新型冠状病毒肺炎疫情期间“1移2精3零”预检分诊管理

目的探索新型冠状病毒肺炎(简称新冠肺炎)疫情期间的预检分诊管理模式,以期减少疑似患者漏检、院内交叉感染和提高患者就医满意度。方法将预检分诊关口外移,分别在门诊、急诊、住院部关键入口搭建帐篷,设置预检分诊点;加强预检分诊人员及物品的精细化管理和预检分诊流程及信息的精准化管理。结果 2020年1月25日—2月20日,累计预检分诊37 698例次,其中新冠肺炎发热门诊患者301例,普通发热门诊患者639例,新冠肺炎疑似病例收住隔离区160例,确诊新冠肺炎患者并转诊3例。在此期间,新冠肺炎疑似患者零漏检,院内交叉感染零发生,患者及家属零投诉。结论 "1移2精"预检分诊管理模式行之有效,在新冠肺炎疫情期间起到控制疫情传播的作用,将来可推广和应用于其他传染病疫情。

Triage management of one-move,two-precise and three-zero during the coronavirus disease 2019 epidemic

Objective To explore a novel triage management mode during the coronavirus disease 2019（COVID-19）epidemic,so as to reduce missed cases,in-hospital cross-infection,and improve satisfaction of patients and their family members. Methods During the COVID-19 epidemic,we moved the triage points to the entries of departments of outpatient,emergency and inpatient by setting up tents. The precise management of triage staff and facilities was enhanced,and the precise triage procedures and information was developed. Results From January 25 to February 20,2020,we triaged a total of 37,698 patients and visitors,among which 301 cases were triaged to the COVID-19 fever clinic,639 cases to the general fever clinic,and 160 cases were suspected as COVID-19 and quarantined,and 3 cases were confirmed as COVID-19 and referred to the designated treatment hospital. Even though the total volume of triage was large,we achieved zero missed detection of suspected patients with COVID-19,zero occurrence of in-hospital cross-infection,and zero complaint from patients and their family members in our hospital. Conclusion The triage management of One-Move and Two-Precise is an effective way and is worth applying to the prevention and control during COVID-19 epidemic or potential infectious disease outbreaks in the future.