危重病监护医学

危重病监护科通过建立一个负责来自各科室的危重病人的经认证医生24小时值班制度完全致力于照顾加护病房里的患者,并且随时一年365天一天24小时照顾加护病房里的患者及病房里的急性恶化病人。SMART是指三星医疗警报响应团队,也是一支加护病房医疗专家团队,当住院病人的情况突然恶化时它为他们提供早期最佳护理。它是医院的一个重要患者安全系统,同时如果患者的情况恶化或改变时一位专家也会在10分钟内通过扩展热线提供医疗护理,一年365天一天24小时,不考虑他们的科室。

治疗/临床的主要领域

  • 加护病房的医疗护理
  • 危重病人转移团队
  • ECMO(体外膜式氧合)专业团队
  • 危重病人康复团队

优势

我们治疗各种与鼻相关的疾病,并提供诊断及适当的治疗,包括变应性鼻炎的手术治疗(一种最常见的呼吸系统疾病)、鼻中隔偏曲及鼻渊。我们最近已经开始使用内镜检查术以治疗鼻良性肿瘤,并与神经外科合作实施颅底肿瘤内窥镜检查手术,如下丘脑肿瘤,以帮助改善手术效果及降低术后并发症。
我们也实施功能性鼻整形术以改善鼻部症状,如鼻塞,并改善患者的满意度。我们运营一家打鼾和睡眠呼吸暂停诊所以提供各种睡眠障碍的准确诊断,包括打鼾和阻塞性睡眠呼吸暂停,也提供多方面治疗,包括手术与气道正压治疗。

最新的治疗方法

1. 韩国唯一一间通过多学科危重病人护理团队运营的医院

2. 如果患者在加护病房或病房急性恶化,由重症科的住院经认证的医生提供24小时医疗护理。

3. 一间通过自由探访时间促进患者及护理人员幸福度的医院

  • 为了患者及他们的护理人员的心理稳定,我们允许加护病房进行一天24小时探访,除紧急情况或需要治疗外。当家庭成为治疗的一部分时,患者会对治疗产生信任,而且护理人员能够更自由地管理他们的时间,反过来会促进患者的幸福度。
    通过改变一天24小时为医疗人员对患者进行护理的护理人员的观念,在他们间建立相互理解及分享同感受一个很好的机会。

4. 通过韩国首个危重病人咨询系统使公众受益

5. 通过最近建立的危重病人教育团队对照顾危重病人的医疗人员进行系统培训

6. 合作教育及研究基础设施的建立

最新的治疗方法

1. 清醒与呼吸协调、精神错乱监测与管理及早期活动(ABCDE):

加护病房患者的基础治疗协议,最低限度地使用镇静药以保持清醒,尝试自我呼吸,并积极地检查及治疗精神错乱,以允许早日进行康复治疗。

2. 体外膜肺氧合(ECMO):

  • 急性心衰竭: 指所有急性、严重的心衰竭患者,包括严重心肌梗塞、心肌炎和应力引起的心力衰竭。
  • 急性呼吸衰竭:指患者的肺由各种原因引起的功能不全,包括由病毒或细菌感染、毒素和烧伤引起的急性呼吸衰竭。
  • 患者正在等待心或肺移植。

3. ICU 早日康复:

我们在进入加护病房后24或48小时内开始危重病人动员以降低由后加护综合征(PICS)引起的疲惫和精神障碍的发生并改善长期预后。

最新的临床研究趋势

加护病房的临床研究:我们正在领先危重病人护理的研究领域,包括脓毒症、机械通气、ECMO及危重患者康复,而且正在通过多学科方式积极地呈现以杰出ECMO治疗临床结果为基础的相关临床研究,并且取得在韩国该领域中最好及最多成果。我们已经证明了安全性并通过我们在亚洲该领域上首次研究增加把危重病人康复引入国家的可能性,也在ECMO治疗期间对康复结果进行报告。

科室目录
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Patients' Rights and Responsibilities

Patients' Rights

1. Right to receive medical care

Patients have the right to receive proper care in a safe setting without discrimination nor should their right to care be violated regardless of their gender, age, religion, social status, nationality, language, race, or physical/mental/financial status. Medical teams shall not refuse to provide care without justifiable reason.

2. Right to be informed and to make an autonomous decision

Patients have the right to obtain full and complete information from their medical team, to ask questions, and to determine their agreement or refusal concerning: diagnosis, treatment (purpose, plans and methods), outcomes of care (including unanticipated outcomes), discharge plan, participation in medical research studies, organ transplantation/donation, etc. Within ethical boundaries, patients may discontinue or refuse treatment, request that the medical team explain and suggest alternative treatments, and reserve the right to make their own decisions.

3. Right to confidentiality

Patients' rights to confidentiality regarding their physical/health status and privacy will not be violated. Patients can expect that all medical records/reports and their personal privacy will be kept confidential unless the patient has given consent or disclosure is permitted by law. To ensure their privacy, patients may be informed that Individuals not directly involved in their care may not be present and that the number of guardians accompanying patients to consultation rooms may be limited.

4. Right to request consultation and mediation

In the event of a medical dispute, patients may request consultation and mediation from an internal or external agency (Korea Consumer Agency, Korea Medical Dispute Mediation and Arbitration Agency).

5. Right to have values and beliefs respected

Patients will not be discriminated against because of their culture, religious values, or beliefs, and their rights will not be violated.

6. Right to receive care in a safe setting

Patients have the right to receive hospital-provided care where the patient’s medical information is protected and patient safety can be assured. In addition, patients have the right to be protected from possible dangers that can occur in a hospital and to have stability of mind and body.

Patients' Responsibilities

1. Responsibility to trust and respect the medical team

Patients must accurately inform the medical team of their health condition and must trust and respect the medical team's treatment plan. Patients may be responsible for consequences that result from not following instructions.

2. Responsibility to not use dishonest methods for medical treatment

Patients must reveal their identity before receiving any medical care and must not use false or dishonest methods, such as seeking medical care under disguised ownership.

3. Responsibility to abide by all hospital regulations

Patients are expected to treat all hospital staff and other patients with courtesy and respect; to abide by all hospital rules; and to earnestly fulfill their financial obligation to the hospital. Also, patients and their family members are expected to participate in all safety regulations.