基于新型冠状病毒肺炎疫情防控的大型公立医院医疗流程构建  

Establishment of Medical Service Protocols in Large Public Hospitals for the Prevention and Control of Coronavirus Disease 2019

作　　者：张国杰 常青 潘慧 周炯[2] 陈倩 孙芳艳[3] 柴文昭[3] 徐梅[3] 吴文铭[4,5] ZHANG Guo-jie;CHANG Qing;PAN Hui;ZHOU Jiong;CHEN Qian;SUN Fang-yan;CHAI Wen-zhao;XU Mei;WU Wen-ming(Department of Medical Affairs,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Medical Records,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Infection Control,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Administrative Office,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院医务处,北京100730 [2]中国医学科学院北京协和医学院北京协和医院病案科,北京100730 [3]中国医学科学院北京协和医学院北京协和医院医院感染管理处,北京100730 [4]中国医学科学院北京协和医学院北京协和医院院办公室,北京100730 [5]中国医学科学院北京协和医学院北京协和医院基本外科,北京100730

出　　处：《协和医学杂志》2021年第1期1-4,共4页Medical Journal of Peking Union Medical College Hospital

摘　　要：新型冠状病毒肺炎疫情的全球暴发给医院应急防控带来严峻挑战。大型公立医院作为应对新型冠状病毒肺炎的主战场,应从门诊、急诊、住院、手术、出院全流程进行把控。预检分诊作为医院的首层关卡,是疫情防控的关键节点,需重点关注并加强相关应对机制的建设,以快速遏制外源性/内源性危险因素;同时落实全员培训与考核,加强互联网诊疗等信息化建设,为医院诊疗工作的有序开展保驾护航。Coronavirus disease 2019(COVID-19)poses a challenge to hospitals for the prevention and control of public health emergencies.As the main battlefield of preventing and controlling COVID-19,large public hospitals should develop service protocols of diagnosis and treatment for outpatient,emergency,hospita-lization,surgery,and discharge.The construction of medical protocols should be based on the risk factors of key points and focused on pre-inspection triage and screening,to establish a rapid response mechanism to deal with exogenous and endogenous risk factors.Implementation of all-staff training and assessment,strengthening the information system,and use of medical internet service are important.This study explores the construction of medical protocols in large public hospitals during the pandemic,and provides a reference for the orderly diagno-sis and treatment in hospitals during the pandemic.

关 键 词：新型冠状病毒肺炎 医疗流程 公立医院 防控 

分 类 号：R18[医药卫生—流行病学] R-01[医药卫生—公共卫生与预防医学]