新冠疫情期间发热门诊联合急诊行“大预检分诊”制的管理与实践  

Management and Practice of“Large Pre-examination and Triage”System in Fever Clinic and Emergency Department during the COVID-19 Epidemic

作　　者：谭巨丹 周玉玲[1] 罗真春 刘清海 任东升 刘薪 Tan Judan;Zhou Yuling;Luo Zhenchun;Liu Qinghai;Ren Dongsheng;Liu Xin(Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China)

机构地区：[1]重庆市中医院,重庆400021

出　　处：《中国中医急症》2023年第8期1468-1470,1490,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：重庆市中医院突发公共卫生事件中医药服务能力建设项目(cqszyy2020yjzx11)。

摘　　要：目的探索疫情高峰期间发热门诊联合急诊行“大预检分诊”制的临床管理效果,以期合理分配医疗资源、提高重症患者救治速度、高效衔接救治环节。方法将发热门诊及急诊预检分诊关口合并后外移;提升大分诊点分诊人员能力建设;加强预检分诊流程化管理、物品精细化管理及信息精准化管理。结果2022年11月5日至12月5日及2022年12月6日至2023年1月6日,大分诊模式前发热门诊接诊人数为1499例,其中Ⅰ/Ⅱ级比例为13.20%,急诊接诊人数为1737例,Ⅰ/Ⅱ级比例为12.83%,差异无统计学意义(P>0.05);大分诊模式后发热门诊接诊人数为4714例,Ⅰ/Ⅱ级比例为1.65%,急诊接诊人数为3192例,Ⅰ/Ⅱ级比例为23.81%,差异有统计学意义(P<0.05)。结论发热门诊联合急诊行大分诊管理模式行之有效,在疫情高峰期间可起到集中重症力量资源,达到及时、高效救治的目的,协调急诊与发热门诊医疗力量,合理统筹分配医疗资源并进行优化利用。本模式将来可推广和应用于其他传染病疫情。Objective:To explore the clinical management effect of the“large pre-examination and triage”system in Fever Clinic and Emergency Department during the peak of the COVID-19 epidemic,in order to allo⁃cate medical resources reasonably and improve the speed of treatment of severe patients.Methods:The Fever Clinic and Emergency Department pre-examination and triage gates were merged and moved out.The capability of triage personnel in the large triage point was improved;the process management of pre-examination and triage was strengthened,and fine management of goods and the precise management of information were conducted.Results:From November 5th to December 5th,2022 and from December 6th,2022 to January 6th,2023,the number of patients admitted to the Fever Clinic before the large triage mode was 1499,of which the proportion of gradeⅠ/Ⅱwas 13.20%;the number of patients admitted to the Emergency Department was 1737,of which the proportion of gradeⅠ/Ⅱwas 12.83%,and the difference was not statistically significant(P>0.05).After the large triage mode,the number of patients admitted to the Fever Clinic was 4714,and the proportion of gradeⅠ/Ⅱwas 1.65%,while the number of patients admitted to the Emergency Department was 3192,and the proportion of gradeⅠ/Ⅱwas 23.81%.The difference was statistically significant(P<0.05).Conclusion:The large triage management mode of Fever Clinic and Emergency Department is effective,which can concentrate severe resources to achieve timely and efficient treatment during the peak of the epidemic,coordinate the medical resources of the Emergency Department and Fever Clinic,rationally allocate and optimize medical resources.It can be generalized and applied to other infectious diseases in the future.

关 键 词：疫情 预检分诊 急诊 发热门诊 管理研究 

分 类 号：R511[医药卫生—内科学]