美国外科医师学会第七版

doi:10.19723/j.issn.1671-167X.2024.06.032

摘要/Abstract

摘要：

2023年12月, 美国外科医师学会创伤专业委员会正式发布第七版"创伤患者最佳救治资源(2022年标准)"。相较于第六版标准, 第七版的主要更新内容包括: (1)创伤中心需满足新的人员配置和人员资质要求; (2)创伤中心需制定更加结构化及有效的创伤救治效果改进与患者安全计划; (3)创伤中心需制定数据质量计划; (4)创伤中心需面向特定患者制定新的诊疗方案; (5)创伤中心需具备新的专业领域知识; (6)创伤中心需满足新的响应时间和资源可用性标准; (7)创伤中心需满足新的学术和科研要求; (8)三级创伤中心若提供神经创伤救治需有相应资质证明; (9)儿童创伤中心的新要求; (10)四级创伤中心标准。近10年来学者在创伤领域发表的研究文献为上述更新内容提供了充足的循证医学证据, 本文即结合这些证据对第七版标准的更新内容进行介绍和分析。

关键词: 创伤和损伤, 急救医疗服务, 卫生资源, 循证医学, 标准更新

Abstract:

In December 2023, the Trauma Professional Committee of the American Society of Surgeons officially released the seventh edition of "Resources for Optimal Care of the Injured Patient (2022 Stan-dards)". Compared to the sixth edition of the standards, the main updated content of the seventh edition includes ten aspects: (1) trauma centers need to meet new personnel configuration and qualification requirements, (2) trauma centers need to develop more structured and effective trauma treatment effectiveness improvement and patient safety plans, (3) trauma centers need to develop data quality plans, (4) trauma centers need to develop new diagnosis and treatment plans for specific patients, (5) trauma centers need to have new professional knowledge, (6) trauma centers need to meet new response time and resource availability standards, (7) trauma centers need to meet new academic and scientific requirements, (8) tertiary trauma centers need corresponding qualification certificates if providing neurological trauma treatment, (9) new requirements for pediatric trauma centers, (10) the fourth level trauma center standards. The research literature published by scholars in the field of trauma in the past decade has provided sufficient evidence-based medicine evidence for updating content. The article introduces and analyzes the updates in the seventh edition standards in light of the available evidence.

Key words: Wounds and injuries, Emergency medical services, Health resources, Evidence-based medicine, Standard updates

中图分类号:

晋菲斐, 周靖, 黄伟, 王天兵. 美国外科医师学会第七版"创伤患者最佳救治资源(2022年标准)"主要更新内容解析[J]. 北京大学学报（医学版）, 2024, 56(6): 1137-1142.

Feifei JIN, Jing ZHOU, Wei HUANG, Tianbing WANG. Analysis of the main update content of the 7th edition of the American College of Surgeons on "Resources for Optimal Care of the Injured Patient (2022 Standards)"[J]. Journal of Peking University (Health Sciences), 2024, 56(6): 1137-1142.

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