关键词: 新型冠状病毒感染, 信息化平台, 预检分诊, 护理, 发热门诊

Abstract: Objective To develop an online rapid pre-screening and triage system during epidemic of coronavirus disease（COVID-19）,and to accomplish intelligent,accurate,and quick pre-screening and triage,so as to provide the decision-support of early warning management for COVID-19 patients. Methods The online rapid pre-screening and triage system consists of 2 platforms,including patient self-report platform and administrator monitoring platform. The patient self-report platform included epidemiological history of COVID-19 exposure,fever and respiratory symptoms. The data of triage time,coincidence rate of intelligent triage and patient satisfaction from January 20 to February 3 in 2020 were collected from the administrator monitoring platform to evaluate the application effect of the system. Results A total of 1034 outpatients with fever completed the online pre-screeningand triage;174 patients（16.8%）were diagnosed by the intelligent decision-making triage to area B（area of suspected outpatients）;65 patients（37.4%）were suspected with COVID-19 after the second triage;29 cases（44.6%） were finally diagnosed. Intelligent decision-making subdivision resulted in 860 cases（83.2%）in area A（general area）,and there was no suspected and confirmed case found.The time for online rapid pre-screening and triage was（1.94±0.87）mins,which was significantly shorter than that of traditional manual triage（4.03±2.15） mins. The difference was statistically significant（t=-30.99,P<0.001）;1 010 patients（97.7%） were satisfied with the rapid pre-screening and triage,and no complaints or adverse events occurred. Conclusion The online rapid pre-screening and triage system in fever clinics can early detect high-risk patients with COVID-19,ensure early warning and triage of suspected infected patients,and shorten the exposure time. At the same time,it can effectively shorten the waiting time in fever clinics,reduce the risk of cross-infection in hospitals,and improve patients' satisfaction.

Key words: Coronavirus Disease 2019 Infection, Informatization Platform, Pre-screening and Triage, Nursing Care, Fever Clinics