To achieve the emergency pre-classification treatment of the real landing, there are many problems worth exploring and thinking.

Emergency overcrowding, slow disease patients stranded is the main reason

At present, the proportion of non-emergency patients in the three-stage general hospital emergency department is more than 3%. Among them, there are a large number of elderly and end-stage chronic diseases, and the long-term detention room is an important reason for "emergency urgency". Non-emergency patients to squeeze the emergency resources for many reasons, first of all, the emergency room treatment standards missing, emergency can not refuse to treat patients. When the specialist beds are limited, the patient can not live in the hospital, the majority of patients with unstable conditions will choose to treat in the emergency side, while the bed. Even if the condition is stable, and many families are not assured that patients will be transferred to secondary hospitals or community hospitals to do rehabilitation. Second, the hospital assessment mechanism is not perfect. Specialist ward have the performance of bed turnover and other performance appraisal, most specialist ward do not want to receive older, bad cure slow disease patients, so these patients were pushed to the emergency room. Furthermore, the patient's anxiety. Emergency patients, although the priorities, but most patients think they are the most "urgent". In the outpatient clinic patients also come to the emergency diagnosis and treatment, taking the emergency resources. In addition, the shortage of emergency medical staff is also led to "emergency emergency" an important reason.

"First to come to" is the contradiction, emergency pre-assessment level requires a good medical culture

Affect the emergency pre-grading system to implement the resistance mainly from patients and their families "first come to the" concept. Patients think that their disease is very anxious, hope to get early diagnosis and treatment, and most people think that should be "first come and go", especially some drunken, trouble special patients, prone to patients with family noise, affecting the normal medical order. Hospital in the promotion of emergency pre-grading system, not only to develop a doctor's emergency pre-assessment level awareness, but also to increase publicity and interpretation work, access to patients with understanding and cooperation, and gradually develop a good and orderly medical culture.