新华视点：管理混乱，酿成大祸 Xinhua viewpoint:Management confusion,Breed great mischief

　　

——辽宁东港医源性集体感染丙肝事件追踪 Donggang city, liaoning iatrogenic collective infection hepatitis c event tracking

　　辽宁省丹东东港市社会保险医疗门诊部日前发生疑似医源性感染事件，已导致120名患者疑似集体感染丙肝。

Liaoning dandong DongGangShi social insurance medical clinic has occurred suspected iatrogenic infection events,Has led to 120 patients suspected collective infection hepatitis c.

　　“新华视点”记者赶往事发地采访发现，该门诊部一支针头多名患者使用，是导致集体感染的一个主要原因。

"Xinhua viewpoint"Reporter to interview found that the land,The clinic a needle many patients to use,In the collective infection of one of the main reasons.

　　

百人感染丙肝，门诊部被停业 One hundred people infected with hepatitis c,Clinic is out of business

　　2月5日，多名正在东港市中心医院接受治疗的患者接受了记者采访。

On February 5,Who is DongGangShi center hospital patients accepted reporters.

　　东港市十字街镇龙潭村村民丛维福告诉记者，腊月初九是当地习俗家家户户杀猪准备过年的日子，我却病倒了，浑身无力干不了活。第二天我到东港市中心医院看医生，一抽血化验得知是急性丙肝，当时就被留院治疗。

DongGangShi cross street town longtan village CongWeiFu told reporters,The 9th lunar month is the local custom families kill pig to the day of the Chinese New Year,I was ill,All can do to live.The next day I to DongGangShi central hospital see a doctor,A blood test that is acute hepatitis c,At that time was to leave courtyard treatment.

　　入院第二天，我在医院遇到曾在社保门诊部一起治疗静脉曲张的一位病友，互相询问后发现，两人都得了丙肝，第三天又进来两位病友，大家怀疑是在社保门诊部感染的，为了讨个说法，1月28日十几名患者一起到市卫生局举报了社保门诊部。

Admission on the second day,I was in the hospital had met in the outpatient department of social security with the treatment of varicose veins a patients,Ask each other found,Two people were hepatitis c,On the third day and come in two patients,We suspect is in the outpatient department of social security of the infection,In order to make a statement,1 month and day more than ten patients go to the municipal bureau of health, social security report the outpatient department.

　　当日，东港市卫生局对社保门诊部采取了紧急措施，并上报省、市卫生主管部门。

the,DongGangShi health clinic for social security to take the emergency measures,And report the province/The municipal public health departments.

　　经省市有关部门调查，初步确认曾在东港市社保门诊部接受过静脉曲张治疗的患者，疑似集体感染丙肝，该事件不排除与门诊部医疗行为有关。

The relevant departments of the provinces and cities survey,Preliminary confirmation once in the outpatient department of social security DongGangShi received varicose vein therapy of the patients,Suspected collective infection hepatitis c,The event out and clinic about medical behavior.

　　截至2日晚，在该门诊部接受静脉曲张治疗的120名患者全部查找到，并进行了采血检查，其中需要住院接受治疗的95人。

By the late 2nd,In the out-patient department accept varicose vein treatment of 120 patients to find all,And the blood check,Which need to be hospitalized for treatment of 95 people.

　　东港市马家店镇47岁村民王永良说，我原先在城市建筑工地打工，现在得了这种病，医生说不能再干重体力活儿，不能生气和上火，眼下我就想快点把病治好，希望政府能给一个交代。

DongGangShi horse shop town 47 WangYongLiang villagers said,I was in the city construction worker,Now in this disease,The doctor said can't do heavy physical work,Can't get angry and fire,Right now I just want to hurry up to cure disease,Hope the government can give a replacement.

　　

刊登电视广告，误导患者就医 Published television advertising,Misleading patients go to a doctor

　　今年57岁的李景有说，去年10月自己在电视上看到东港市社保门诊部广告，说是引进北京高科技治疗静脉曲张先进技术。

This year at the age of 57 LiJingYou said,Last October, his saw on TV advertising DongGangShi social security clinic,Beijing is introducing high-tech treatment of varicose veins of advanced technology.

　　由于自己静脉曲张多年，备受折磨，第二天就来到该门诊部，这里的医生表示，1200元包治一条腿，治不好退款。

Because of his varicose vein for many years,Has suffered,The second day came to the clinic,The doctor said,1200 yuan package to a leg,Can not cure a refund.

　　李景有与门诊部签订了治疗合同，其治疗方法是，在他的腿部进行静脉注射药物，“治疗时，医生先是用一次性注射器在我的患病处抽取坏血，排掉后把注射器接在盐水瓶的针头上，取盐水涮一下针管，再把这支一次性注射器接在装药的瓶子上，从中抽取一定量的药物，注射到病患处。”

LiJingYou signed a contract with the clinic treatment,The treatment method is,In his legs for intravenous drugs,"treatment,First the doctor with disposable syringe in my sick place extraction bad blood,Row off the syringe joint in salt water bottle on a needle,Take brine rinse the needle,Put a disposable syringe joint in charge of the bottle,Drawn from a certain amount of drug,The patient injection in."

　　“下一位患者也是一样的流程，大家共用这一瓶药，直到全部用完再换新药。”李景有介绍说。经过三个月的静脉介入治疗，并辅助理疗和敷药，他的腿病有所好转。

"The next patients is the same process,We share this bottle of medicine,Until all run out of new change again."LiJingYou said.After three months of vein interventional therapy,And auxiliary physiotherapy and chitin,His leg disease better.

　　今年1月初，李景有出现了头昏、恶心、无力等症状，当地一家医院经过核磁共振检查，诊断其脑供血不足，为他开了几百块钱的药回家服用。

Early January,LiJingYou appeared dizziness/nausea/Unable to wait for a symptom,A local hospital after nuclear magnetic resonance (NMR) check,Diagnosis of its head to offer hematic inadequacy,He opened hundreds of money for the medicine to take home.

　　1月28日，他再次到社保门诊部治疗，被告知该门诊部暂停营业，这时一位病友通知他快去医院验血，许多在这里治疗的人得了丙肝，他这才到市中心医院检查，结果显示自己被感染了。

1 month and day,He again to social security clinic treatment,Was told that the clinic suspension of business,Then a wardmate inform him quickly to the hospital blood test,Many people here got hepatitis c treatment,He then to the town center hospital inspection,Results showed that they were infected.

　　社保门诊部主任张文杰接受记者采访时说，涉事医生薛某原在丹东凤城一家医院工作8年，去年10月经人介绍来到门诊部，当时我看了他的医师资格证和医师执业证，都是卫生行政主管部门颁发的合法有效证件，于是门诊部将他聘为外科负责人，与他签订了五年的承包合同，才三个月就出了这么大的事儿。

Social security ZhangWenJie clinic director told reporters,In the original things XueMou in dandong FengCheng work in a hospital eight years,October last year introduced menstruation came to the clinic,At that time I saw his physician qualification certificate and medical practitioners,Is the public health administrative department shall issue a's valid certificate,So the clinic will he appointed the surgery,And he signed five years of contract,Just three months out of such a big thing.

　　感染事件发生后，薛某已被东港市公安局刑事拘留，正在接受警方调查。

Infection after the incident,XueMou has been DongGangShi public security bureau criminal detention,Is to accept the police investigation.

　　

内部管理混乱，外部监督虚设 Internal management confusion,External supervision and dummy

　　记者在采访中发现，这一事件暴露了基层医疗机构在管理等方面的突出问题。

Reporter in the interview found,The incident stripped grassroots medical institutions in the management, and other areas of outstanding problems.

　　据东港市卫生局副局长姚增玲介绍，该门诊部隶属于东港市社会保险局，业务上由市卫生局实施行业管理，包括每年一次的医疗机构校验，去年7月由卫生局例行检查，当时薛某还没有被聘用到这家诊所。

According to DongGangShi health bureau deputy director YaoZengLing is introduced,The clinic is subordinate to DongGangShi social insurance,The business by the municipal health bureau implement industry management,Including an annual check of medical institutions,In July last year by the health bureau routine check,At that time XueMou has not been employed to the clinic.

　　姚局长说，日常监督主要靠卫生监督所2个工作人员，然而辖区内共有350余家医疗机构，即使增加几倍工作人员，也很难管得过来。

Yao said the,Daily supervision mainly rely on health supervision have two staff,But there are more than 350 within the jurisdiction of a medical institution,Even if a few times increase staff,Also it is difficult to pipe have to come over.

　　据介绍，该门诊部内部管理混乱。薛某承包之后，在利益驱使下，违反“五个一”(即“一人”一针一管一用一消毒)的基本操作要求，在未消毒情况下，用同一注射器给不同患者注射药物导致交叉传染。

According to introducing,The out-patient department internal management confusion.XueMou after contracting,In driven by interests,Violation of"five"(namely"A man"A shot of a tube with a a disinfection)The basic operation of the requirements,Before disinfection case,Use the same syringe to different patients injection drug lead to cross infection.

　　门诊部主任张文杰表示，自己对此并不知情。事件发生后，才发现薛某还存在违反承包合同规定，私自购进药品、器械、医用耗材等问题。

Out-patient department director ZhangWenJie said,This is not his knowledge.After the incident,Found that there are still XueMou in violation of a contract,Purchase drugs without/instrument/Problems such as medical consumables.

　　张文杰说，由于历史原因，这家原先由东港市社会保险公司(2002年前后改名为东港市社会保险局)创办的门诊部，包袱较重，人员开支困难，连采暖费也交不起，为了广开财源才引进了薛某这样的“能人”。

ZhangWenJie said,Owing to historical reasons,The original DongGangShi by social insurance company(Around 2002 renamed DongGangShi social insurance)Clinic founded,Burden heavier,Personnel expenses difficult,Even the heating fee also can not afford to pay,In order to increase revenue to introduce the XueMou such"Homo habilis".

　　据患者反映，他们大多是看了当地电视台播出的该门诊部治疗静脉曲张广告后前来就诊的。

According to patients reflect,Most of them is to see the local television broadcast of the clinic treatment of varicose veins after the advertisement to come round to see a doctor.

　　姚增玲副局长说，这个广告显然是非法广告，按规定医疗类广告要播出，必须上报省一级卫生主管部门审批，之前要由市卫生局出具审核意见，东港市卫生局从未受理过这一广告的审批，不知道电视台是依据什么手续播出的广告。(记者 张非非)

YaoZengLing deputy chief said,This advertisement is clearly illegal advertising,According to the regulation of medical ads to broadcast,Must report to provincial health department for examination and approval,By the municipal health bureau before issue audit opinion,DongGangShi health bureau has never accepted the advertising for examination and approval,Don't know what procedure is based on television broadcast advertising.(Reporter ZhangFeiFei)