全人照護(hù)（holistic health care）

全人醫(yī)療夢幻急診 1 A pre-hospital care service that could reach people at a reasonable timing and efficiently transport the right people to the right place with the right time. ‘smiling faces’ waiting at the triage counter and caring doctors managing each and every patient. Reasonable waiting time for non-critical patients or great wait management system. 全人醫(yī)療夢幻急診 2 Zero missed or misdiagnosis and zero complaints - zero defect medicine Good complaint management system The practitioners too should always be ready for any disaster or mass casualty incidences. 1st Class resuscitation for collapsed patients. 全人醫(yī)療夢幻急診 3 Widespread evidence-based practice, up-to-date knowledge of initiation of immediate medical management and stabilization for all diseases and injury. Produce world-class products of research and development which improves patient care significantly. 急診全人醫(yī)療的重要 EM will be placed at a great pedestal in the eyes of both medical fraternity and people . EM is a critical success factor for a complete total healthcare system. A holistic approach which embraces total quality care is the way forward for a good medical system. 回到急診現(xiàn)實狀況 360° feedback for EP in Singapore Emerg Med J 2007;24:574–575 全人醫(yī)療原則 Above All, Do No Harm Treat the Whole Person Respect the Healing Power of the Patient Empower the Patient Emphasize Prevention Provide Culturally Competent Care NURSING CLINICS OF NORTH AMERICA 2002;37(1):123-33 課程大綱 何謂全人醫(yī)療？ 全人醫(yī)療在?？频倪\用 全人醫(yī)療與六大核心能力 六大核心能力與全人醫(yī)療 Patient Care Medical Knowledge Practice-Based Learning Interpersonal Skills Professionalism Systems-Based Practice 生理 心理 社會 人際關(guān)係與溝通技巧 人際關(guān)係 跨部門和醫(yī)療同仁的關(guān)係 部門內(nèi)的關(guān)係，團(tuán)隊合作和合作技能 病人及家屬的照護(hù)經(jīng)驗 溝通技巧 抱怨處理和服務(wù)補(bǔ)救 衝突管理 危機(jī)資源管理 告知壞消息 顧及多元文化的醫(yī)病溝通 談判技巧 體制下的臨床工作 臨床資訊系統(tǒng) 電腦醫(yī)囑 臨床決策支援 電子病歷 醫(yī)療資訊整合 急診管理 契約與執(zhí)業(yè)模式 病人流量和處理速度 財務(wù)原則 人力資源管理 體制下的臨床工作 急診運作 政策與流程 急診資料搜集與營運指標(biāo) 急診安全,保全與暴力 健康照護(hù)整合 臨終與安寧照護(hù) 長期照護(hù) 門診服務(wù) 體制下的臨床工作 規(guī)定/法律 醫(yī)院評鑑及緊急醫(yī)療能力分級評定 合乎法規(guī)與報告要求 病人隱私 知情同意,照護(hù)容量和拒絕治療 緊急醫(yī)療救護(hù)法 外部品質(zhì)指標(biāo) 風(fēng)險管理 法律責(zé)任和訴訟 醫(yī)療責(zé)任保險 減少風(fēng)險 健康照護(hù)的發(fā)展趨勢

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