后疫情时代急诊科脑卒中绿色通道管理实践

Green-channel Management of Stroke Patients in Emergency Department during Post-epidemic Period

目的分析疫情防控背景下,急性脑卒中绿色通道的管理策略,为后疫情时代脑卒中绿色通道管理和新发传染病防控提供参考。方法在时间节点管理的基础上,对急诊科进行了区域布局调整,设置了专用隔离区、专用CT室。调整人员分配,设置分诊辅助岗筛查流行病学史;采用“并联式”流程改造,并严格进行感染防控。结果优化后,脑卒中绿色通道患者从入院到医生接诊时间、入院到采血时间、入院到CT扫描时间的中位数较优化前均有所降低(P<0.001),差异有统计学意义。静脉溶栓患者的从入院到用药时间、入院到离室时间的中位数较优化前缩短(P<0.001)。结论新冠疫情的爆发将新发传染病的防控提到了前所未有的高度,优化绿色通道管理,可在保证传染病防控的同时,兼顾卒中绿色通道高效、畅通。

Objective To explore the management of green-channel for acute stroke patients in the context of infectious disease prevention and control and to provide reference for relevant research.Methods On the basis of time node management,the layout of the emergency department was adjusted,and a special isolation area and CT room were set up.Adjustment of personnel allocation,triage to screen epidemiological history,‘parallel’process for the triage and green channel,and strict infection prevention and control were implemented in emergency department.Results After optimization,green channel stroke patients from door to doctor’s clinical reception,door to blood collection,door to CT scan were lower than those before optimization(P<0.001).The median time from door to needle and the time from door to hospitalization were shorter than those before optimization(P<0.001).Conclusion In the context of COVID-19,optimizing the management of green channel can ensure the prevention and control of infectious diseases and guarantee the efficiency of green channel for stroke patients.