中华护理杂志

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大型综合医院门诊应对新型冠状病毒感染疫情的管理策略

贾丹 何谦 赵淑珍 胡晓坤 曾忠仪 杨晓蓉 杨玲 郭媛 苟悦 胡晓兰 吴玮 何晓俐   

  1. 四川大学华西医院

  • 收稿日期:2020-02-14

Management strategies of COVID-19 infection in outpatient departments of large general hospitals

JIA Dan, HE Qian, ZHAO Shuzhen,HU Xiaohun,ZENG Zhongyi,YANG Xiaorong, YANG Ling,GUO Yuan,GOU Yue,HU Xiaolan,WU Wei,HE Xiaoli   

  • Received:2020-02-14

摘要:

目的 为了有效做好新型冠状病毒感染疫情的防控工作,减少人员聚集、切断传播途径,防止交叉感染,在门诊正常医疗工作开展的同时保障医疗安全。方法 优化门诊空间布局,调整和管控患者进出路线;合理人力资源调配,控制坐诊医生人数及号源总量,管控人流量;借助信息系统平台进行患者流行病学及相关症状筛查,建立严格、规范的三级预检分诊体系;加强各岗位医务人员防护相关知识的培训。结果 2020年1月28—2月6日,该院门诊共筛查出高危患者82例,全部护送至发热门诊作筛查,其中确诊新型冠状病毒感染阳性1例,疑似病例1例。  结论 在新型冠状病毒疫情发生的情况下,采取全院多部门联动,建立规范的三级预检分诊体系,能有效对疑似病例早发现、早报告、早隔离、早治疗,从而保证门诊医疗环境的安全。

关键词:

新型冠状病毒, 预检分诊, 综合医院, 护理管理研究, 门诊

Abstract:

Objective In order to effectively novel coronavirus (COVID-19) infection prevention and control, outpatient clinics should reduce staff aggregation, cut off transmission channels, prevent cross-infection, and ensure medical safety while carrying out normal medical work.Methods We optimized the spatial layout of outpatient service, adjusted and controlled the access routes of patients, reasonably allocated human resources, controlled the total amount of doctors and number sources, and controlled the flow of people. Moreover, we screened the epidemiology and related symptoms of patients by information system platform and established a strict and standardized three-level pre-examination triage system to effectively and accurately screen. We also strengthened the training of relevant knowledge of the protection of medical personnel 

in each post.Results  From January 28 to February 6, 2020, 82 high-risk patients have been screened out in our outpatient department, since the implementation of a series of epidemic prevention and control measures. Among them, 1 case was confirmed to be positive and 1 case was suspected case.Conclusions  In the case of COVID-19 outbreak, we should take the whole hospital multi-department linkage and establish a standardized three-level pre-examination triage system, which can effectively identify suspected cases early, early report, early isolation, and early treatment, so as to ensure the safety of the outpatient medical environment.

Key words:

Novel Coronavirus, Pre-Screening and Triage, General Hospital, Nursing Management ResearchOutpatient Clinics