中华护理杂志

• 新冠肺炎护理专题 • 上一篇    下一篇

新型冠状病毒肺炎疫情期间“1移2精3零”预检分诊管理

陈彦芳 谢日华 熊紫玉 张颖兰 周乐鹏 罗静兰 王洁 刘靖萍 郭丽兴 李曼曼 李伟健  刘春华   

  1. 南方医科大学南海医院

  • 收稿日期:2020-02-21

Triage Management of One-Moving, Two-Accurate and Three-zero during the COVID-19 epidemic

CHEN Yanfang, XIE Rihua, XIONG Ziyu, ZHANG Yinglan, ZHOU Lepeng, LUO Jinglan, WANG Jie, LIU Jingping, GUO Lixing, LI Manman, LI Weijian, LIU Chunhua   

  • Received:2020-02-21

摘要:

目的  探索新型冠状病毒肺炎(简称新冠肺炎)疫情期间的预检分诊管理模式,以期减少疑似患者漏检、院内交叉感染和提高患者就医满意度。方法 搭建帐篷将预检分诊关口外移,分别在门诊、急诊、住院部关键入口设置预检分诊点;加强预检分诊人员及物品的精细化管理和预检分诊流程及信息的精准化管理。结果 2020年1月25日—2月20日,累计预检分诊37 698例次,其中新冠肺炎发热门诊患者301例,普通发热门诊患者639例,新冠肺炎疑似病例收住隔离区160例,确诊新冠肺炎患者并转诊3例。在此期间,新冠肺炎疑似患者零漏检,院内交叉感染零发生,患者及家属零投诉。结论 “1移2精”预检分诊管理模式行之有效,在新冠肺炎爆发期间起到控制疫情传播的作用,将来其他传染病爆发期间可推广和应用。

关键词:

新冠肺炎, 爆发期, 预检分诊, 护理管理研究

Abstract:

Objective  To explore a novel triage management mode during the COVID-19 outbreak, reducing missed cases, in-hospital cross-infection, and improving satisfaction from patients and their families. Methods During the COVID-19 outbreak, we moved the triage entry points to the departments of outpatient, emergency and inpatient by setting up tents, and improved staff and facilities management, and developed accurate triage flowchart and kept accurate and timely information. Results Between January 25 and February 20 of 2020, we triaged a total of 37,698 patients and visitors. Of them, 301 were triaged to the COVID-19 fever clinic, 639 were triaged to the general fever clinic, 160 were suspected for COVID-19 infection 

and quarantined, and 3 cases were confirmed for COVID-19 infection and referred to the designated treatment hospital. Even though the triage volume was large, we achieved zero missed detection of suspected patients with COVID-19, zero occurrence of in-hospital cross-infection, and zero complaints from patients and their families in our hospital. Conclusions One-moving and Two-accurate triage management is an effective way and is worth applying to the COVID-19 outbreak or future infectious disease outbreaks. 

Key words:

COVID-19, Outbreak, Triage, Nursing Management Research