Exploration of Infection Prevention and Control Practice of Designated Hospitals in During Corona Virus Disease 2019 Epidemic Period

Corona Virus Disease 2019(COVID-19)is a new infectious disease that appeared in whan in December 2019 Since January23,the national health and fitmess commission has required hospitals to be designated in accordance with the principle of"concentrating patients,experts,resources and treatment".Designated hospitals are often the strength of the general hospital and general hospital complex layers of various kinds of personnel,campus area is large,multi-channel,ordinary outpatient accepts people more,for emergency and severe cases treatment in patients with normal difficulty pressuure big,suspected/confirmed cases,combined with the COVID-19 occurred when the traditional holiday,the country launched the emergency response since,process reform faces a difficult labor,shortage of mampower,protective shortages,short time limit,and many other difficulties,hospital infection prevention and control is facing unprecedented pressure.In this paper,the West China-Guang'an Hospital,Sichuan University(Guang'an people's hospital)as a designated hospital,on the basis of the relevant scheme of the national health committee,epidemic prevention and control of the actual,combined with comprehensive hospital leadership,mampower allocation,protection,security,patient management,disinfection isolation,preview triage,preventive measures,training,monitoring,etc.,with practical experience summary for the COVID-19 diring the hospital infection prevention and control to improve the practice exploration.

Information technology and artificial intelligence support in management experiences of the pediatric designated hospital during the COVID-19 epidemic in 2022 in Shanghai

Objective:To describe the information technology and artificial intelligence support in management experiences of the pediatric designated hospital in the wave of COVID-19 in Shanghai.Methods:We retrospectively concluded the management experiences at the largest pediatric designated hospital from March 1st to May 11th in 2022 in Shanghai.We summarized the application of Internet hospital,face recognition technology in outpatient department,critical illness warning system and remote consultation system in the ward and the structed electronic medical record in the inpatient system.We illustrated the role of the information system through the number and prognosis of patients treated.Results:The COVID-19 designated hospitals were built particularly for critical patients requiring high-level medical care,responded quickly and scientifically to prevent and control the epidemic situation.From March 1st to May 11th,2022,we received and treated 768 children confirmed by positive RT-PCR and treated at our center.In our management,we use Internet Information on the Internet Hospital,face recognition technology in outpatient department,critical illness warning system and remote consultation system in the ward,structed electronic medical record in the inpatient system.No deaths or nosocomial infections occurred.The number of offline outpatient visits dropped,from March to May 2022,146,106,48,379,57,686 respectively.But the outpatient volume on the internet hospital increased significantly(3,347 in March 2022 vs.372 in March 2021;4,465 in April 2022 vs.409 in April 2021;4,677 in May 2022 vs.538 in May 2021).Conclusions:Information technology and artificial intelligence has provided significant supports in the management.The system might optimize the admission screening process,increases the communication inside and outside the ward,achieves early detection and diagnosis,timely isolates patients,and timely treatment of various types of children.

新型冠状病毒肺炎定点收治医院医患心理援助服务模式的构建与应用

2019年底暴发的新型冠状病毒肺炎疫情对患者和一线医务人员以及隔离在家的人员产生了明显的心理影响。2020年2月,国家卫生健康委员会从上海、四川和湖南等地调派150名精神心理医师驰援武汉。为指导新型冠状病毒肺炎定点收治医院专业团队有序开展心理援助工作,实现疫情下患者及医务人员及时、规范、高效的心理救助,上海援鄂心理医疗队在执行援助任务过程中逐步探索形成了包括任务目标、工作原则、工作流程、组织实施及具体技术等内容在内的一整套行之有效的心理援助服务模式,并应用于心理干预实践中,取得了良好的效果。

重大疫情下医院空间资源弹性应急转换策略:以上海市级综合医院向临时定点医院的功能转换为例

以新型冠状病毒肺炎(以下简称“新冠肺炎”)疫情期间,上海6家市级综合医院向临时新冠肺炎定点医院的快速功能转换为例,总结分析其在时间和空间资源有限的情况下,在建筑空间、医疗设备、人力资源等方面应急转换的实践经验及存在的不足。提出基于弹性理念的医院空间应急转换框架,表明从综合医院向定点医院的平疫功能转换应以空间资源的弹性转换为前提,同步在医疗设备、人力资源、物资储备管理等方面做好弹性配置,以提升时间上的转换速度和空间上的利用效率。建议优化医院空间规划、加强应急队伍建设以及完善物资储备体系,以更加有力地应对未来可能发生的突发公共卫生事件。

Protecting health facilities:design options for armed conflict and climate change disasters

Hospital facility designs are essential to maintaining function during times of disaster.For hospitals to remain open during emergencies,their structuresmust resist forces frommany types of hazards such as earthquakes,hurricanes,flooding,and even societal hazards,such as war.Natural disasters are becomingmore dangerous with the advent of global climate change.In this article,we investigate health care building design interventions to protect facilities.Ultimately,amulti-hazard approach is the best way to prepare hospitals for resiliency in the face of disaster.

上海市级新型冠状病毒肺炎定点医院医疗救治体系构建与运行管理

2022年上海本轮新型冠状病毒肺炎(以下简称“新冠肺炎”)疫情发生以来,上海申康医院发展中心切实履行办医主体责任,加强市级医院救治能力建设,在原有上海市公共卫生临床中心和复旦大学附属儿科医院2家常态化定点医院基础上,指导7家市级综合医院和3家儿科类医院以最快速度将其中一个院区或独立区域整体转换为新冠肺炎定点医院。同时构建了市级定点医院新冠肺炎患者医疗救治体系,明确了医疗救治原则和运行机制,制定了多项特色核心制度,在全面组织协调市级定点医院开展医疗救治过程中,探索形成了一整套管理举措和工作方法,对做好重症患者救治、提高治愈率、降低病亡率、加快周转率等起到了至关重要的作用,为夺取大上海保卫战的最终胜利作出了贡献。

上海市级定点医院新型冠状病毒肺炎患者集中救治动态能力体系建设策略

2022年上海本轮疫情中,上海申康医院发展中心组成工作专班,通过发挥知识转移与组织动态能力组织传导策略,协同各类资源,搭建多元动态平台,提高市级医院应对内外部环境压力的能力,增强市级医院在疫情期间的救治体系以及救治能力。现总结在公共卫生应急状态下如何组织市级医院通过整合内在与外在资源转型成为集中救治定点医院,建立市级医院“一夜成军”的快速反应机制。