is reported that the pre-hospital emergency system (referred to as 120 and 999) should follow the principles of “closeness, urgency, and ability” and refer to the opinions of patients or their families.

According to the authority and responsibility of territorial management, the Municipal Health Bureau will be in the "Notice on Further Strengthening the Emergency Work of Medical Institutions." To ensure that patients enter the hospital, "there is someone to control," and the "Notice" emphasizes that the emergency clinic must also implement the first-diagnosis responsibility system.

The relevant person in charge of the Department of Medical Affairs of the Municipal Health Bureau said that the attending physician is the first referring physician, and a preliminary diagnosis must be made in time for the patient. The first clinician rescues acute, critical, and critically ill patients and must not be transferred until the condition is stable.

In addition, for the medical staff who refuse or push emergency patients, the Municipal Health Bureau will incorporate the bad behavior into the medical ethics evaluation file and link it with the qualification registration and technical title evaluation of the physician.

Emergency department is expected to implement internal grading treatment
Many patients with emergency numbers to see common diseases, or patients with acute exacerbation of chronic diseases, after the dangerous period, still do not want to go to primary hospitals, detention emergency room rescue room, is a headache for many large hospital emergency department.

The "Notice" stipulates that all medical institutions must support and strengthen the construction of the emergency department, and allocate sufficient force during the peak period of the emergency to ensure the operation of the emergency department. It is necessary to optimize the medical treatment process, open up green channels, and provide priority medical care for critical, critical and critically ill patients in accordance with resuscitation, rescue, severe and mild graded diagnosis and treatment.

Fang Laiying said that it is always the working principle of the emergency department to treat patients as “prioritized”. As to whether there will be some doctors worried about the social environment is not allowed, the patient does not understand and other issues, Fang Laiying believes that the implementation of a period of time to see the effect, but he believes that the vast majority of patients will understand that will respect the emergency treatment of emergency patients.