上海交通大学学报(医学版) ›› 2020, Vol. 40 ›› Issue (07): 867-872.doi: 10.3969/j.issn.1674-8115.2020.07.002

• 新型冠状病毒防控专栏 • 上一篇    下一篇

新型冠状病毒肺炎疫情防控期间大型公立医院急诊管理措施的分析

胡承方1, 2,朱 捷1,罗 莉2, 3,曹建文2, 4,陶敏芳2, 5   

  1. 1.上海交通大学附属第六人民医院医务处,上海 200233;2.上海交通大学中国医院发展研究院医院运营研究所,上海 200233;3.上海交通大学附属第六人民医院医院管理研究中心,上海 200233;4.上海交通大学附属第六人民医院绩效管理处,上海 200233;5.上海交通大学附属第六人民医院院长办公室,上海 200233
  • 出版日期:2020-07-28 发布日期:2020-09-23
  • 通讯作者: 陶敏芳,电子信箱:taomf@126.com。
  • 作者简介:胡承方(1981—),男,主治医师,硕士;电子信箱:hucfok@163.com。

Analysis of emergency management measures in large public hospitals during corona virus disease 2019 epidemic prevention

HU Cheng-fang1, 2, ZHU Jie1, LUO Li 2, 3, CAO Jian-wen2, 4, TAO Min-fang2, 5   

  1. 1. Medical Office, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233 China ; 2. Center for Hospital Management Research of China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai 200233, China; 3. Hospital Management Research Center, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China ; 4. Department of Performance Management Service, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China ; 5. Dean's Office, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2020-07-28 Published:2020-09-23

摘要: 目的·分析新型冠状病毒肺炎(corona virus disease 2019,COVID-19)疫情防控期间大型公立医院加强急诊管理的措施,为提高公立医院急诊室COVID-19防控效率及质量提供参考。方法·回顾性分析2020年1月—2月上海交通大学附属第六人民医院急诊就诊量以及多项管理措施,包括优化疫情期间急诊区域患者的诊疗流程,加强预检分诊、抢救室、留观室、补液室以及重症监护室等重点区域的管理,加强患者管理及宣教,优化医护人员调配模式,加强个人防护等管理措施。结果·疫情期间,医院未出现COVID-19确诊患者漏诊,急诊各区域均未出现院内交叉感染情况。结论·COVID-19疫情期间加强医院急诊管理的措施可改善疑似患者筛查及患者分流,防止院内感染的发生。

关键词: 新型冠状病毒肺炎, 防疫, 急诊管理

Abstract:

Objective · To analyze emergency management measures in large public hospitals during epidemic prevention of corona virus disease 2019 (COVID-19) in order to promote control efficiency and quality of COVID-19 in the emergency room of public hospitals. Methods · A retrospective analysis was made on the amount of emergency visits and management measures of Shanghai Sixth People's Hospital, Shanghai Jiao Tong University from January to February, 2020, including optimizing the process of emergency treatment during epidemic prevention, strengthening the management of key areas such as pre-examination and triage, emergency room, observation room, fluid room and the intensive-care unit and so on, enhancing the management and education of patients, optimizing the deployment model of medical staff, strengthening personal protection and other management measures. Results · During epidemic prevention, there was no missed diagnosis of COVID-19 in the hospital and no nosocomial cross infection in the emergency room. Conclusion · Enhancement of emergency management model in large public hospitals during COVID-19 epidemic prevention can improve the screening of possible patients and triage of patients so as to prevent nosocomial infection.

Key words: corona virus disease 2019 (COVID-19), epidemic prevention, emergency management

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