A tertiary hospital in Daqing refused to admit a mother who had no beds and recommended transfer. Due to various delays during the process, the mother died. This incident caused widespread discussion in society. Hospitals are places where life and death are saved, and large hospitals also It is true that the hospital is overcrowded and busy and spinning like a top. So under the current medical system, how should we deal with this type of disputes and avoid such tragedies in the future?

Why do hospitals deny admission to patients when there are no beds?

Surgery is not just a few hours on the day of surgery. Popular science includes the perioperative period.

A complete surgical cycle, that is, the perioperative period, is the entire process of surgery. From the time when the patient decides to undergo surgical treatment, to the time of surgical treatment until basic recovery, including the period before, during and after the operation, specifically refers to the time from the time when the surgical treatment is determined until the treatment of this operation is basically completed, the time is approximately From 5-7 days before surgery to 7-12 days after surgery.

5 to 7 days before the operation, preoperative preparation: including some routine examinations and specialist examination items necessary for the operation, all of which require the patient to be admitted to the hospital. The patient's hospitalization number is the patient's hospital number. During this period, all medical orders, including examination items, treatments, and prescriptions, need to be carried out under this "ID card". Now basically all hospitals are under information management, and you can't even log in to the computer without a hospitalization number. Doctors cannot prescribe medicine or surgery.

The perioperative period also includes the post-operative period, that is, the treatment and care from the patient's return to the ward to discharge, dealing with complications, and promoting the patient's recovery. These tasks all need to be done while you are in the hospital. During the period.

The hospital does not have beds and cannot provide you with comprehensive and systematic treatment. It is the best choice for patients to go to other hospitals nearby for treatment.

What do the doctors at the hospital think about this?

Doctor A:

First of all, we need to understand two points:

First, emergency classification, yes, you read that right, emergency departments are divided into levels. The most urgent emergencies require on-the-spot rescue and green channels regardless of bed space and hospitalization. Except for this category, referral or triage can be performed.

Second, there are really no beds. The number of beds in medical care is the key to verifying identities and matching the work of medical staff. Adding additional beds can easily lead to medical confusion, a decline in medical care conditions, and an invisible increase in the risk of errors. Medical capacity is limited, and when conditions permit, referral is a better choice. Extra beds virtually share the medical services of others and virtually increase your risk (the conditions for extra beds must be worse than existing beds). Doctors have no right to ask other patients to give you an empty bed. If you are not ready for discharge and someone asks you to give up your bed to other patients, will you do it?

Doctor B:

The hospital does not have beds. This is an irresistible factor. The current medical order system is all computer-controlled. Without beds, patients cannot be admitted and medical orders cannot be issued. Treatment and medication cannot be given to you. Moreover, even if the hospital gives you free surgery, where will you go after the surgery? Don't have a bed? Laying the floor? After surgery, a series of treatment and nursing measures such as ECG monitoring and oxygen inhalation are required. Without beds, these problems cannot be solved.

At this stage, medical resources are tight, and beds represent reliable service quality. Rushing to add extra beds is irresponsible for the patient's personal safety. I hope doctors and patients can understand each other.