芜湖市卫生应急模拟疫情考核桌面演练分析  

Application of simulated epidemic situation tabletop drill on health emergency in Wuhu City

作　　者：王斐[1] 程周祥[1] 钱邦群[1] 

机构地区：[1]芜湖市疾病预防控制中心,安徽芜湖市241000

出　　处：《热带病与寄生虫学》2014年第1期41-43,57,共4页Journal of Tropical Diseases and Parasitology

摘　　要：目的对芜湖市2012年卫生应急考核型模拟疫情桌面演练情况进行分析,查找芜湖市各县区卫生应急处置工作中可能存在的薄弱环节和各县区应急处置工作的差距等,探索应急演练的模式和方法。方法模拟一起暴发疫情的发生后的疫情处置过程,设计多环节以考核桌面推演的方式进行模拟处置,加入技能操作的考核环节,专家评委评分。结果演练设置桌面推演和技能操作两部分,8支代表队平均分为80.34分。桌面演练与技能操作的平均得分率分别为78.13%和91.12%。桌面推演中"病例对照研究"平均得分率最高,其余环节与之比较,除"样本采集与检测"外,差异均有统计学意义。各代表队各环节之间得分率存在一定差别,平均得分率变异系数最高在9.68至19.92之间。结论对演练暴露出的薄弱环节和各队差异等问题,须开展针对性强的培训对应急技能加以强化,在方案的设计和内容的选择合理的前提下可探索采用桌面演练、实战演练等多种形式开展卫生应急能力的考核。Objective To analyze the application of simulated epidemic situation tabletop drill on health emergency in 2012 in Wuhu city, and find out the weak links and gaps on health emergency disposal in the counties of Wuhu city, and explore the patterns and methods of emergency drill. Methods The disposal process of an outbreak epidemic situation was simulated, and multiple links were designed to evaluate simulated tabletop drill. The technique operation was also included in the assessment. All the results were judged by experts. Results The drill included tabletop deduction and technique operation, the average score of all the 8 teams was 80.34.The average scoring rate of tabletop deduction and technique operating was 78.13 percent and 91.12 percent, respectively. The highest average scoring rate in the process of tabletop deduction was“casecontrol study”. There was statistically difference in other links except“sample collection and testing”compared to“casecontrol study”. There were some differences among the different links and teams. The highest CV of average scoring rate was between 9.68 and 19.92. Conclusion The problem appeared in the drill, such as the weak links and the gaps among the teams, revealed that the targeted train on emergency technique should be enhanced. The tabletop drill and actual combat drill could be used to assess the capability of health emergency if the scheme and content were designed reasonably.

关 键 词：卫生应急 模拟疫情 演练 

分 类 号：R1[医药卫生—公共卫生与预防医学]