新冠肺炎疫情期间某驰援武汉医疗队感染风险管理实践  

Management practice of infection risk of a medical team which rushed to the rescue of Wuhan during COVID-19 epidemic period

作　　者：向钱[1] 肖亚雄[2] 张坤[3] 吴学鸿 朱仕超[5] 张洪川[6] 黎晓容 王德明[8] 陈兰 XIANG Qian;XIAO Ya-xiong;ZHANG Kun;WU Xue-hong;ZHU Shi-chao;ZHANG Hong-chuan;LI Xiao-rong;WANG De-ming;CHEN Lan(Center of Healthcare-associa-ted Infection Control, Sichuan Academy of Medical Sciences, Sichuan Provincial People’s Hospital, Chengdu 621000, China;Office of HAI Management, The First People’s Hospital of Yibin, Yibin 644000, China;Department of Nursing, The First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China;Department of HAI Mana-gement, The Second Hospital of Traditional Chinese Medicine of Yibin, Yibin 644000, China;Department of HAI Management, West China Hospital of Sichuan University, Chengdu 610041, China;Department of HAI Management, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China;Department of HAI Management, Suining First People’s Hospital, Suining 629000, China;Department of HAI Management, Guang-yuan Central Hospital, Guangyuan 628000, China;Department of HAI Management, Union Wuhan Red Cross Hospital, Wuhan 430000, China)

机构地区：[1]四川省医学科学院·四川省人民医院医院感染控制中心,四川成都621000 [2]宜宾市第一人民医院医院感染管理办公室,四川宜宾644000 [3]成都医学院第一附属医院护理部,四川成都610500 [4]宜宾市第二中医医院医院感染管理科,四川宜宾644000 [5]四川大学华西医院医院感染管理部,四川成都610041 [6]川北医学院附属医院医院感染管理部,四川南充637000 [7]遂宁市第一人民医院医院感染管理科,四川遂宁629000 [8]广元市中心医院医院感染管理科,四川广元628000 [9]协和武汉红十字会医院医院感染管理科,湖北武汉430000

出　　处：《中国感染控制杂志》2020年第3期267-270,共4页Chinese Journal of Infection Control

摘　　要：目的评价某驰援武汉医疗队感染风险管理的方法和效果。方法新型冠状病毒肺炎疫情期间,某定点医疗机构某医务人员感染新冠肺炎,驰援该定点医疗机构的武汉医疗队通过风险识别寻找风险点,在线问卷工具评估队员风险,根据风险评估结果采取风险应对措施。结果通过梳理医疗队医务人员工作和生活流程,制定接触风险识别表。采用在线问卷评估队员风险,发现4名队员可能有接触风险。再次访谈4名队员,综合判断,排除4名队员暴露高风险并强化感染防控措施。经过14 d的观察,截至2月22日该医疗队队员均未发生感染。结论在疫情期间,开展风险管理可以有效控制感染风险。Objective To assess the method and efficacy of infection risk management of a medical team which rush to the rescue of Wuhan.Methods During the epidemic period of coronavirus disease 2019(COVID-19),one health care worker was infected with COVID-19 in a designated hospital,a Wuhan medical team which rushed to the rescue of this hospital sought risk points through risk identification,assessed the risk of team members by online questionnaire tool,and took countermeasures against risk according to risk assessment results.Results Through sorting out the work and life process of health care workers in medical team,exposure risk identification form was formulated.Online questionnaire was used to evaluate the risk of team members,and 4 team members were found to have exposure risk.4 team members were interviewed again,judged comprehensively,and all were excluded from high risk exposure,infection prevention and control measures were strengthened.After 14 days of observation,by the end of February 22,none of the medical team members had been infected.Conclusion During the epidemic period,management on risk can effectively control the risk of infection.

关 键 词：新型冠状病毒肺炎 新型冠状病毒 新冠肺炎 医疗队 感染防控 风险管理 

分 类 号：R197.323[医药卫生—卫生事业管理]