关键词:

新型冠状病毒感染, 信息化平台, 预检分诊, 护理

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-screening and 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); 1010 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