Abstract:

Objective This article summarized the experience in the prevention and control of coronavirus disease 2019（COVID-19） epidemic in non-isolated areas in a general hospital,in order to provide references to implement prevention and control methods of nosocomial infection in non-isolated areas for other general hospitals. Methods Based on refined management theory,we professionally developed the standards for prevention and control of COVID-19 in non-isolated areas,systematically implemented various prevention and control measures,performed gridding audit,effectively communicated among teams and between doctors and patients assisted by information techniques,and reported results by data for quality improvement. Results There was no secondary COVID-19 infections among staff in the hospital. The rate of mask wearing,the screening rate of epidemiological history and the rate of medical supplies disinfection were all 100% in the hospital. The accuracy rate of mask wearing of patients and their families was 73.79% and the compliance of their hand hygiene was 40.78%. Conclusion Refined management strategies for the prevention and control of COVID-19 infection in non-isolated areas of the general hospital are effective. The accuracy rate of mask wearing and hand hygiene compliance of patients and their families need to be further improved.

Key words: Coronavirus Disease 2019, Refined Management, General Hospital, Nursing Management Research

摘要：

目的 总结该院在非隔离区域的新型冠状病毒肺炎疫情防控经验,为国内综合性医院非隔离区域的新型冠状病毒肺炎及其他传染性疾病的防控提供参考。方法 利用精细化管理理念,以专业化为前提,制订非隔离区域的新型冠状病毒肺炎疫情防控标准,系统化落实各项新型冠状病毒肺炎疫情防控措施,网格化稽查,用信息化手段进行团队间及医患间有效沟通,数据化反馈结果促进质量改进。结果 院内员工无继发新型冠状病毒感染,院内全员口罩佩戴率、流行病史筛查率、环境及医疗用品消毒率均为100%,患者及家属的口罩佩戴正确率为73.79%,手卫生正确执行率为40.78%。结论 精细化管理策略防控措施在综合性医院新型冠状病毒肺炎非隔离区域有效,患者及家属的口罩佩戴正确率及手卫生执行率需要进一步提高。

关键词: 新型冠状病毒肺炎, 精细化管理, 综合性医院, 护理管理研究