“二维码”在医院三级预检分诊体系应对北京市新发地疫情中的应用

Application of QR code in three-level pre-viewing triage system in a hospital′s responding Beijing Xinfadi wholesale market COVID-19 epidemic

目的探讨运用"支付宝"健康码和自行开发的电子版筛查表二维码等辅助新冠肺炎筛查的"二维码"工具,在某综合医院开展三级预检分诊管理实践的科学性。方法在北京市新发地疫情期间,参考《新型冠状病毒肺炎诊疗方案(试行第七版)》确定预检分诊的流行病学史和临床症状病例定义;通过强化医院进出口管理,科学设置预检分诊点,完善三级预检分诊流程,利用信息化手段提高筛查效率,严格落实三级预检分诊体系。数据来源包括全国、该地区疫情发布信息和该院工作量日报告信息。结果在北京市新发地疫情期的流行期(6月11日-7月5日),网络预约挂号量和普通门诊量较之前、后期均呈下降趋势,差异均有统计学意义(P<0.05)。新发地疫情时期的发热门诊接诊量占整个疫情时期门诊患者接诊量的2.1%(6647/322041),与新发地确诊病例数时间分布呈正相关(rs=0.755)。同期,该院确诊2例新型冠状病毒肺炎,3例无症状感染者;经预检分诊筛查出阳性流行病学史25例,发热920例,均被有序引导至发热门诊;所有医务人员和患者零感染。结论三级预检分诊体系有利于降低医院感染风险,健康码和电子版筛查表的应用对提高预检分诊效率,实现精准防疫具有重要意义。

OBJECTIVE To explore the scientific value of the three-level pre-viewing triage management practice by using"Alipay"health code and self-developed electronic version of screening table QR code to assist COVID-19 screening in a general hospital.METHODS During Beijing Xinfadi wholesale market COVID-19 epidemic,the definition of epidemiological history and clinical symptom case of pre-viewing and triage were determined by referring to the COVID-19 Diagnosis and Treatment Protocol(Trial Seventh Edition).Through strengthening hospital import and export management,setting up the pre-viewing triage points scientifically,improving the three-level pre-viewing triage process by using information technology to improve efficiency,the three-level pre-viewing triage system was strictly implement.Data included information released by the country and the region,daily reports on the workload of the hospital.RESULTS During the epidemic period in Beijing(June 11-July 5),the number of online appointments and the number of general outpatient clinics showed a downward trend compared with before and after period,and the difference was significant(P<0.05).The number of fever outpatient during the epidemic period in Xinfadi wholesale market accounted for 2.1%(6647/322041)of the total number of visits during the epidemic period,which was positively correlated with the number of confirmed cases in Xinfadi wholesale market(rs=0.755).During the same period,the hospital confirmed 2 cases of coronal virus disease and 3 cases of asymptomatic infection;25 cases with positive epidemiological history and 920 cases with fever were detected,and all of them were guided to the fever clinic in an orderly manner.All medical staff and patients had zero infection.CONCLUSION The three-level pre-viewing triage system is conductive to reduce the risk of nosocomial infection.The application of"QR code"is of great significance to improve the efficiency of pre-viewing triage and to achieve precise prevention and control of epidemics.