Sample Hospital Research Report
The hospital is a densely populated place with dense buildings, concentrated equipment, pressure vessels, chemical reagents, bedding paper and other flammable and explosive materials, large flow of people, and vulnerable groups (patients) are mostly, once a fire occurs, it may cause significant property damage and casualties. xx, Jiangsu, a fire in a hospital surgical ward, resulting in seven deaths. In the hospital a variety of fire facilities, equipment in place, management is particularly important, in the daily fire supervision and inspection of the hospital, found that the hospital's fire management personnel in the management of certain misunderstandings, resulting in the creation of a number of fire hazards.
First, the existence of the main misunderstandings are:
(a) the management of the evacuation channel, the safety exit is lightly. In the usual fire supervision and inspection, often found in hospitals, ward building evacuation of the stairway to store some used medical equipment and other miscellaneous goods, ward building evacuation channel placed on the patient's family bed, the situation, the fire supervisors generally require hospitals to immediately rectify the situation, but some of the fire management personnel of such fire hazards are more lightly, that the evacuation channel is wider, part of the occupants should be unimportant; the other place Most of the small and medium-sized hospitals have valuable equipment and property in the department to install security doors, closed clinic area during non-normal working hours, can be said to reject thieves outside the iron gate. But did not consider that once the fire, firefighters how to quickly fight or hospitalized patients from where to quickly escape?
(B) pay attention to explosive, ignoring flammable. Supply room disinfection pots, liquid oxygen tanks and other pressure vessels a little unauthorized operation of the consequences are unimaginable, therefore, these explosive devices are often hospital fire management personnel focus on monitoring. Small warehouses, radiology storage room, case room, library of flammable items, operating room, pathology, laboratory, preparation room, treatment room, ethanol, methanol, acetone, benzene, ether, turpentine and other flammable chemical reagents management is often ignored. For example, the anesthetic used in the operating room, biochemical testing and laboratory every day to contact and use a variety of chemical reagents, sometimes also need to use alcohol lamps, stoves, ovens and other electrical equipment, if a fire occurs, the same will cause serious consequences.
(C) care about the equipment, ignoring the line. At present, the hospital large-scale equipment is increasing day by day, many hospitals are willing to invest millions of dollars to purchase advanced equipment and are not willing to come up with tens of thousands of dollars to update the obsolete line. Some of the old building is worrying, the new building is often due to adjust the department, change the original design use, power overload and other fire hazards. Such as the aforementioned fire accident, it is because of the failure of electrical wiring, coupled with the building fire resistance level does not meet the requirements, which led to a fire.
(D) rely on "technical defense", ignoring "human defense". With the increasing number of medical high-rise buildings in China, fire safety facilities are increasingly modernized, intelligent. But high-rise building fires, relying only on the fire control center of a few professionals to operate remotely is very difficult to control the rapidly changing situation of the fire scene. Coupled with the limitations of the fire equipment and equipment, the ground to fight fires are often looking at the building. Therefore, the training of every health care worker, master fire fighting skills is the most fundamental, most direct and most effective.
(E) emphasis on open fire, ignoring high temperature. Most hospitals are on the department of electric stove, construction use welding and smoking to make a lot of safety regulations and regular checks. But often ignore the treatment of infrared, electric heaters and electric ovens, electric heaters, electric water heaters, electric sterilizer inspection and supervision, once the use of improper or not in a timely manner after the use of power, the fire hazard is not less than an open flame. If the radiology room is equipped with a fixed or mobile x-ray machine. x-ray machine common circuit failures are broken, short-circuit and parts damage, which in turn causes electrical fire. x-ray machine using the higher voltage requirements, when the energy of the electron in the conversion of x-rays, at the same time, will also produce a certain amount of heat, with a potential fire hazard.
Second, the elimination of fire hazards of the `a few thoughts
(a) adhere to the fire inspection system, the timely elimination of fire hazards. Daily fire inspection is an important means of ensuring fire safety in hospitals. Adhere to the daily fire inspection, "who inspect, who is responsible for", and effectively rectify fire hazards. Hospital fire managers should be hospital fire prevention work to take "rigorous defense" measures, every day adhere to the ward, dormitory area for fire safety inspections, fire facilities, fire extinguishing equipment, integrity and performance of each view, test, on the safety exits, evacuation routes to dredge the miscellaneous room to clean up the fire hazards found in the The fire hazards found will be carefully recorded. Can be rectified on the spot, overhaul or update on the spot; can not be rectified on the spot, we must promptly request to the leadership, the implementation of rectification measures, funds and responsible person, will nip the fire hazards in the bud.
(b) Strengthen management, key monitoring. The hospital's pathology room, operating room, pharmacy and other key parts of the key monitoring, flammable and dangerous drugs should be stored in limited quantities, generally not more than a day's supply, to oxidizing agent formulations should be glass, porcelain containers, can not be wrapped in paper. Non-explosion-proof switches and plugs in the operating room should be closed and plugged in before anesthesia is administered. Must wait for the completion of the operation, ether vapor elimination clean, before cutting off or unplugging. Indoor carbon dioxide fire extinguishers should be available.
(c) Regular emergency evacuation drills for employees to improve self-defense and self-rescue capabilities. According to the actual situation of the unit and the situation of the drill constantly amend and improve the emergency evacuation plan, improve its practicality. At the same time, often organize the hospital doctors, nurses to participate in evacuation drills, enhance the understanding of the hazards of fire, learn practical firefighting skills, in order to improve the comprehensive fire quality of internal staff.
(D) grasp the fire prevention publicity, strengthen the popularization of fire prevention knowledge and training, expanding the fire prevention group. Hospital fire prevention work is good or bad, depends largely on fire prevention publicity and fire knowledge popularization training. Accept fire knowledge education of the crowd, the more the chances of fire or fire damage will be the smaller, the lower the degree. This requires hospital leaders in charge of fire safety to regularly train full-time and part-time firefighters, key staff, medical and nursing staff of clinical departments, newly assigned employees, cleaning staff and other types of people in fire prevention knowledge, and from time to time random checks and assessments; and often invite fire department professionals to hospitals to hold fire prevention lectures, while in the wards of the extensive fire prevention publicity and education in order to expand social coverage of fire prevention. Enhance the fire prevention power, enrich the fire team, as far as possible to reduce the occurrence of fire or after the fire to minimize the loss.
Public hospitals are the main body of the health care system, promoting public hospital reform is to deepen the focus of health care reform, the relationship between the maintenance of the rights and interests of the general public health. In recent years, the Union constantly increase government investment, improve the public hospital service system, the implementation of the pilot hospital zero-differential rate sales of drugs, from strengthening the internal quality management of hospitals, the implementation of performance assessment, to enhance the effectiveness of the service and so on to do a lot of exploration and practice, and has accumulated some initial experience.
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