DOI:
江苏卫生事业管理:2023,Vol.>>Issue(4):473-477
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不同预检分诊方案在筛查新冠肺炎流程中的差异性研究△
阳彩云,吴晓东,刘 璇,周维一,金丽娜,孙 潔,张国怡,杨 杰,许春阳*
(苏州大学附属常熟医院、常熟市第一人民医院急诊医学科;感染管理科)
Study on the Difference of Different Pretest Triage Schemes in the Screening Process of COVID-19△
YANG Caiyun,WU Xiaodong,LIU Xuan,ZHOU Weiyi,JIN Lina,SUN Jie,ZHANG Guoyi,YANG Jie,XU Chunyang*
(Department of Emergency Medicine;Department of Infection Management,Changshu Hospital Affiliated to Soochow University,The First People’s Hospital of Changshu)
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中文摘要: 目的:优化医疗机构预检分诊流程,兼顾防控的精准和效率,形成预检分诊标准化流程。方法:根据时间(月份)不同采用三种不同的预检分诊方案,根据分诊至发热门诊患者比例、留观率、检验及检查结果阳性率、发热门诊与急诊间转诊率等方面评估各方案间的差异。结果:经急诊预检分诊至发热门诊就诊患者共4 862人次,方案2分诊至发热门诊就诊率明显高于方案1及方案3,但其留观率、检验及检查结果阳性率低于方案1及方案3,至急诊的转诊率高于方案1及方案3,方案1及方案3在留观率、检验及检查结果阳性率、急诊转诊率三方面统计结果无差异。结论:在统计时间疫情形势下,方案2分诊效率较其他两种方案低下,增加了患者就诊时长及发热门诊工作量。三种分诊方案适合不同疫情形势下的防控及诊疗。
中文关键词: 新冠肺炎  发热门诊  预检分诊
Abstract:Objective:To optimize the process of the triage in medical institution,balance the accuracy and efficiency of epidemic prevention,and to form a standardized process of the triage. Methods:Three different triage schemes were adopted according to different time(month),and the differences among the schemes were evaluated according to the proportion of patients triaged to fever clinic,retention rate,positive rate of test and examination,and referral rate between fever outpatient clinic and emergency department. Results:A total of 4,862 patients were admitted into the fever clinic through the emergency triage. The proportion of patients to fever clinic in Scheme 2 was significantly higher than that in Scheme 1 and Scheme 3,but the retention rate,positive rate of the test and examination was lower than that in scheme 1 and Scheme 3. The referral rate to emergency department was higher than that of scheme 1 and Scheme 3,and there was no difference between scheme 1 and scheme 3 in retention rate,positive rate of test and examination,and referral rate of to emergency department. Conclusions:Under the epidemic situation within the statistical time,the triage efficiency of scheme 2 was lower than that of the other two schemes,which increased the patients’visit time and workload of fever clinic.The three triage schemes are suitable for the prevention,control and diagnosis of different epidemic forms.
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基金项目:常熟市科技发展项目(CS202012);2021年度苏州市科协软科学研究课题项目(苏财教[2022]99号);江苏省医院协会医院管理创新研究面上指导项目(JSYGY-3-2019-376) 常熟市科技发展项目(CS202012);2021年度苏州市科协软科学研究课题项目(苏财教[2022]99号);江苏省医院协会医院管理创新研究面上指导项目(JSYGY-3-2019-376)
引用文本:
阳彩云,吴晓东,刘 璇,周维一,金丽娜,孙 潔,张国怡,杨 杰,许春阳*.不同预检分诊方案在筛查新冠肺炎流程中的差异性研究△[J].江苏卫生事业管理,2023,34(4):473-477.
YANG Caiyun,WU Xiaodong,LIU Xuan,ZHOU Weiyi,JIN Lina,SUN Jie,ZHANG Guoyi,YANG Jie,XU Chunyang*.Study on the Difference of Different Pretest Triage Schemes in the Screening Process of COVID-19△[J].Jiangsu Health System Management,2023,34(4):473-477.

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