收治新型冠状病毒肺炎患者广州定点医院发热门诊的应急检诊与防控管理

Emergency protection and prevention management of COVID⁃19 in Guangzhou designated hospital′s fever clinic

目的制定便于门诊实施的管理方案,减少院内交叉感染。方法医院迅速启动应急预案,进行人员整合,明确人员分工,对环境合理布局,弹性排班,完善各项制度及流程,分区分带、明确指引,落实好标准防护,加强线上线下培训。物资专人管理,及时了解医护人员及患者的思想动态变化,给予心理疏导及人性化关怀。结果2020年1月21日至3月16日,一次预检分诊台分诊患者130973例,发热门诊的二次预检分诊台分诊患者2384例,需住院隔离治疗患者共176例,经发热门诊筛查入住发热病房的确诊新型冠状病毒肺炎患者6例。所有患者都能及时安排就诊,无漏诊,医护人员零感染,无院内交叉感染,无不良事件发生。结论通过科学有效的管理,实施标准化就诊流程及防控方案全面部署,控制传染源、切断传播途径,保护易感人群,可以有效防治疫情的扩散。

Objective In order to reduce cross⁃infection in hospital,we developed a management plan rap⁃idly to facilitate the implementation of outpatient service.Methods The emergency plan was started to improve vari⁃ous systems and processes.Staff integration was conducted and attendance was arranged flexibly.Use clear guidance and identification to distinguish the environmental area rationally.flexible work schedule was conducted,the online and offline training were strengthened and standard protection and material management were implement.Assign a fix staff to manage material of fever clinic.Pay close attention to the mental health of medical staff and patients,and give psychological counseling when necessary.Results From January 21,2020 to March 16,2020,130973 patients were isolated and disinfected at the first triage,2384 patients were received in fever clinic.Among them,a total of 176 patients was needed to be hospitalized for isolation treatment,and 6 confirmed COVID⁃19 patients were admit⁃ted to the fever ward.All patients could arrange medical treatment in time and there was no missed diagnosis,zero in⁃fection of medical staff,no cross⁃infection in hospital.No adverse event happened.Conclusion We conduct scien⁃tific and effective management,implement standardized medical procedures,and make overall plans and efforts to prevent and control epidemic.We found that the spread of the COVID⁃19 can be effectively prevented by controlling the source of infection,cutting off the route of transmission and protecting the susceptible population.