发热门诊新型冠状病毒感染预检分诊与疫情防控策略

doi:10.16460/j.issn1008-9969.2020.06.039

摘要/Abstract

摘要： 目的探讨发热门诊新型冠状病毒感染预检分诊和疫情防控策略,进一步做好新型冠状病毒肺炎定点医院疫情防控和救治工作。方法以2020年1月20日—2月24日在我院发热门诊接受就诊患者和实施诊疗医务人员作为研究对象,构建基于应对新型冠状病毒感染疫情的一站式发热门诊,实施标准化预检分诊流程和疫情防控策略,回顾性分析和评价疫情期间发热门诊诊疗情况和管理效果。结果预检分诊台接受就诊患者共22 382例,其中经发热门诊就诊患者共1 314例,有湖北地区相关接触史患者共94例,接受进一步住院隔离治疗患者共52例,经发热门诊筛查后最终在感染科确诊新型冠状病毒肺炎病例共3例,期间预检分诊和发热门诊在岗医务人员共48名。所有患者均得到妥善诊治,未发生患者漏诊、患者和医务人员发生交叉感染现象及候诊、分诊和转诊期间医疗护理不良事件。进行感控督查共432人次,每周感控总体正确率由最初的93.60%提高到99.20%。结论科学构建应对新型冠状病毒感染的一站式发热门诊,实施标准化预检分诊流程和疫情防控策略,有利于尽早筛查出疑似病例和感染病例,做好早发现、早报告、早隔离、早治疗,避免交叉感染,有助于推动疫情防控和救治工作的顺利开展。

Abstract: Objective To explore the triage and epidemic prevention of COVID-19, and further improve the infection prevention and control in COVID-19-designated hospitals. Methods We conducted a retrospective analysis study based on the clinical data of patients receiving medical inspection and diagnosis at fever clinic, and information of medical staff on board from 20 January to 24 February 2020. The one-stop fever clinic for the prevention of COVID-19 was established, and the standardized pre-check and triage procedure, and the prevention and control strategy were implemented. The working condition and management effect of the fever clinic were retrospectively analyzed. Results A total of 22,382 patients were admitted to the fever clinic, including 1,314 patients receiving the diagnosis and treatment at fever clinic, 94 patients with a recent contact history with people from Hubei Province，52 patients receiving further medical isolation and hospitalization, and 3 confirmed infectious cases through the screening at fever clinic and diagnosis in the infectious department. There were 48 medical staff on duty and all patients had received proper diagnosis and treatment. There were no missed diagnosis, no cross-infection cases between patients and medical staff, and no adverse event of medical care occurred during waiting time, triage and referral. A total of 432 person times among the working staff were supervised and examined during the execution of epidemic prevention and control, and the overall weekly execution accuracy was increased from 93.60% to 99.20%. Conclusion The scientifically built one-stop fever clinic and further standardized pre-check and triage, and epidemic prevention and control strategy are effective for the screening of the suspected cases and infectious cases as early as possible. It could contribute to the early detection, early reporting, early isolation and early treatment for infectious patients, and avoid cross infection and promote infection prevention and control, and treatment.

Key words: COVID-19, fever clinic, pre-check and triage, prevention and control strategy, nursing management

中图分类号:

R473.51

陈梦云, 林淡珠, 许金微, 谢漫. 发热门诊新型冠状病毒感染预检分诊与疫情防控策略[J]. 护理学报, 2020, 27(6): 39-43.

CHEN Meng-yun, LIN Dan-zhu, XU Jin-wei, XIE Man. Triage and Epidemic Prevention of COVID-19 at Fever Clinic[J]. Journal of Nursing, 2020, 27(6): 39-43.

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