多院区定点医院成立应对疫情集中指挥部的作用

The role of setting up a centralized command in response to the epidemic for designated hospital with multi-districts

目的:探讨多院区定点医院成立应对新冠肺炎(COVID-19)疫情集中指挥部的作用。方法:应对疫情集中指挥部由院长直接领导,统一指挥,采用“日清单”、早晚交班、24小时全天候无休方式管理,调集各种资源,畅通了医、护、药、技和管理的所有相关通道,极大发挥了院区之间的协同作战能力。结果:指挥部成立1个月内,迅速梳理流程39个、制定了规章制度59项,解决各种问题72个;完成3701例发热门诊患者和183例留观病例,其中确诊病例19例,出院率达100%。阶段性实现了“患者无漏诊、患者零死亡、院内零交叉感染、医护人员零感染”的目标。结论:应对疫情集中指挥部的成立是保障COVID-19诊治成功的重要举措,也为以后应对突发公共卫生事件提供了有益的参考。

Objective:To explore the role of setting up a centralized command in response to the corona virus disease 2019(COV ID-19)outbreak for designated hospital with multi-districts.Methods:The centralized command headquarters for the epidemic situa tion was under the direct leadership and unified command by the dean.Moreover,the management of daily list,morning and evening shifts,and 24-hour without rest was adopted,and various resources were assembled,the channel of doctor,nurse,medicine,technolo gy,and management was dredged to greatly exerting the capability of cooperative engagement between the hospital districts.Results:Among the one month of establishment,the command sorted out 39 processes,formulated 59 rules and regulations,and resolved 72 var ious issues.Additionally,fever clinics received a total of 3,701 patients and 183 cases had received fever medical observations,includ ing 19 confirmed cases,the discharge rate reached 100%.Fortunately,the goal of‘no missed diagnosis,zero death of patients,zero cross-infection in hospital,and zero infection of medical staff’was achieved in stages.Conclusion:The establishment of the central ized command was important to ensure the successful diagnosis and treatment of COVID-19,and also provided the reference for re sponding to public health emergency in the future.