大型综合医院新型冠状病毒肺炎流行期间门急诊与住院患者的管理实践  

Practical management of outpatients, emergency department and hospitalized patients in large scale general hospital during COVID-19 epidemic

作　　者：白艳玲 刘运喜[1] 冯丹[2] 高岩[1] 杜明梅[1] 姚宏武[1] 李璐[1] 刘伯伟[1] 谢丽君[1] 任世旺[1] 索继江[1,3] BAI Yan-ling;LIU Yun-xi;FENG Dan;GAO Yan;DU Ming-mei;YAO Hong-wu;LI Lu;LIU Bo-wei;XIE Li-jun;REN Shi-wang;SUO Ji-jiang(The First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心疾病预防控制科,北京100853 [2]解放军总医院卫勤部医学创新研究部医院管理研究所,北京100853 [3]解放军总医院海南医院疾病预防控制科,海南三亚572014

出　　处：《中华医院感染学杂志》2020年第8期1135-1140,共6页Chinese Journal of Nosocomiology

基　　金：“十三五”科技重大专项(2018ZX10733402)。

摘　　要：目的探讨在新型冠状病毒肺炎(COVID-19)流行期间门急诊与住院患者的管理,旨在有效阻断新型冠状病毒在医院内的传播流行。方法从传染病管理三要素"控制传染源、切断传播途径、保护易感人群"入手,分别对预检分诊、发热门诊及病区住院患者从发热筛查、接诊管理、人员防护、住院管理、应急处置、陪护管理、环境消毒等方面做出具体指导。结果门急诊患者与住院患者经过有效的筛查及合理的接诊、医务人员经过科学的防护、陪护人员经过有效的控制,新型冠状病毒感染流行期间未出现医护人员及住院患者的院内感染事件。结论某大型综合医院的门急诊与住院患者管理策略可为其他综合性医院制定疫情防控策略提供科学参考依据。OBJECTIVE To explore the management of outpatients, emergency department and hospitalized patients during the COVID-19 epidemic so as to effectively block the spread of 2019-nCoV in the hospital. METHODS Starting with the three elements for control of infectious diseases ’controlling the sources of infection, cutting off the routes of transmission, protecting the vulnerable population’, specific measures were put forward for the pre-examination triage, fever clinic, screening of fever, reception management, personnel protection, hospitalization management, emergency response and escort management of hospitalized patients as well as environmental disinfection. RESULTS Owing to the effective screening and reasonable reception of the outpatient and emergency department patients and hospitalized patients, scientific protection of medical staff and effective control of accompanying people, no medical staff or hospitalized patients had nosocomial infection during the COVID-19 epidemic. CONCLUSION The strategies for management of the outpatients, emergency department and hospitalized patients in the large scale general hospital can offer other general hospitals the scientific bases for development of strategies for prevention and control of epidemic.

关 键 词：新型冠状病毒 医院感染 门急诊 住院患者 管理 

分 类 号：R197.323[医药卫生—卫生事业管理]