Needs Corresponding to 24-Hour, 365-Day Abdominal Emergency Practice -The Existence of Three or More Medical Staff Sharing Common Values and Competency-

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  • ２４時間３６５日対応できる腹部救急患者診療に必要なもの　　―同じ姿勢・能力を持った３人以上のスタッフの存在―
  • -The Existence of Three or More Medical Staff Sharing Common Values and Competency-
  • ─同じ姿勢・能力を持った3人以上のスタッフの存在─

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Abstract

Our hospital, a 295-bed inpatient, secondary emergency hospital in its area, has set as our goal prompt diagnosis and treatment of abdominal emergencies on a 24-hour, 365-day basis. As experiencing any delay in primary diagnosis leading to an adverse affect causing strain to the doctor on call, we advised all doctors to call us anytime. We also secured ten beds at the high/intensive care unit and made it easy to observe and determine responsibility on holidays. Radiation technicians, pharmacists, and clinical laboratory facilities, addition to anesthesiologists and hemodialysis were made available on an on-call schedule. A stress-free environment motivates and proves useful for early imaging diagnosis. Today, in our hospital, three doctors (including the author) are present, reducing work to one third. Enhancing the ability to diagnose allows accurate practice, and the existence of co-workers sharing common values and competency makes 24-hour, 365-day abdominal emergency practically available.

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