高危风险因素评估和全流程管控在心外科应对新型冠状病毒肺炎疫情中的作用评价  

Evaluation of high-risk factor assessment and whole process control in cardiac surgery in response to corona virus disease 2019

作　　者：张勇[1] 田苗 谭叶 温树生[1] 谢庆[1] 陈晓霞[1] 梁巧容[1] 庄建[1] 陈寄梅[1] ZHANG Yong;TIAN Miao;TAN Ye;WEN Shu-sheng;XIE Qing;CHEN Xiao-xia;LIANG Qiao-rong;ZHUANG Jian;CHEN Ji-mei(Department of Cardiac Surgery,Guangdong Provincial Cardiovascular Institute,Guangdong Provincial People′s Hospital,Guangdong Academy of Medical Sciences,Guangdong Provincial Key Laboratory of South China Struc-tural Heart Disease,Guangzhou 510100,China)

机构地区：[1]广东省心血管病研究所广东省人民医院(广东省医学科学院)心外科广东省华南结构性心脏病重点实验室,广州510100

出　　处：《岭南心血管病杂志》2021年第1期53-56,61,共5页South China Journal of Cardiovascular Diseases

基　　金：国家重点研发计划(项目编号:2018YFC1002600);广东省科技计划项目(项目编号:2017A070701013,2017B090904034,2017B030314109,2019B020230003);广东省登峰计划项目(项目编号:DFJH201802);广东省医学科学技术研究基金项目(项目编号:A2019157)。

摘　　要：目的探讨运用高危风险因素评估和全流程管控在心外科应对新型冠状病毒肺炎疫情中的作用。方法运用高危风险因素评估和全流程管控的方法对疫情期间(2020年1月23日至2020年2月23日)入住广东省人民医院心外科的62例患者进行管理,评价科室新型冠状病毒肺炎疫情相关感控风险发生的情况。结果通过有效的风险评估和风险预测,可以提高参与者的风险管理意识及质量控制意识,及时发现整个流程中的疏忽和差错,及时采取必要的应急补救措施以提高整个流程执行的效率和安全性。运用高危风险因素评估和全流程管控后心外科未发生新型冠状病毒肺炎相关感控事件,未发生一例外源性输入疫情。结论高危风险因素评估和全流程管控可以明显减少新型冠状病毒肺炎疫情期间心外科感控相关风险,简便易行,值得临床推广。Objectives To evaluate the role of high-risk factor assessment and whole process control in cardiac surgery in the response to the corona virus disease 2019(COVID-19)epidemic.Methods The methods of high-risk factor assessment and whole process control were used to manage 62 patients admitted to cardiac surgery during the epidemic(January 23 th,2020 to February 23 th,2020),and to evaluate the occurrence of the risk of infection control related to the COVID-19 epidemic in the department.Results Through effective risk assessment and risk prediction,it was able to improve participants′awareness of risk management and quality control,promptly discover omissions and errors in the entire process,and timely take necessary emergency remedial measures to improve the efficiency and safety of the entire process.No COVID-19 related infection control events were found in cardiac surgery after using the methods of high-risk factor assessment and whole process control.No case of exogenous infection was observed.Conclusions High-risk factor assessment and whole process control can significantly reduce the risks associated with infection control of cardiac surgery during the outbreak of COVID-19,which is simple and easy to implement and worthy of clinical promotion.

关 键 词：高危风险因素 流程 管控 新型冠状病毒肺炎 评价 

分 类 号：R654[医药卫生—外科学]