【摘要】 本文以山东省立医院为例，探讨了大型三甲医院畅通急危重症患者就诊通道的实践。文章基于“入口、通过、出口”三阶段模型，分析了导致急诊患者滞留的困境因素，包括患者流量大、空间与人力资源不足、流程不畅、科室收治积极性不高等。针对这些问题，医院通过建立健全制度、优化绿色通道流程、加强信息化建设、设立一站式服务中心、设立急诊团队、加强监管协调、完善绩效分配、落实双向转诊及推行预住院模式等措施，显著提升了急诊重症救治效率，缩短了患者滞留时间，提高了床位周转率和患者满意度，为医院提供了可借鉴的经验。更多还原

【Abstract】 This paper takes Shandong Provincial Hospital as an example to explore practices for streamlining medical access for critically ill patients in large tertiary hospitals. Based on the three-stage model of "entry, passage, and exit," the article analyzes factors contributing to emergency department overcrowding, including high patient volume, inadequate space and human resources, inefficient processes, and low departmental motivation for patient admission. To address these issues, the hospital implemented measures such as establishing comprehensive systems, optimizing green channel procedures, enhancing information technology infrastructure, creating one-stop service centers, forming specialized emergency teams, strengthening supervision and coordination, improving performance-based allocation, implementing two-way referral systems, and promoting pre-admission models. These initiatives significantly improved the efficiency of emergency critical care, reduced patient waiting times, increased bed turnover rates, and enhanced patient satisfaction, providing valuable reference experience for other hospitals.更多还原