On July 20, the National Health Commission, the National Medical Insurance Administration, the Chinese Medical Doctor Association, etc. all expressed their condemnation of illegal and criminal acts that violently harm medical staff. The National Health Commission stated that it has "zero tolerance" for any form of medical injury.
html On July 20, Tao Yong, chief physician of the Ophthalmology Department of Beijing Chaoyang Hospital who was attacked in 2020, posted a message on Weibo to mourn Li Sheng. While condemning the violence against doctors, Tao Yong proposed that the hospital should strengthen security measures.
▲On July 14, 2021, a security checkpoint was set up at the entrance of the outpatient building of Beijing Tiantan Hospital. According to icphoto
Red Star News search found that in recent years, many places have successively issued regulations or guidance requiring hospitals to strengthen security inspections. In addition, experts such as Ling Feng, a member of the National Committee of the Chinese People's Political Consultative Conference for many times and professor of Xuanwu Hospital of Capital Medical University, and Wen Jianmin, a member of the 11th and 12th National Committee of the Chinese People's Political Consultative Conference and chief physician of Wangjing Hospital of the Academy of Chinese Medical Sciences who have long been concerned about the construction of safe hospitals, have called on hospitals to implement security inspections. system.
html In an interview with Red Star News on July 21, Wen Jianmin pointed out that many hospitals at level 2 and above have already set up security checks, but there are problems in implementation, and security checks in some hospitals are superficial. He suggested that medical safety should be directly linked to the evaluation of hospital directors.Many places have issued regulations related to hospital security inspections
Require hospitals at level 2 and above to universalize security inspections
Red Star News search found that since 2020, many provinces and cities have introduced relevant regulations for hospitals to establish safety inspection systems.
In September 2021, eight departments including the National Health Commission, the Central Political and Legal Affairs Commission, the Central Cyberspace Administration of China, the Supreme People's Court, the Supreme People's Procuratorate, the Ministry of Public Security, the Ministry of Justice, and the State Administration of Traditional Chinese Medicine issued the "Guidance on Promoting Hospital Safety Order Management" "Opinions", mentioned that "hospitals should establish a safety inspection system and be equipped with pass-through metal detection doors, micro-dose Large hospitals with more than 1,000 beds should implement security checks at main entrances and exits to prevent people from bringing knives, explosives, and dangerous goods into the hospital. "
Zhejiang Province issued the "Zhejiang Provincial Health Commission Office's 2021 Notice. "Notice on the Implementation Plan for the Security System Construction Project of Large Hospitals in 2021", Ningbo City in Zhejiang Province, Yueqing City (county-level city under Wenzhou) and Quzhou City have all formulated the "Work Plan for the Construction of Security System in Large Hospitals" under the guidance of this plan, November 2021 Before the end of the month, tertiary hospitals will have completed the construction of security systems with a compliance rate of 100% and a security inspection coverage rate of 100%. Other municipal hospitals (secondary hospitals) and private hospitals shall refer to the implementation based on actual conditions. Among them, Ningbo requires that by the end of 2022, secondary public hospitals will achieve 100% security construction rate and 100% security inspection coverage rate.
Media reports in January 2021 mentioned that major hospitals in Ningbo have successively launched outpatient security inspections, adopting human inspection + physical inspection, and the standards refer to airport and train station security inspection procedures.
▲On July 1, 2020, a patient passed through the security gate of the outpatient hall of Beijing Friendship Hospital. According to Visual China
In July 2020, the "Beijing Hospital Safety Order Management Regulations" came into effect, stipulating that hospitals implement a security inspection system and have the right to refuse those who do not accept security inspections. People enter. In August 2023, Tianjin implemented the "Notice on Strengthening the Safety Order Management of Tianjin Hospitals" which clarified that hospitals should establish a safety inspection system.
In addition, Shandong, Shanxi, Hebei, Jiangsu and other places have also successively issued relevant regulations requiring hospitals at level 2 and above to establish security inspection systems.
At the National Two Sessions in 2021, Ling Feng proposed to enforce the security inspection system in hospitals across the country, establish an accountability system for hospital leaders, and build safe hospitals. Wen Jianmin, who has long been concerned about the construction of Ping An Hospital, said that he and other CPPCC members had called on hospitals to implement a security inspection system.
Expert advice:
Link medical safety with hospital leadership assessment
Ling Feng told Red Star News that many hospitals had previously resisted security inspections on the grounds that "the cost was too high, the consumption of manpower and material resources was large, and it affected the medical experience." But the reality is that the security inspection system is enforced Since then, it has not caused much trouble to patients, but has blocked many people with malicious intentions and reduced hospital risks. "There are contradictions in everything. The two powers harm each other, whichever is less important. Between ensuring the safety of medical staff and patients walking a few more steps, life is obviously more important. As long as we provide good guidance and guidance, the impact on patients can be minimized. "
Wen Jianmin believes that most of the time the investment in security inspection facilities, manpower and material resources is of no value, but as long as it can function once and avoid one personal injury, all costs can be deducted.
As for the problems existing in some hospitals' security inspections, such as being a mere formality and not fully implemented, Wen Jianmin believes that the safety of medical staff should be directly linked to the assessment of hospital leaders, so as to increase the attention of hospital leaders.
▲ On March 9, 2022, citizens were passing through the security inspection system at Jinhua People's Hospital, Zhejiang Province. According to Visual China
Ling Feng, the security inspection problem is very simple, as long as the security gate is placed and someone checks according to regulations. "The issue of security inspection is not a technical issue, but a matter of seriousness."
Xu Yucai, former deputy director of the Health Bureau of Shanyang County, Shaanxi Province, told Red Star News that if you want to implement the security inspection system at the grassroots level, you should do a good job of cost, patient After studying habits, effects, etc., relevant regulations will be written into the national hospital grade review, and they will be taken into consideration in advance in hospital construction planning and hospital design. Xu Yucai also mentioned that expenditures such as security inspection facilities and manpower have put a certain amount of pressure on many grassroots hospitals, which is also one of the reasons for the slow implementation.
Guide society to change the concept of medical treatment
Do a good job in early warning
Some people believe that security inspection cannot fundamentally solve the contradiction between doctors and patients and has limited effect. In this regard, Wen Jianmin believes that the formation of doctor-patient conflicts is multifaceted, and the role of security inspection cannot be denied just because the doctor-patient conflicts cannot be resolved. In addition to security checks, society should also be guided to change its concept of medical treatment. "Doctors cannot solve all patients' illnesses, and even many doctors cannot cure themselves when they get sick. Society should be guided to change this concept and not treat doctors as omnipotent."
Wen Jianmin also believes that in addition to security, doctors themselves should also strengthen self-protection awareness and mutual aid. “When I was the director of the department, I have been instilling a concept in the department’s doctors and nurses: if an injury occurs, the perpetrator should be subdued collectively instead of running away. Today you save a colleague, and tomorrow you may be saved by a colleague. "
Xu Yucai pointed out that early warning work is more effective than simple security inspections. There are signs before many malignant events occur. Hospitals should detect these signs in time and introduce solutions as early as possible.
Red Star News reporter Fu Yao intern reporter Liu Yazhou
editor Guo Zhuang editor-in-chief Guan Li
