新型冠状病毒疫情下优化CT检查流程及防控助力“复工复产”稳步推进的实践与探索  

Practice and Exploration of Optimizing CT Examination Process and Prevention and Control to Promote "Resuming Work and Production" Steadily Under Epidemic Situation of COVID-19

作　　者：何理 付传明[1] 徐霖[1] 陈文[1] 周选民[1] 刘超[1] 郑克华[1] 郑全增[1] HE Li;FU Chuanming;XU Lin;CHEN Wen;ZHOU Xuanmin;LIU Chao;ZHENG Kehua;ZHENG Quanzeng(Medical Imaging Center,Taihe Hospital,Hubei Medical College,Shiyan 442000,China)

机构地区：[1]湖北医药学院附属太和医院医学影像中心,湖北十堰442000

出　　处：《CT理论与应用研究（中英文）》2020年第2期177-184,共8页Computerized Tomography Theory and Applications

摘　　要：目的:探索在新型冠状病毒肺炎(COVID-19)疫情下,影像科如何结合院感防控,做好"复工复产"批量CT检查流程的应急优化调整。方法:回顾性总结在新型冠状病毒肺炎(COVID-19)疫情"复工复产"期间,面对复工复产体检人员众多,筛查医院相对集中的情况,我院影像科结合院感防控,优化CT检查流程所获得的实践经验。结果:优化流程后,疫情期间CT日均检查量为694例,人均检查时间由4 min降为2.5 min,效率提高了37.5%。胸部CT报告出具时间由2 h降为30 min,效率提高了75%。我科102名医务人员均无新型冠状病毒感染情况。结论:通过分工定责的应急管理体系的构建,严密高效地检查流程的制定,科学地院感防控及消毒管理方案的执行、员工的后勤保障工作的开展等优化措施,能够有效解决当前复杂形势下大批量的体检CT检查,为助力"复工复产"的稳步推进贡献力量。Objective: To explore how to optimize and adjust the batch CT examination flow of "Resuming Work and Production" in the COVID-19. Methods: During the epidemic of COVID-19, in the face of the large number of people resuming work and production for physical check-up, screening the relative concentration of hospitals, the Imaging Department of our hospital combined with the prevention and control of hospital Infection, to review and summarize practical experience gained from optimizing CT examination process. Results: After optimizing the procedure, the average daily quantity of CT examination was 694 cases, the average examination time was reduced from 4 minutes to 2.5 minutes, and the efficiency was increased by 37.5%. The chest CT report time was reduced from 2 hours to 30 minutes, and the efficiency was improved by 75%. None of the 102 medical staff in our department had COVID-19 infection. Conclusion: Through the construction of Emergency Management System with division of labor and responsibility, the establishment of strict and efficient inspection process, the implementation of scientific hospital infection and prevention and control and Disinfection Management Plan, and the development of logistic support for staff and so on optimization measure, can effectively solve the current complex situation under a large number of CT physical examination, to help "Resuming Work and Production" to promote the steady progress.

关 键 词：新型冠状病毒肺炎 CT扫描 优化流程 院感防控 

分 类 号：R812[医药卫生—放射医学]