基于新公共管理理论的新型冠状病毒感染疫情应对政策实证策略:以四川大学华西医院急诊科抢救区为例

Empirical study on the response policy to COVID-19 epidemic based on the new public management theory:take the emergency department rescue area of West China Hospital of Sichuan University as an example

随着新型冠状病毒(以下简称“新冠”)感染疫情的变化,2022年12月新冠感染疫情防控进入了新阶段。如何在短期内快速完成批量患者的收治,并保障其能得到快速有效的医疗救治,一直是急诊科亟待解决的难题。四川大学华西医院急诊科特依据新公共管理理论核心思想采取了以注重患者为导向性的管理措施,取得了较好效果。因此,该文总结了四川大学华西医院急诊科抢救区应对批量收治新冠感染患者的工作流程及护理管理策略,包括优化整改病区环境布局、实施抢救区“二次分诊”模式、增设危重症新冠感染患者急诊智慧院间转诊平台、建设急诊科抢救区新冠感染常规储备物资库、设立多科联动急诊入院服务现场办公室、优化新冠感染患者急诊转运服务、科学排班与合理的人力资源管理、提供职工人文关怀服务等,以期为急诊科管理工作实践提供借鉴与参考。

With the change of COVID-19,the prevention and control of COVID-19 infection epidemic entered a new stage in December 2022.How to quickly complete the emergency treatment of a large number of patients in a short period of time,and ensure that patients in emergency department can get rapid and effective medical treatment has always been an urgent problem that emergency department need to solve.The Department of Emergency Medicine of West China Hospital of Sichuan University has adopted patient-oriented management measures based on the core idea of the new public management theory,and has achieved remarkable results.Therefore,this article summarizes the workflow and nursing management strategies of the emergency department rescue area of West China Hospital of Sichuan University in dealing with the batch treatment of COVID-19 infected patients,including optimizing and correcting the environment layout of the ward,implementing the“secondary triage”mode in the rescue area,adding an inter-hospital referral platform for critical patients with COVID-19 emergency,building a conventional COVID-19 reserve material repository in the emergency department,setting up a field office for multi-department joint emergency admission service,optimizing emergency transport services for patients with COVID-19,scientific scheduling and reasonable human resource management,and providing humanistic care for employees,in order to provide reference for the management practice of the emergency department.