Strengthening the construction of safe hospital system to protect the vital interests of doctors and patients

At 2 pm on October 9th, 2011, a man hijacked a nurse with bottle fragments and confronted the police in the North Building of the West Campus of Peking Union Medical College Hospital in Beijing. About an hour later, the SWAT changed the doctor's dress to approach the man. He was not prepared to seize control of the 'weapon' and would be safely rescued by the hijacking nurse. According to the hospital, the man who hijacked the nurse entered the hospital at about 2 pm. At the time when he was visiting the hospital, security assumed that the man was a family member of the patient and put him in the hospital's Department of Vascular Surgery.

In January 2011, the doctors of Shanghai Xinhua Hospital were severely injured by their families. In May, the doctors of the People's Hospital of Shangrao City in Jiangxi were crippled by the family members of the patients; in August, an intentional injury case took place at Chang'an Hospital, Dongguan, Guangdong Province, killing two doctors. In the same month, a total of more than 100 people were injured in the first family hospital in Nanchang City and the hospital security. 15 people were injured and 3 vans were destroyed.

On September 11, 2011, the doctor of the Peking University People's Hospital Mu Xinlin was beaten by the family of the patient in the hospital, causing a neck injury and a fracture of the left tibia; four days later, at the Beijing Tongren Hospital, a doctor who attended the doctor’s appointment with the head of otolaryngology Professor Xu Wen fled after cutting several knives. The doctor was then sent to the operating room for emergency treatment but was not at risk. At around 5:50 in the afternoon, the police arrested the Beijing suspect Wang.

Statistics from the Ministry of Health on violence caused by doctor-patient disputes show that in 2006, a total of 10,248 medical violence incidents occurred in the country, and by the year of 2010, the number had increased sharply to 17,243. According to the survey, more than 70% of hospitals have reported cases of beatings, threats, and insults by medical personnel; 60% of hospitals have had their families wring wreaths, draw banners, and set up mourning halls in hospitals, of which 43.68% have Violence tends to develop into violent incidents; 96% of the doctors surveyed said that there have been medical violence incidents in their hospitals, and there are numerous other public security crimes and thefts in hospitals that are recorded by public security organs. These crimes seriously interfere with the normal hospitals. Work affects doctors' normal medical activities. It directly harmed the legitimate rights and interests of medical staff and other patients and caused not only adverse effects on the hospital, but also a major hidden danger of regional stability.

Doctor-patient dispute

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The hospital as a special place, the vast majority of regular hospitals implement round-the-clock medical services 24 hours a year. There are many expensive instruments and equipment inside the hospital, plus many doctors, nurses and other staff, together with the patients and their family members gathered. The mobility of personnel, coupled with the surrounding environment of the hospital and the complexity of personnel, the hospital lacks a systematic and regular security system, and personnel prevention and technical prevention are not in place. Causes hospital theft cases and frequent criminal cases, and the security situation is grave. In particular, medical violence caused by doctor-patient disputes is the most serious and social influence is extremely poor.

The Chinese Medical Doctor Association’s questionnaire survey of nearly 6,000 physicians in 11 provinces and cities in Beijing and Guangdong this year showed that nearly 80% of doctors do not want their children to seek medical treatment, and about 49% of medical staff are not satisfied with the current working environment. The satisfaction rate was only 19%. Many doctors felt uneasy about their practice environment and some even feared.

Many netizens believe that the frequent occurrence of medical violence is the result of a series of problems such as the 'difficult to see a doctor' and the 'expensive to see a doctor' problem that have long existed in the medical system.

The analysis of deep-seated contradictions in the reform of the health care system is not the subject of this article, but we mainly discuss how to strengthen the construction of safe hospitals from the aspects of safety precautions. The Ministry of Public Security and the Ministry of Public Security issued an announcement as early as in 2001 that it was forbidden to seek trouble in medical institutions to prevent intentional damage to the public and private property of medical institutions, and to insult, threaten, intimidate, beat medical personnel, and other behaviors that disturbed the normal medical treatment order of medical institutions.

In addition, the technical prevention level is limited by the funding issue. Many hospitals still use traditional analog monitoring systems. Each department and each building's video surveillance and alarm system is independent. There is neither a system alarm service platform nor a system. The local public security organs established an alarm linkage mechanism. Inadequate information led to the failure of hospital security and prevented the establishment of a digital peace hospital.

Therefore, there is an urgent need to establish an effective and sound 'safe hospital' project.

First, local governments took the lead in establishing multi-sectoral linkage mechanisms such as public security and health to crack down on violence against medical practitioners, and included criminal cases for handling medical violence into the government's maintenance and evaluation system, and held accountable cadres with corresponding responsibility.

In terms of air defense, the hospital should establish contact with the local public security department, suggesting that the local government should provide funds, the local police station to take over and integrate the security forces, and re-adjust the security posts of the hospital in combination with the actual situation so that public security patrols have no blind spots, and visits and exits at the hospital entrances and exits. Checkpoints, strengthen internal security patrols in hospitals, carry out necessary cross-examination and investigation of suspicious personnel in daily work, become passive and active, and eliminate safety hazards in time. The public security organs cracked down on the 'medical care' and fraudulent practices that use the illegal means to force transactions around the hospital.

In the construction of technical defense, the hospital should increase investment, establish a systematic video surveillance alarm system, and achieve full monitoring of the hospital.

Hospital video surveillance system

Repair and expand the monitoring system, increase the radiation surface of monitoring, and eliminate public security blind spots. Hospital security personnel through the video surveillance, the hospital security status at a glance, played a greater deterrent effect on criminals. In addition, hospital entrances and exits are reduced to form a semi-enclosed environment. Access control systems are installed at all entrances and exits. The access control system matches the patient's information and prevents criminals from posing as family members. Multiple monitoring of important parts.

With the development of network technology and video surveillance technology, social needs have increased. The construction of digital hospitals has become an inevitable trend. Digital hospitals refer to the hospital's entire business process and information resources incorporated into the digital network to achieve unified platform management and resource sharing. Therefore, in this context, digitalization of hospital security systems is imperative. Some experts pointed out that 'the current hospital's video surveillance is not just a need for security, it has been upgraded to the hospital's management, medical, service and other applications, the digital hospital project will help the hospital to achieve resource integration, process optimization, reduce operating costs, Improve service quality, work efficiency and management level. '

Strengthening the construction of safe hospitals is not only the need for hospitals to improve their doctors and nurses' medical practice environment, and the need to reduce public security incidents and safety hazards. It is also an important part of implementing people-oriented and building a harmonious society, which is related to social stability and people's vital interests.