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新冠疫情期间发热门诊的应急管理:来自珠海的经验。

Emergency management in fever clinic during the outbreak of COVID-19: an experience from Zhuhai.

机构信息

Operations Department, Zhuhai People's Hospital (Zhuhai hospital affiliated with Jinan University), Zhuhai519000, China.

Faculty of Medicine, Macau University of Science and Technology, Macau999078, China.

出版信息

Epidemiol Infect. 2020 Aug 7;148:e174. doi: 10.1017/S0950268820001764.

Abstract

Coronavirus disease 2019 (COVID-19) is a global health threat. A hospital in Zhuhai adopted several measures in Fever Clinic Management (FCM) to respond to the outbreak of COVID-19. FCM has been proved to be effective in preventing nosocomial cross infection. Faced with the emergency, the hospital undertook creative operational steps in relation to the control and spread of COVID-19, with special focuses on physical and administrative layout of buildings, staff training and preventative procedures. The first operational step was to set up triaging stations at all entrances and then complete a standard and qualified fever clinic, which was isolated from the other buildings within our hospital complex. Secondly, the hospital established its human resource reservation for emergency response and the allocation of human resources to ensure strict and standardised training methods through the hospital for all medical staff and ancillary employees. Thirdly, the hospital divided the fever clinic into partitioned areas and adapted a three-level triaging system. The experiences shared in this paper would be of practical help for the facilities that are encountering or will encounter the challenges of COVID-19, i.e. to prevent nosocomial cross infection among patients and physicians.

摘要

2019 年冠状病毒病(COVID-19)是一项全球性的健康威胁。珠海的一家医院在发热门诊管理(FCM)中采取了多项措施,以应对 COVID-19 的爆发。FCM 已被证明可有效预防医院内交叉感染。面对紧急情况,医院针对 COVID-19 的控制和传播采取了创造性的运营措施,特别注重建筑物的物理和行政布局、员工培训和预防措施。第一步是在所有入口处设置分诊站,然后在我院建筑群内建立一个与其他建筑物隔离的标准合格发热门诊。其次,医院为应急响应建立了人力资源储备,并通过医院为所有医护人员和辅助员工分配人力资源,以确保严格和标准化的培训方法。第三,医院将发热门诊分为分区,并采用三级分诊系统。本文所分享的经验对于正在或将要面临 COVID-19 挑战的设施将具有实际帮助,即防止患者和医生之间的医院内交叉感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2e/7438622/98672fd3e6a5/S0950268820001764_fig1.jpg

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