重视医疗机构死亡判定制度和工作流程建设与完善OA
Attach great importance to the construction and improvement of the death determination system and work processes in medical institutions
临床死亡是指生命功能的永久终止.本文通过梳理临床死亡的定义和临床死亡发生的不同情境,对临床死亡发生过程进行分类,分类探讨不可控型心死亡、可控型心死亡判定标准和脑死亡的死亡判定标准与工作流程,阐述了脑死亡与死亡的关系,提出死亡病例医疗文书规范化记录需要注意的地方.在此基础上,介绍了医疗机构死亡判定管理制度与工作流程建设的内容,包括管理架构、人员资质、文书规范、质控体系和培训机制等.重视医疗机构死亡判定管理制度和工作流程建设,对保障医疗质量安全、促进器官捐献事业健康发展、维护法律与伦理实践的严肃性具有重要意义.
Clinical death refers to the permanent cessation of life functions.This article reviews the definition of clinical death and the various scenarios in which it occurs,classifies the process of clinical death,and discusses the criteria for determining uncontrollable cardiac death,controllable cardiac death and the criteria and workflow for determining brain death.It elaborates on the relationship between brain death and death,and proposes the areas to note when standardizing the medical documentation of death cases.Based on this,it introduces the content of the management system and workflow construction for death determination in medical institutions,including management structure,personnel qualifications,document norms,quality control system and training mechanism.Paying attention to the construction of the management system and workflow for death determination in medical institutions is of great significance for ensuring medical quality and safety,promoting the healthy development of organ donation,and maintaining the seriousness of legal and ethical practices.
霍枫;张艳;翟晓梅;赵洪涛;武肖娜
510010 广州,中国人民解放军南部战区总医院肝胆外科首都医科大学宣武医院神经内科中国医学科学院北京协和医学院群医学及公共卫生学院中国器官移植发展基金会510010 广州,中国人民解放军南部战区总医院神经外科
医药卫生
死亡判定脑死亡心死亡工作流程死亡记录死亡病例讨论重症监护室多学科综合诊疗
Death determinationBrain deathCardiac deathWorkflowDeath recordDeath case discussionIntensive care unitMulti-disciplinary team treatment
《器官移植》 2026 (3)
364-371,8
国家重点研发计划"主动健康和人口老龄化科技应对"重点专项(2024YFC3606900、2024YFC3606901)中国器官移植发展基金会移植健康管理专项基金(COTDF-020004)联勤保障部队联勤医学优质专科(器官移植学科)
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