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Exploration and practice: operation mode of a united medical team cooperation in designated hospitals for treating severe COVID-19 patients 探索与实践:联合医疗队合作在定点医院救治新冠肺炎重症患者的运作模式
Pub Date : 2020-04-13 DOI: 10.3760/CMA.J.CN112225-20200311-00655
Man-Ru Fan, L. Cai, Yu Hu, Xiangnian Ji, Yu-xiong Weng, Dongsheng Xu, Shaowei Wu, W. Xiang
Since the outbreak of COVID-19, several prevention and control measures have been successively promulgated in Wuhan. To name a few, setup of designated hospitals for severe COVID-19 patients is key to enforcing the policy of pooling patients, experts, resources and standardizing treatment. These efforts contribute decisively to improving the cure rate and reducing the mortality of COVID-19. As one of the designated hospitals composed of multiple medical teams, Wuhan Union Hospital put in place a joint working mode for treating severe COVID-19 patients, and found solutions to the main problems and difficulties in management. Its experiences provide references for the operation of joint medical institutions in emergency. Key words: COVID-19; Severe COVID-19 patients; Designated hospital; Operating mode; Team work
新冠肺炎疫情发生以来,武汉市先后出台多项防控措施。例如,建立重症患者定点医院是执行集中患者、专家、资源和规范治疗政策的关键。这些努力对提高治愈率和降低COVID-19死亡率具有决定性作用。武汉协和医院作为多个医疗团队组成的定点医院之一,建立了救治新冠肺炎重症患者的联合工作模式,解决了管理中的主要问题和难点。其经验为联合医疗机构在紧急情况下的运作提供了借鉴。关键词:COVID-19;COVID-19重症患者;指定医院;操作模式;团队工作
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引用次数: 0
Management practice for critical COVID-19 patients rescue in designated hospitals 新冠肺炎危重病人定点救治管理实践
Pub Date : 2020-04-13 DOI: 10.3760/CMA.J.CN112225-20200307-00564
Nan Ma, Yin Li, Caiying Sun, Shuying Guan, Jialei Yan, Yongping Qian, Haiyong Chen, G. Wei, Yunqing Qiu, T. Liang
December 2019 witnessed the outbreak of COVID-19 in Wuhan and spread of the epidemic across the country. As a provincial designated hospital for critical patients, the First Affiliated Hospital of Zhejiang University responded rapidly since then by advocating the four-concentration principles, namely "concentrating patients, experts, resources and treatment" . In its rescue of critical patients, the hospital formulated comprehensive emergency plans, optimized hospital-wide resources, effectively arranged rescue spacing, established medical echelons, and implemented multi-disciplinary strategy. These efforts ensured efficient rescue and treatment, achieving a cure rate up to 98.7% of such patients, with no deaths. Key words: COVID-19; Centralized rescue; Multidisciplinary cooperation mechanism; Medical management
2019年12月,新冠肺炎在武汉爆发,并在全国蔓延。作为省级危重症定点医院,浙大一附院此后迅速响应,倡导“集中病人、集中专家、集中资源、集中救治”四大集中原则。在危重病人的抢救中,医院制定了全面的应急预案,优化了全院资源,有效安排了抢救间隔,建立了医疗梯队,实施了多学科战略。这些努力确保了有效的抢救和治疗,治愈率高达98.7%,没有死亡。关键词:新冠肺炎;集中救援;多学科合作机制;医疗管理
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引用次数: 0
Pharmaceutical administration practice during prevention and treatment of COVID-19 COVID-19防治中的药事管理实践
Pub Date : 2020-03-30 DOI: 10.3760/CMA.J.CN112225-20200302-00440
Xiu-lan Liu, Yi Liu, Lin Qiu, P. Luo, Jingjin Jin, Jian-ling Zheng, Dong Liu, Juan Li
January 25, 2020, our hospital was served as the designated hospital for critically ill patients with new coronary pneumonia in Wuhan. The timely and effective pharmaceutical emergency protection system was great significance for epidemic prevention. In order to ensure the drug demand of patients and improve the level of drug treatment, the key and difficult issues in the practice of pharmacy administration during new coronary pneumonia were combined with clinical practical work to develop an appropriate pharmaceutical emergency support system. Our department launched the emergency response mechanism, such as established list of COVID-19 key therapeutic drugs, urgently purchased therapeutic drugs, reformed the processes of emergency pharmacy, established a donated drug management system, establish the COVID-19 pharmaceutical care team, and opened a "cloud pharmacy" to meet the drug needs of non COVID-19 chronic diseases patients. We also strengthened the management of personnel protection. The pharmacy administration during new coronary pneumonia is a professional, comprehensive, complex and systematic emergency project that guarantees the safety of drug supply, medication and enables the treatment work to be carried out in an orderly manner. Key words: COVID-19; Pharmacy administration; Clinical safe medication; COVID-19 hospital
2020年1月25日,我院成为武汉市新型冠状病毒肺炎危重患者定点医院。及时有效的药品应急防护体系对疫情防控具有重要意义。为保障患者用药需求,提高药物治疗水平,结合临床实际工作,针对新冠肺炎患者药学管理实践中的重点和难点问题,制定相应的药学应急保障体系。科室启动应急机制,建立新冠肺炎重点治疗药物目录,紧急采购治疗药物,改革应急药房流程,建立捐赠药品管理制度,组建新冠肺炎药学服务团队,开设“云药房”,满足非新冠肺炎慢性病患者的用药需求。加强人员防护管理。新型冠状病毒肺炎期间的药学管理是一项专业、全面、复杂、系统的应急工程,保证了药品供应、用药安全,使治疗工作有序进行。关键词:COVID-19;药房管理;临床安全用药;COVID-19医院
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引用次数: 1
The thinking on improving the construction of the national treatment system for major infectious diseases and the emergency response mechanism 完善国家重大传染病救治体系和应急机制建设的思考
Pub Date : 2020-03-30 DOI: 10.3760/CMA.J.CN112225-20200307-00574
Q. Fu
The outbreak of COVID-19 since December 2019 is a major test of China's major infectious disease treatment system and emergency response mechanism. The shortcomings exposed in the response to the epidemic have prompted people to think seriously about further improving the construction of the national treatment system for major infectious diseases and the emergency response mechanism, and promoting the overall improvement of the national biosafety governance capacity. This article from the major infectious diseases prevention and control of increased to safeguard national security strategy, improve national major infectious disease monitoring and early warning mechanism, consummate the national major infectious diseases treatment system, implement the strategy of major infectious diseases treatment elements reserves management and practical value and promote the development of infection control subjects such as five aspects of thinking. Key words: Public health emergencies; Infectious diseases; Infection control; Contingency; COVID-19
2019年12月以来的新冠肺炎疫情,是对我国重大传染病救治体系和应急机制的重大考验。疫情应对中暴露出的不足,促使人们认真思考进一步完善国家重大传染病救治体系和应急机制建设,推动国家生物安全治理能力全面提升。本文从加大重大传染病防控对维护国家安全战略、完善国家重大传染病监测预警机制、完善国家重大传染病救治体系、实施重大传染病救治战略要素储备管理与实用价值以及促进感染控制学科发展等五个方面进行思考。关键词:突发公共卫生事件;传染病;感染控制;应急;新型冠状病毒肺炎
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引用次数: 0
Characteristics and practice management of intensive care for patients with Coronavirus Disease 2019 2019冠状病毒病重症监护特点及实践管理
Pub Date : 2020-03-11 DOI: 10.3760/CMA.J.CN112225-20200228-00360
Hui Wang, Rong Xu, Luhong Hu, Lihong Huang, Ying Wang, Xiao Yue, Kaili Hu, Shiyu Ying
Objective To explore and analyze the characteristics and causes of intensive nursing needs of patients with Coronavirus Disease 2019. Methods This was a cross-sectional study. Severe or critical patients’ treatment and care information were extracted through the HIS system in a designated hospital of critical patients with Coronavirus Disease 2019. We used statistical descriptions to analyze patient general information, nursing degree, therapeutic intensive care needs. The chi-square test or Fisher's exact test was used to analyze the differences between characteristics of patients and nursing degree. Results A total of 1849 cases of severe and critical patients were collected, including special grade nursing care 697 (37.70%), grade I nursing care (62.30%) . There were 893 (48.30%) patients aged ≥65 years, and 853 (46.13%) patients with one or more complications. All patients required the nursing routine of infection department, and the therapeutic intensive care followed was vein blood collection (99.62%), oxygen inhalation (98.92%), oral medication (98.65%), finger pulse oxygen monitoring (77.07%) and pharyngeal swab collection (71.93%).The nursing degree of patients with different gender, age, admission mode, body position and complications were statistically significant (P<0.05). Conclusions The intensive care needs of patients with Coronavirus Disease 2019 are complex, which are special in treatment, life and psychology, and the tasks of nursing are heavy, difficult and professional. Special attention should be paid to elderly patients and patients with complications. Our hospital has established the temporary nursing department in the period of COVID-19 outbreak, unified the coordination of nursing manpower and quality of nursing management, and set up a nursing expert consultation team to further enhance the quality of care for critical patients with Coronavirus Disease 2019. Key words: Coronavirus Disease 2019 (COVID-19); Intensive care; Nursing degree; Nursing workload
目的探讨分析2019冠状病毒病患者重症监护需求特点及原因。方法采用横断面研究。在2019冠状病毒病危重患者定点医院,通过HIS系统提取重症、危重患者的救治和护理信息。采用统计学描述分析患者一般信息、护理程度、治疗重症监护需求。采用卡方检验或Fisher精确检验分析患者特征与护理程度的差异。结果共收集重症、危重症患者1849例,其中特级护理697例(37.70%),一级护理62.30%;893例(48.30%)患者年龄≥65岁,853例(46.13%)患者有一种或多种并发症。所有患者均需感染科常规护理,治疗性重症监护依次为静脉采血(99.62%)、吸氧(98.92%)、口服药物(98.65%)、指脉氧监测(77.07%)、咽拭子采集(71.93%)。不同性别、年龄、入院方式、体位、并发症患者的护理程度差异均有统计学意义(P<0.05)。结论2019冠状病毒病患者重症监护需求复杂,在治疗、生活、心理等方面具有特殊性,护理任务重、难度大、专业性强。特别要注意老年患者和有并发症的患者。我院设立疫情期间临时护理部,统一协调护理人力和护理管理质量,组建护理专家会诊团队,进一步提升2019冠状病毒病危重患者的护理质量。关键词:2019冠状病毒病;重症监护;护理学位;护理工作负载
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引用次数: 0
Practice of prevention and control on COVID-19 through "internet plus" hospital pharmacy service “互联网+”医院药学服务防控新冠肺炎实践
Pub Date : 2020-03-11 DOI: 10.3760/CMA.J.CN112225-20200218-00183
Chengtao Jin, Hong-juan Fang
"Internet plus" pharmacy service center of Sir Run Run Shaw hospital is the 1st one in Zhejiang province to realize online health reexamination and medication dispensing, including prescriptions, prescription-checking, payment, delivery, consulting, continuing education, et al. The mode improves efficiency of whole hospital service which includes pharmacy service, avoids patients staying in the hospital and the cross infections. It is an innovative type of pharmacy service mode to treat COVID-19 epidemic. Key words: "Internet plus"; Pharmacy service; COVID-19
邵逸夫医院“互联网+”药房服务中心是浙江省首家实现网上健康复查和药品调剂,包括处方、验方、支付、配送、咨询、继续教育等。该模式提高了包括药房服务在内的全院服务效率,避免了患者住院和交叉感染。是应对新冠肺炎疫情的一种创新型药学服务模式。关键词:“互联网+”;药学服务;新型冠状病毒肺炎
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引用次数: 0
Analysis on the application status of artificial intelligence in COVID-19 人工智能在COVID-19中的应用现状分析
Pub Date : 2020-03-08 DOI: 10.3760/CMA.J.CN112225-20200219-00209
Jia-jun Yuan, B. Dong, Han-song Wang, Min Zhou, D. Tian, Weiwei Guo, Shijian Liu, Lie-bin Zhao
Since December 2019, an outbreak of novel coronavirus pneumonia (COVID-19) in Wuhan, Hubei Province, which has caused wide public concern all through the world. Although artificial intelligence is a priority development fields in recent years, there is no study on the application and effect of AI in this epidemic. Based on the application of AI scenarios in typical cases, the research analyzes the practice and effectiveness of AI in epidemic surveillance, clinical diagnose, public health management and other related scientific research. Besides, combined with the current situation of development, some suggestions are put forward in order to better play the role of artificial intelligence in the public health emergency system in China. Key words: Artificial intelligence; Public health emergency; Applications; Contingency management
2019年12月以来,新型冠状病毒肺炎(COVID-19)在湖北武汉爆发,引起国际社会广泛关注。虽然人工智能是近年来的重点发展领域,但目前还没有关于人工智能在本次疫情中的应用和效果的研究。本研究基于人工智能场景在典型案例中的应用,分析人工智能在疫情监测、临床诊断、公共卫生管理等相关科研领域的实践与效果。并结合发展现状,提出了一些建议,以期更好地发挥人工智能在中国公共卫生应急系统中的作用。关键词:人工智能;突发公共卫生事件;应用程序;应急管理
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引用次数: 1
Analysis of network public sentiment’s characteristics and response of public hospitals after the outbreak of Corona Virus Disease 2019 2019冠状病毒病爆发后公立医院网络舆情特征及应对分析
Pub Date : 2020-03-08 DOI: 10.3760/CMA.J.CN112225-20200302-00423
Yi Li, Keke Zhang, Yu Zhang, Hongbo Wang, H. Yi, Qiong Zhou
Objective To analyze the current situation and characteristics of network public sentiment faced by public hospitals since the outbreak of COVID-19, and to provide suggestions of coping strategies for public hospitals. Methods The data of "trending topic" or "Trending hash tag" of "Wuhan Union Hospital" and "anti-epidemic" were captured on three mainstream new media platforms, namely Sina Microblog, Tik Tok and Headline Today with the help of Data analysis tools of Sina and online data statistical software during the period from December 2019 to February 2020. Content analysis method was used to analyze the occurrence frequency, time distribution and development trend of public sentiment on Internet. Results Under the epidemic of COVID-19, public hospitals faced an exponential growth of network public sentiment. The transmission showed fragmentation of content, instantaneous speed and higher attention to negative information, which brought great challenges for public hospitals. Conclusions The high participation of online discussion of COVID-19 is unprecedented. Public hospitals should attach importance to thework related to network public sentiment, and establish corresponding coping mechanism for response. Key words: Hospitals, public; Network public sentiment; COVID-19; Coping strategies
目的分析新冠肺炎疫情以来公立医院网络公众情绪的现状和特点,为公立医院应对策略提供建议。方法利用新浪的数据分析工具和在线数据统计软件,在新浪微博、抖音、今日头条三大主流新媒体平台上,采集2019年12月至2020年2月期间“武汉协和医院”和“抗疫”的“热门话题”或“热门哈希标签”数据。采用内容分析法对网络公众情绪的发生频率、时间分布和发展趋势进行了分析。结果新冠肺炎疫情下,公立医院面临网络公众情绪指数级增长。传播呈现出内容的碎片化、即时性和对负面信息的更高关注度,这给公立医院带来了巨大挑战。结论新冠肺炎在线讨论的高参与度是前所未有的。公立医院应重视网络舆情工作,建立相应的应对机制。关键词:医院,公共;网络公众情绪;新冠肺炎;应对策略
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引用次数: 0
Problems and strategies for receiving overseas donations when public health emergency occurs: a case study of Wuhan Union Hospital/ 中华医院管理杂志 突发公共卫生事件中接受境外捐赠的问题与对策——以武汉协和医院为例中华医院管理杂志
Pub Date : 2020-03-08 DOI: 10.3760/CMA.J.CN112225-20200229-00386
Danyun Dai, Kai Huang, F. Gao, Can Xiang, Siliang Hou, Dongsheng Xu
Since the COVID-19 epidemic broke out in Wuhan, medical institutions in different parts the country have experienced personal protective equipment (PPE) shortages at different levels. The situation is especially severe in the coronavirus epicenter. Overseas donation is one of the effective methods to ease the shortage of protective equipment. Based on the practice of Union Hospital of Tongji Medical College of Huazhong University of Science and Technology, the article discussed the difficulties and risks for public hospitals to receive overseas donations, summarized experience and proposed suggestions which can be used as reference for other public hospitals and related departments. Key words: Hospitals, public; COVID-19; Personal protective equipment; Overseas donation
自新冠肺炎疫情在武汉爆发以来,全国各地的医疗机构都出现了不同程度的个人防护装备短缺。新冠疫情中心的情况尤其严重。海外捐赠是缓解防护用品短缺的有效方法之一。本文结合华中科技大学同济医学院协和医院的实践,探讨了公立医院接受境外捐赠的困难和风险,总结了经验,提出了建议,可供其他公立医院及相关部门借鉴。关键词:医院,公共;新冠肺炎;个人防护装备;海外捐赠
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引用次数: 0
Nosocomial infection control strategy in cabin hospital during the outbreak of COVID-19 新型冠状病毒病疫情期间客舱医院感染控制策略
Pub Date : 2020-03-08 DOI: 10.3760/CMA.J.CN112225-20200301-00418
Wenjuan Wu, Lihua He, Boni Liu, Li Wang, H. Lei
The construction of mobile Cabin hospitals is a pioneering effort for the prevention and controlling of the patients with mild symptoms during the outbreak epidemic of Novel Coronavirus Pneumonia. It is a prerequisite and important guarantee for the hospital to manage the hospital infection and prevent the spreading of the epidemic. Our team is located in Dongxihu mobile Cabin hospital, which is one of the first three Cabin hospitals in Wuhan. This article takes the operation process of this hospital as a clue, and discusses aspects of personal protection, environmental sanitation management, item management, occupational exposure disposal, and discharged patient management. It also analyzed common and critical problems in operation. With a view to provide reference for other Cabin hospitals or temporary treatment agencies.
流动舱医院的建设是新型冠状病毒肺炎疫情暴发期间对轻度症状患者进行预防和控制的开拓性努力。做好医院感染管理工作,防止疫情蔓延,是医院工作的前提和重要保障。我们的团队位于武汉首批三家客舱医院之一的东西湖移动客舱医院。本文以该医院的运营过程为线索,从个人防护、环境卫生管理、项目管理、职业暴露处置、出院病人管理等方面进行了探讨。分析了运行中的常见问题和关键问题。以期为其他客舱医院或临时治疗机构提供参考。
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引用次数: 1
期刊
中华医院管理杂志
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