The study of standardization for emergency and critical care medicine using new method of framework.

在急诊重症医学领域，通过医疗标准化对医疗风险或医疗质量进行管理的力度一直不够。本研究通过对急诊与危重症医学的基本危险因素的分析，以及急诊与危重症医学与其他医疗服务的区别，比较了急诊与危重症医学的医疗服务框架。主要结果如下：（1）我们发现我们可以用包括气道（A）、呼吸（B）、循环（C）、中枢和周围神经系统功能障碍（D）、感染/炎症/DIC（I）、营养（N）、康复（R）、家庭（F）和转运/转运/出院（T）的框架来描述我们的大部分危重病护理。2)该框架对青年医生和医学生的教育非常有用。3)规范化的重症监护有助于医疗安全管理。4)这也使得重症监护的方法变得熟悉。总之，这种新的医疗框架应该在医务人员之间共享。

Medical risk or quality management by the standardization of medical care has been insufficient in emergency and critical care medicine. In this study, we clarified underlying risk factor of emergency and critical care medicine, and difference between emergency and critical care medicine, and other kinds of medical care, comparing the frameworks of medical care. The main results we obtained are as follows : 1) We found that we can describe most of our critical care using framework consist of Airway(A), Breathing(B), Circulation(C), Dysfunction of central and peripheral nervous system(D), additionally, Infection/Inflammation/DIC(I), Nutrition(N), rehabilitation(R), Family(F), and transfer/transport/discharge(T). 2) This framework is very useful for education to young doctor and medical student. 3) This standardization of critical care is helpful for medical safety management. 4) This also make approaches to critical care familiar. In conclusion, this new framework of medical care should be shared between medical staff.