[The experience on the construction of the cluster prevention and control system for COVID-19 infection in designated hospitals during the period of "Category B infectious disease treated as Category A"].

感染控制 星团(航天器) 医疗急救 医学 传染病(医学专业) 规范化(社会学) 疾病 疾病控制 2019年冠状病毒病(COVID-19) 运营管理 重症监护医学 环境卫生 计算机科学 工程类 病理 社会学 程序设计语言 人类学
作者
Wanjie Yang,Xianduo Liu,Ximo Wang,Weiguo Xu,Lei Zhang,Qiang Fu,Jiming Yang,Jing Qian,Fuyu Zhang,Li Tian,Wenlong Zhang,Yu Zhang,Zheng Chen,Shifeng Shao,Xiang Wang,Geng Li,Yi Ren,Ying Wang,Lixia Shi,Zhen Wan,Yi Xie,Yuanyuan Liu,Weili Yu,Jing Han,Liu Li,Huan Zhu,Zijiang Yu,Hongyang Liu,Wang Shi-mei
出处
期刊:PubMed 卷期号:36 (2): 195-201
标识
DOI:10.3760/cma.j.cn121430-20231121-00992
摘要

The COVID-19 epidemic has spread to the whole world for three years and has had a serious impact on human life, health and economic activities. China's epidemic prevention and control has gone through the following stages: emergency unconventional stage, emergency normalization stage, and the transitional stage from the emergency normalization to the "Category B infectious disease treated as Category B" normalization, and achieved a major and decisive victory. The designated hospitals for prevention and control of COVID-19 epidemic in Tianjin has successfully completed its tasks in all stages of epidemic prevention and control, and has accumulated valuable experience. This article summarizes the experience of constructing a hospital infection prevention and control system during the "Category B infectious disease treated as Category A" period in designated hospital. The experience is summarized as the "Cluster" hospital infection prevention and control system, namely "three rings" outside, middle and inside, "three districts" of green, orange and red, "three things" before, during and after the event, "two-day pre-purification" and "two-director system", and "one zone" management. In emergency situations, we adopt a simplified version of the cluster hospital infection prevention and control system. In emergency situations, a simplified version of the "Cluster" hospital infection prevention and control system can be adopted. This system has the following characteristics: firstly, the system emphasizes the characteristics of "cluster" and the overall management of key measures to avoid any shortcomings. The second, it emphasizes the transformation of infection control concepts to maximize the safety of medical services through infection control. The third, it emphasizes the optimization of the process. The prevention and control measures should be comprehensive and focused, while also preventing excessive use. The measures emphasize the use of the least resources to achieve the best infection control effect. The fourth, it emphasizes the quality control work of infection control, pays attention to the importance of the process, and advocates the concept of "system slimming, process fattening". Fifthly, it emphasizes that the future development depends on artificial intelligence, in order to improve the quality and efficiency of prevention and control to the greatest extent. Sixth, hospitals need to strengthen continuous training and retraining. We utilize diverse training methods, including artificial intelligence, to ensure that infection control policies and procedures are simple. We have established an evaluation and feedback mechanism to ensure that medical personnel are in an emergency state at all times.

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