摘要
目的探索三级综合性医院应急改造为新型冠状病毒肺炎定点医院期间,“三区两通道”改造以及医院感染防控所需的因地制宜改造、组织协调管理等事宜的实施模式。方法运用“物理-事理-人理(WSR)”系统管理方法,以“医护人员零感染”为目标,认真研判既有院区特点,从合理设置分区与通道、明确医院感染防控标识、建立医院感染防控流程、组建三区联动医院感染防控队伍等方面,构建实时数据动态管理、应急资源有效配置的方案。结果在一系列医院感染防控举措干预下,防控效果良好,院内感染人数为零。结论通过三级综合性医院转为新型冠状病毒肺炎定点医院的医院感染防控WSR方法实践探索,可为应对突发传染病等公共卫生应急事件提供借鉴和范式。
Objective To explore the implementation pattern of“three zones and two passages”alteration and localized transformation,organization and coordination management required for nosocomial infection prevention and control during the emergency transformation of a tertiary general hospital into a designated hospital for COVID-19.Methods With the system methodology of“Wuli-Shili-Renli(WSR)”and the goal of“zero infection among medical and nursing staff”,the characteristics of current hospital zone division were carefully studied,and the scheme of real-time data dynamic management and effective allocation of emergency resources was constructed from the aspects of reasonable zone division and passage planning,clear signs of nosocomial infection prevention and control,establishment of nosocomial infection prevention and control process,and three-zone linkage team-building for nosocomial infection prevention and control.Results With the intervention of a series of nosocomial infection prevention and control measures,the prevention and control effect was satisfactory and zero nosocomial infection was achieved.Conclusion The practice and exploration of WSR approach for nosocomial infection prevention and control in a tertiary general hospital converted to a designated hospital for COVID-19 can be used as a reference and a paradigm for dealing with public health emergencies such as sudden unexpected infectious diseases.
作者
张亮
吕莹
江珊
周捷波
杜佳琦
何宇辰
陈东煜
房敏
ZHANG Liang;LYU Ying;JIANG Shan;ZHOU Jiebo;DU Jiaqi;HE Yuchen;CHEN Dongyu;FANG Min(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China)
出处
《上海中医药杂志》
2022年第8期7-10,14,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市科委自然科学基金项目(06ZR14156)
上海申康医院发展中心市级医院临床管理优化项目(SHDC12020637)
