从医疗质量控制的角度谈新型冠状病毒肺炎疫情的防控和临床诊疗救治工作需要注意的若干问题  

The noticefrom the perspective of medical quality control for prevention and diagnosis-treatment of Coronavirus Disease 2019

作　　者：朱霞[1] 王娟[1] 唐红[1] 曾义岚 邓存良 白浪[1] 杨兴祥[4] 吴刚 周骥[5] 蒋远明[6] 袁术生 任崇松 夏仁兴 付万智 李显勇[11] 杨红 陈学兵[13] 唐娟[14] 龙志玲[15] 肖贵宝[16] 刘俊英[17] 杜凌遥 ZHU Xia;WANG Juan;TANG Hong;ZENG Yi-lan;DENG Cun-liang;BAI Lang;YANG Xing-xiang;WU Gang;ZHOU Ji;JIANG Yuan-ming;YUANG Shu-sheng;REN Chong-song;XIA Ren-xing;FU Wan-zhi;LI Xian-yong;YANG Hong;CHEN Xue-bing;TANG Juan;LONG Zhi-ling;XIAO Gui-bao;LIU Jun-ying;DU Ling-yao(Infectious Disease Center,West China Hospital,Sichuan University and Quality Control Center of Infectious Disease Diagnosis and Treatment of Sichuan Province,Chengdu 610041,China;Chengdu Public Health Clinical Medical Center,Chengdu 610000,China;Infection Department,The Affiliated Hospital,Southwest Medical University and Luzhou Infectious Disease Quality Control Center,Luzhou 646000,China;Department of Infection,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of Infection,Guangyuan Third People's Hospital and Quality Control Center for Infectious Diseases,Guangyuan 628000,China;Department of Infection,Suining Central Hospital and Quality Control Center for Infectious Diseases,Suining 629000,China;Infection Department,Leshan People's Hospital and Leshan Infectious Disease Quality Control Center,Leshan 614000,China;Infection Department of Nanchong Central Hospital and Nanchong Infectious Disease Control Center,Nanchong 637000,China;Infection Department,Guang an People's Hospital and Guang an Infectious Disease Quality Control Center,Guang an 638500,China;Department of Infectious Diseases,Jianyang People's Hospital and Quality Control Center for Infectious Diseases,Jianyang 641400,China;Department of Infectious Diseases,Neijiang Second People's Hospital and Quality Control Center for Infectious Diseases,Neijiang 641000,China;Department of Infectious Diseases,Ganzi People's Hospital and Quality Control Center for Infectious Diseases,Ganzi 626000,China;Department of Infection,Deyang People's Hospital and Deyang Infectious Disease Quality Control Center,Deyang 618000,China;Department of Infection,Zigong First People's Hospital and Zigong Infectious Disease Quality Control Center,Zigong 643000,China;De

机构地区：[1]四川大学华西医院感染性疾病中心,四川省感染性疾病诊疗质量控制中心,四川成都610041 [2]成都市公共卫生临床医疗中心,四川成都610000 [3]西南医科大学附属医院感染科,泸州市感染性疾病质控中心,四川泸州646000 [4]四川省医学科学院·四川省人民医院感染科,四川成都610072 [5]四川省广元市第三人民医院感染科,广元市感染性疾病质量控制中心,四川广元628000 [6]四川省遂宁市中心医院感染科,遂宁市感染性疾病质量控制中心,四川遂宁629000 [7]四川省乐山市人民医院感染科,乐山市感染性疾病质控中心,四川乐山614000 [8]四川省南充市中心医院感染科,南充市感染性疾病控制中心,四川南充637000 [9]四川省广安市人民医院感染科,广安市感染性疾病质量控制中心,四川广安638500 [10]四川省简阳市人民医院感染科,简阳市感染性疾病质量控制中心,四川简阳641400 [11]四川省内江市第二人民医院感染科,内江市感染性疾病质量控制中心,四川内江641000 [12]四川省甘孜州人民医院感染科,甘孜州感染性疾病质量控制中心,四川甘孜626000 [13]四川省德阳市人民医院感染科,德阳市感染性疾病质量控制中心,四川德阳618000 [14]四川省自贡市第一人民医院感染科,自贡市感染性疾病质量控制中心,四川自贡643000 [15]四川省雅安市人民医院感染科,四川雅安625000 [16]四川省资阳市第一人民医院感染科,资阳市感染性疾病质量控制中心,四川资阳641300 [17]四川省眉山市人民医院感染科,眉山市感染性疾病质量控制中心,四川眉山620000

出　　处：《实用医院临床杂志》2020年第2期7-10,共4页Practical Journal of Clinical Medicine

基　　金：四川大学抗击新型冠状病毒肺炎疫情应急科研项目(编号:2020scunCoV应急10004);四川大学华西医院新型冠状病毒肺炎疫情科技攻关项目(编号:HX-2019-nCoV-010)。

摘　　要：通过对四川省定点收治新型冠状病毒肺炎患者的15个地/市/州医院感染科和13个感染性疾病质量控制分中心进行了调研,收集了在实际防控工作和临床诊治患者过程中存在的问题,查阅资料,从医疗质量控制的角度进行分析总结。发现定点收治医院的病房基础条件、人员储备来应对目前新型冠状病毒肺炎的疫情均存在不足,需要在原有硬件基础上进行改建和补充,预见性做好人员储备,加强各个环节的质量监督控制和管理;目前筛查诊断、解除隔离等标准在执行过程中需要进一步改进和强化,治疗方案需要进一步明确。从医疗质控的角度,运用质控指标和质控监督等措施,能够优化疫情防控和疾病诊疗过程,从而有效提高疫情防控水平和临床诊疗救治工作的医疗质量。Clinical data of patients with novel coronavirus pneumonia in Sichuan province were selected from 15 infection departments of local/city/state hospitals and 13 infectious disease quality control sub-centers.The existing problems in the process of prevention and control,and clinical diagnosis and treatment were collected and analyzed from the perspective of medical quality control.It is found that basic conditions of wards and personnel reserve in designated hospitals were not enough to cope with the current situation of the coronavirus pneumonia.It was needed for reconstruction and supplement on the basis of the original hardware.Personnel reserve and quality supervision,control and management of all links should be foreseen.At present,the standards for screening diagnosis and isolation should be further improved and strengthened.The treatment plan needs to be further clarified.From the perspective of medical quality control,the use of quality control indicators and quality control supervision and other measures can optimize the process such as epidemic prevention and control,and disease diagnosis and treatment.Thus,the level of epidemic prevention and control and the medical quality of clinical diagnosis and treatment will be improved.

关 键 词：新型冠状病毒肺炎 防控 诊治 医疗质量控制 

分 类 号：R563.1[医药卫生—呼吸系统]