发热门诊标准化分诊流程的建立及应用

Establishment and application of fever clinics standardized triage process

  • 摘要: 目的 为有效缩短传染病患者暴露时间,确保患者就诊安全有序高效,落实传染病防控四早原则,建立发热门诊标准化分诊流程。方法 总结完善医院发热门诊分诊流程,制定标准化作业指导。结果 以传染病防控为主线,以患者为中心的标准化分诊流程,经历了SARS流行期、甲型H1N1、H7N9、埃博拉等传染病暴发流行的考验,有效缩短了传染病早发现、早报告、早隔离、早治疗的时间,杜绝了医院感染事件的发生,在确保医疗安全的同时,减少了患者等待时间,提高了诊疗效率,减轻了患者就诊及治疗的心理压力,提升了患者满意度。结论 此流程切实可行、效果良好,不仅实现了发热门诊传染病防控的基本功能,又体现了人性化的科学管理理念,值得推广。

     

    Abstract: OBJECTIVE To save the time of exposure for patients with infectious diseases effectively, make sure the visiting being safe, ordered and efficient, implement the principles of control and prevention of infectious diseases, and establish the standardized triage process of fever clinic. METHODS The standardization of operation guide was formulated based on summarizing and improving the triage process for fever clinic of our hospital. RESULTS By taking prevention and control of infectious diseases as the main line, and patients as center , our triage had the epidemic outbreaks of SARS, H1N1, H7N9, and Ebola perfectly, and it shortened the time of early recognition, early reporting, early quarantine and early treatment of the infectious disease, avoided the hospital infection. On the premise of ensuring medical safety, it reduced waiting time of the patients, increase efficiency of the treatment, relieve patients' mental stress and improve the satisfaction of the patients. CONCLUSION This process has been proved feasible and effective. Besides achieving fundamental functions of fever clinic, it shows the principle of humanity-based management, so our triage process is worth to popularize.

     

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