Construction and practice of an integrated emergency-critical care operational model driven by resilience and synergy theory_West China Medical Journal

Authors：

WANG Meng ^1,2 ,  ZHANG Xiaoli ^1,2 , HOU Xumin ^2,3 , LIU Jue ^1,2 , TANG Jingyi ^1,2 , SHEN Yingjie ^2,4

1. Performance Management Office, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P. R. China;
2. Institute of Medical Service Management, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai 200030, P. R. China;
3. President’s Office, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P. R. China;
4. Medical Department, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P. R. China;

Corresponding?author：

ZHANG Xiaoli, Email: zhang_xl2014@163.com

Keywords：

Integrated emergency-critical care; resilience theory; synergy theory; operational practice; emergency and critical care

DOI：

10.7507/1002-0179.202510241

Video：

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Abstract Full text Figures/Tables Video References Cited by

Against the backdrop of high-quality development in public hospitals, enhancing emergency and critical care capabilities has become a core task in medical system construction. Based on the resilience theory’s “4R model” (robustness, redundancy, resourcefulness, and rapidity) and three key principles of synergy theory (amplification, dominance, and order parameters), Shanghai Chest Hospital has developed and implemented an integrated emergency-critical care operational model. This article systematically introduces the model’s construction background, theoretical framework, and core implementation measures, primarily including management synergy, resource integration, and smart empowerment. Practical results demonstrated that the model effectively improved treatment quality, optimized resource efficiency, and strengthened disciplinary capabilities. By sharing this replicable practical experience, it provides theoretical references and practical paradigms for the systematic optimization and resilience enhancement of emergency and critical care systems in public hospitals.

Citation： WANG Meng, ZHANG Xiaoli, HOU Xumin, LIU Jue, TANG Jingyi, SHEN Yingjie. Construction and practice of an integrated emergency-critical care operational model driven by resilience and synergy theory. West China Medical Journal, 2026, 41(6): 1001-1006. doi: 10.7507/1002-0179.202510241 Copy

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2.	國務院辦公廳. 國務院辦公廳關于推動公立醫院高質量發展的意見. 中華人民共和國國務院公報, 2021(17): 174-178.
3.	王爽, 趙雨欣, 陳煒, 等. 三級公立醫院高質量發展背景下急危重癥醫學中心建設及其對護理的啟發. 中華急危重癥護理雜志, 2024, 5(6): 499-505.
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5.	徐潤雅. 我國城市社區協同治理模型與運行機制研究. 合肥: 中國科學技術大學, 2016.
6.	Lee AV, Vargo J, Seville E. Developing a tool to measure and compare organizations’ resilience. Nat Hazards Rev, 2013, 14(1): 29-41.
7.	王秋芳, 李婷, 倪士光. 軟韌性視角下積極韌性醫院模型構建研究. 中國醫院管理, 2022, 42(1): 68-71.
8.	周一丹, 寧寧, 周文婧, 等. 災難性醫療需求激增情境下醫院韌性的建設策略. 中國醫院管理, 2021, 41(1): 87-89.
9.	Lawrence J, Thomas J. The resilient city: how modern cities recover from disaster. New York: Oxford University Press, 2005.
10.	鄭佳慧, 王書平, 鄒云鋒, 等. 2015—2020 年我國重癥床位資源配置公平性分析. 中國衛生經濟, 2022, 41(10): 49-53.
11.	彭慧, 鄭宇紅, 潘新群. 重癥醫學科護理人力資源與績效管理. 現代醫院, 2021, 21(2): 247-249.
12.	韓雪磊. 基于協同管理理論的綜合性公立醫院公共衛生職能實現策略及路徑研究. 武漢: 華中科技大學, 2013.
13.	李卓遠, 侯旭敏, 袁駿毅. 基于數字孿生技術的 CTICU 智能管理系統的設計與應用. 中國醫療設備, 2024, 39(9): 70-75.
14.	謝潤平, 薛剛. 急診及重癥醫學科一體化建設策略研究. 江蘇衛生事業管理, 2024, 35(8): 1068-1071.
15.	孫茜, 劉娟, 王志粉, 等. 資源整合在急診危重患者救治中的實踐研究. 現代醫院管理, 2025, 23(6): 36-39.

1. 呂傳柱, 羅善軍, 袁素平, 等. 急診醫學學科發展與急診急救大平臺建設——也談對急危重癥護理的啟發. 中華急危重癥護理雜志, 2023, 4(1): 10-16.
2. 國務院辦公廳. 國務院辦公廳關于推動公立醫院高質量發展的意見. 中華人民共和國國務院公報, 2021(17): 174-178.
3. 王爽, 趙雨欣, 陳煒, 等. 三級公立醫院高質量發展背景下急危重癥醫學中心建設及其對護理的啟發. 中華急危重癥護理雜志, 2024, 5(6): 499-505.
4. Windle G. What is resilience? A review and concept analysis. Rev Clin Gerontol, 2011, 21(2): 152-169.
5. 徐潤雅. 我國城市社區協同治理模型與運行機制研究. 合肥: 中國科學技術大學, 2016.
6. Lee AV, Vargo J, Seville E. Developing a tool to measure and compare organizations’ resilience. Nat Hazards Rev, 2013, 14(1): 29-41.
7. 王秋芳, 李婷, 倪士光. 軟韌性視角下積極韌性醫院模型構建研究. 中國醫院管理, 2022, 42(1): 68-71.
8. 周一丹, 寧寧, 周文婧, 等. 災難性醫療需求激增情境下醫院韌性的建設策略. 中國醫院管理, 2021, 41(1): 87-89.
9. Lawrence J, Thomas J. The resilient city: how modern cities recover from disaster. New York: Oxford University Press, 2005.
10. 鄭佳慧, 王書平, 鄒云鋒, 等. 2015—2020 年我國重癥床位資源配置公平性分析. 中國衛生經濟, 2022, 41(10): 49-53.
11. 彭慧, 鄭宇紅, 潘新群. 重癥醫學科護理人力資源與績效管理. 現代醫院, 2021, 21(2): 247-249.
12. 韓雪磊. 基于協同管理理論的綜合性公立醫院公共衛生職能實現策略及路徑研究. 武漢: 華中科技大學, 2013.
13. 李卓遠, 侯旭敏, 袁駿毅. 基于數字孿生技術的 CTICU 智能管理系統的設計與應用. 中國醫療設備, 2024, 39(9): 70-75.
14. 謝潤平, 薛剛. 急診及重癥醫學科一體化建設策略研究. 江蘇衛生事業管理, 2024, 35(8): 1068-1071.
15. 孫茜, 劉娟, 王志粉, 等. 資源整合在急診危重患者救治中的實踐研究. 現代醫院管理, 2025, 23(6): 36-39.

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