北京某发热门诊定点医疗机构新型冠状病毒肺炎防控护理管理风险分析  

Nursing management risks in prevention and control of COVID-19 in a designated medical institution with Fever Clinics in Beijing

作　　者：孙超[1] 王贞慧[1] 王霞[1] 王蕾[1] 李欣[1] 童萍 Sun Chao;Wang Zhenhui;Wang Xia;Wang Lei;Li Xin;Tong Ping(Nursing Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;Emergency Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院护理部,国家老年医学中心,中国医学科学院老年医学研究院,100730 [2]北京医院急诊科,国家老年医学中心,中国医学科学院老年医学研究院,100730

出　　处：《中华现代护理杂志》2020年第33期4644-4648,共5页Chinese Journal of Modern Nursing

基　　金：北京医院"科技新星"(BJ-2018-129)。

摘　　要：目的明确在新型冠状病毒肺炎(COVID-19)疫情下北京某发热门诊定点医疗机构护理管理面临的风险,提高应急处置能力。方法2020年2月,北京医院开展基于Kaiser模型的灾害脆弱性分析,组建领导小组、文献检索、头脑风暴,结合医院护理管理实际,制定风险事件指标评价体系。选取北京医院参与疫情防控的360名护理人员进行COVID-19防控护理风险评估问卷调查。结果北京医院发热门诊排名前5位的护理风险指标和风险值依次为:院内防护物资不足44.05%、伤医/护事件44.05%、同病区医辅人员被感染(非发热门诊)40.81%、医辅人员被感染(发热门诊)39.95%、感染暴发39.74%。结论COVID-19疫情下,防护物资与消毒用品的后勤保障、院内重点人群/部门/环节的护理感染防控、伤医/护事件的风险值较高,护理管理者要加强部门协作完善后勤保障,重视院内全人群全风险周期的感染防护,改善服务稳定医疗秩序。Objective To clarify the risks faced by nursing management in designated medical institutions with Fever Clinics in Beijing under COVID-19 outbreak and to improve emergency handling ability.Methods In February 2020,Beijing Hospital hazard vulnerability analysis based on Kaiser model was carried out and the leading group was established.Then literature retrieval and brainstorming were conducted and risk event index evaluation system was developed based on hospital nursing management practice.A total of 360 nursing staff who participated in epidemic prevention and control in Beijing Hospital were selected to conduct a nursing risk assessment questionnaire for the prevention and control of COVID-19.Results The top 5 nursing risk indexes and risk values of Fever Clinics in Beijing Hospital were insufficient protective materials in the hospital(44.05%),injuries to doctors or nursing staff events(44.05%),support staff in hospital infected(fever clinics 40.81%,non-fever clinics 39.95%),infection outbreak(39.74%).Conclusions Under COVID-19 epidemic situation,risk values of logistical support of protective materials and disinfection supplies,nursing infection prevention and control of key groups or departments or links in the hospital and injuries to doctors or nursing staff events are higher.Nursing managers should strengthen the coordination of departments to improve logistics support,pay attention to the infection protection of the whole population and the whole risk cycle of the hospital and improve services to stabilize the medical order.

关 键 词：新型冠状病毒肺炎 发热门诊 风险管理 Kaiser模型 灾害脆弱性分析 

分 类 号：R473.5[医药卫生—护理学]