新型冠状病毒肺炎患者定点收治医院的医疗管理

Medical management of hospitals designated for patients with COVID-19

  • 摘要: 目的 新型冠状病毒肺炎(COVID-19)具有传播速度快、波及范围广和病死率较高等特点,导致防控难度增加,医疗救治风险加剧,常态下的医院管理模式已不能满足当前疫情发展的需求,医疗救治和防控管理能力面临着全新的挑战。医院是救治场所也是医院内交叉感染的源头,在有序开展诊疗工作的同时,消除疫情隐患,降低医院感染风险成为各级医疗机构工作的主旨。方法 解放军总医院第五医学中心作为北京市和驻京部队定点收治医院,结合中心执行抗击非典型肺炎、甲型流感以及埃博拉病毒病等任务的实践经验,围绕医疗管理中的预警响应领受任务、成立应对处置机构、动员抽组培训、发热门诊和隔离病区、普通(门诊)病区、患者、一线工作人员管理和医疗废物处置等重点开展工作。结果 医疗救治工作顺利有序展开,疫情防控工作科学规范实施。结论 面对突发疫情,通过上述决策和措施,确保了收容及时,治疗科学规范,预防院内交叉感染取得了阶段性成果,为实现工作人员"零"感染和患者"零"交叉感染打下坚实基础。

     

    Abstract: OBJECTIVE COVID-19 is characterized by fast spread, wide range of spread and high mortality rate, which leads to the increase of difficulty in the prevention and control and risk of the medical treatment. The ordinary hospital management model no longer meets the requirements for the progression of the epidemic, the medical institutions are facing brand new challenges in medical treatment, prevention and control. The hospital is the place for treatment and also the source of nosocomial cross infection, it is the top priority for the medical institutions to orderly conduct the treatment, eliminate hidden danger of the epidemic and reduce the risk of nosocomial infection. METHODS As the hospital designated for treatment of the patients with COVID-19 in Beijing and the troops stationed in Beijing, The Fifth Medical Center of Chinese PLA General Hospital possesses the practical experience in combating with SARS, influenza A and Ebola virus disease and carries out the work by focusing on the reception task based on early warning response, establishment of coping treatment agencies, mobilization of group training, management of fever clinic and isolation sections, general (outpatient) wards, patients and front-line medical staff as well as disposal of medical waste. RESULTS The medical treatment was carried out in a orderly manner, and the scientific rules and regulations for prevention and control of the epidemic were implemented. CONCLUSION The implementation of the above strategies and measures enables the timely reception and scientific treatment and achieves a phased objective in prevention of nosocomial cross infection, which lays a solid foundation for realizing the 'zero infection of the staff' and 'zero cross infection of patients'.

     

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