Abstract:

Objective In order to effectively prevent and control coronavirus disease 2019（COVID-19）epidemic,outpatient departments 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 layout of space in the outpatient department by adjusting and controlling the access routes of patients,and reasonably allocated human resources through controlling the number of doctors,the amount of patient reservation and the flow of people. Moreover,we conducted the epidemiologic and related symptoms screenings for patients by information system platform,and established a strict and standardized three-level pre-examination triage system for effective and accurate screening. We also carried out the training of relevant protection knowledge of medical personnel in different posts. Results From January 28 to February 6,2020,82 high-risk patients have been screened out in our outpatient department after the implementation of a series of epidemic prevention and control measures. Among them,1 case was confirmed as positive and 1 was a suspected case. Conclusions During the COVID-19 epidemic,we adopted a multi-department linkage of the entire hospital,and established a standardized three-level pre-examination triage system,which can effectively conduct the early detection,early report,early isolation and early treatment towards suspected cases,so as to ensure the outpatient environment in safety.

Key words: Coronavirus Disease 2019, Pre-Examination and Triage, General Hospital, Nursing Management Research, Outpatient Departments

摘要：

目的 为了有效做好新型冠状病毒肺炎疫情的防控工作,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环境安全。方法 优化门诊空间布局,调整和管控患者进出路线;合理调配人力资源,控制出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相关防护知识的培训。结果 2020年1月28日—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 在新型冠状病毒肺炎疫情发生的情况下,采取全院多部门联动,建立规范的三级预检分诊体系,能有效早发现、早报告、早隔离、早治疗疑似病例,从而保证门诊医疗环境的安全。

关键词: 新型冠状病毒肺炎, 预检分诊, 综合医院, 护理管理研究, 门诊