According to the regulations, the pre-hospital medical emergency agencies should strictly implement the principle of transferring patients in the vicinity of the hospital, to meet the needs of the profession, and to take into account the wishes of the patients and their families, and transfer the patients to the medical institutions with the corresponding emergency rescue capabilities in a timely manner, and give good explanations to the patients and their families, and guide them to establish a scientific and reasonable concept of medical treatment; the pre-hospital medical emergency personnel should fully evaluate the patient's condition according to the relevant standards, and initially classify the patients to the first time, and then send the patients to the medical institutions. The pre-hospital medical emergency personnel shall fully assess the patient's condition according to the relevant standards and initially classify the patient's condition, and at the first time transmit the information of the patients with acute and critical conditions and their conditions and other data to the medical institutions, among which the patients of five categories, including chest pain, stroke, trauma, pregnancy and childbirth and newborn babies, shall rely on the relevant processes and communicate with the hospitals through the pre-hospital emergency scheduling information platform or through the green channel APP for emergency care and the instant communication tool and other means and provide the patient's information in a timely manner; the pre-hospital medical emergency personnel transfer the patients to the hospitals Medical emergency department, both sides for standardized handover and sign the pre-hospital hospital patient handover sheet.
The receiving medical institutions should be through the emergency pre-screening triage classification, effective triage of non-acute and critical patients, to ensure that patients with acute and critical illnesses are effectively treated; patients with acute and critical illnesses in accordance with the principle of "first timely treatment, and then make up for the cost" of treatment, and shall not be refused or delayed due to cost problems; hospital emergency departments at least Guarantee emergency turnover of at least one flat car, shall not be used for non-critical emergency patients; strict implementation of the first-responsibility system, and prohibit shirking patients and uncontacted critical emergency referral behavior. After receiving patients transferred by pre-hospital ambulances, medical institutions should transfer them to spare flat cars as soon as possible, without occupying the emergency facilities and equipment of pre-hospital medical emergency institutions. Critical care emergency patients are generally not allowed to stay in the pre-hospital ambulance stretcher time of more than 10 minutes. For the "three no" acute and critical patients, pre-hospital medical emergency agencies and medical institutions should be the first treatment, shall not be refused due to cost and other issues. The pre-hospital medical emergency agencies and medical institutions to implement the treatment, according to the relevant provisions of the state and the city to the disease emergency relief fund, road traffic accidents, social rescue fund, urban and rural medical aid fund to apply for funding subsidies.
Beijing will rely on the Beijing pre-hospital medical emergency quality control data, the pre-hospital hospital interface management into the performance management of medical institutions, based on the pre-hospital hospital handover of patients with critical illnesses in the process of pre-hospital ambulance detention time more than 10 minutes, for various reasons can not be diagnosed with critical illnesses in the number of patients of the cumulative deduction, and regularly informed. Medical institutions not in accordance with the provisions of the pre-hospital medical emergency agencies to hand over information on acute and critical patients or refused to receive pre-hospital medical emergency agencies transfer of acute and critical patients, by the municipal or district health administrative departments of health at 10,000 yuan or more than 50,000 yuan fine. Municipal health administration of health care in accordance with the relevant provisions of the pre-hospital hospital emergency articulation of units and individuals, to give the appropriate fines, administrative sanctions, and notification; constitutes a crime, according to law, transferred to the judicial organs to pursue legal responsibility.
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