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新冠肺炎疫情期间某驰援武汉医疗队感染风险管理实践
引用本文:向钱,肖亚雄,张坤,吴学鸿,朱仕超,张洪川,黎晓容,王德明,陈兰. 新冠肺炎疫情期间某驰援武汉医疗队感染风险管理实践[J]. 中国感染控制杂志, 2020, 19(3): 267-270. DOI: 10.12138/j.issn.1671-9638.20206364
作者姓名:向钱  肖亚雄  张坤  吴学鸿  朱仕超  张洪川  黎晓容  王德明  陈兰
作者单位:1. 四川省医学科学院·四川省人民医院医院感染控制中心, 四川 成都 621000;2. 宜宾市第一人民医院医院感染管理办公室, 四川 宜宾 644000;3. 成都医学院第一附属医院护理部, 四川 成都 610500;4. 宜宾市第二中医医院医院感染管理科, 四川 宜宾 644000;5. 四川大学华西医院医院感染管理部, 四川 成都 610041;6. 川北医学院附属医院医院感染管理部, 四川 南充 637000;7. 遂宁市第一人民医院医院感染管理科, 四川 遂宁 629000;8. 广元市中心医院医院感染管理科, 四川 广元 628000;9. 协和武汉红十字会医院医院感染管理科, 湖北 武汉 430000
摘    要: 

目的 评价某驰援武汉医疗队感染风险管理的方法和效果。方法 新型冠状病毒肺炎疫情期间,某定点医疗机构某医务人员感染新冠肺炎,驰援该定点医疗机构的武汉医疗队通过风险识别寻找风险点,在线问卷工具评估队员风险,根据风险评估结果采取风险应对措施。结果 通过梳理医疗队医务人员工作和生活流程,制定接触风险识别表。采用在线问卷评估队员风险,发现4名队员可能有接触风险。再次访谈4名队员,综合判断,排除4名队员暴露高风险并强化感染防控措施。经过14 d的观察,截至2月22日该医疗队队员均未发生感染。结论 在疫情期间,开展风险管理可以有效控制感染风险。



关 键 词:新型冠状病毒肺炎  新型冠状病毒  新冠肺炎  医疗队  感染防控  风险管理  
收稿时间:2020-02-23

Management practice of infection risk of a medical team which rushed to the rescue of Wuhan during COVID-19 epidemic period
XIANG Qian,XIAO Ya-xiong,ZHANG Kun,WU Xue-hong,ZHU Shi-chao,ZHANG Hong-chuan,LI Xiao-rong,WANG De-ming,CHEN Lan. Management practice of infection risk of a medical team which rushed to the rescue of Wuhan during COVID-19 epidemic period[J]. Chinese Journal of Infection Control, 2020, 19(3): 267-270. DOI: 10.12138/j.issn.1671-9638.20206364
Authors:XIANG Qian  XIAO Ya-xiong  ZHANG Kun  WU Xue-hong  ZHU Shi-chao  ZHANG Hong-chuan  LI Xiao-rong  WANG De-ming  CHEN Lan
Affiliation:1. Center of Healthcare-associa-ted Infection[HAI] Control, Sichuan Academy of Medical Sciences, Sichuan Provincial People''s Hospital, Chengdu 621000, China;
2. Office of HAI Management, The First People''s Hospital of Yibin, Yibin 644000, China;
3. Department of Nursing, The First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China;
4. Department of HAI Mana-gement, The Second Hospital of Traditional Chinese Medicine of Yibin, Yibin 644000, China;
5. Department of HAI Management, West China Hospital of Sichuan University, Chengdu 610041, China;
6. Department of HAI Management, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China;
7. Department of HAI Management, Suining First People''s Hospital, Suining 629000, China;
8. Department of HAI Management, Guang-yuan Central Hospital, Guangyuan 628000, China;
9. Department of HAI Management, Union Wuhan Red Cross Hospital, Wuhan 430000, China
Abstract:

Objective To assess the method and efficacy of infection risk management of a medical team which rush to the rescue of Wuhan. Methods During the epidemic period of coronavirus disease 2019 (COVID-19), one health care worker was infected with COVID-19 in a designated hospital, a Wuhan medical team which rushed to the rescue of this hospital sought risk points through risk identification, assessed the risk of team members by online questionnaire tool, and took countermeasures against risk according to risk assessment results. Results Through sorting out the work and life process of health care workers in medical team, exposure risk identification form was formulated. Online questionnaire was used to evaluate the risk of team members, and 4 team members were found to have exposure risk. 4 team members were interviewed again, judged comprehensively, and all were excluded from high risk exposure, infection prevention and control measures were strengthened. After 14 days of observation, by the end of February 22, none of the medical team members had been infected. Conclusion During the epidemic period, management on risk can effectively control the risk of infection.

Keywords:

coronavirus disease 2019|2019-nCoV|COVID-19|medical team|infection prevention and control|risk management

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