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"
10.3760/cma.j.cn121430-20231121-00992
- VernacularTitle:新冠病毒感染"乙类甲管"期间定点医院集束化院感防控体系的建设体会
- Author:
Wanjie YANG
1
;
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
;
Li GENG
;
Yi REN
;
Ying WANG
;
Lixia SHI
;
Zhen WAN
;
Yi XIE
;
Yuanyuan LIU
;
Weili YU
;
Jing HAN
;
Li LIU
;
Huan ZHU
;
Zijiang YU
;
Hongyang LIU
;
Shimei WANG
Author Information
1. 天津市海河医院，天津 300350
- Keywords:
COVID-19;
Category B infectious disease treated as Category A;
Cluster management;
Control system
- From:
Chinese Critical Care Medicine
2024;36(2):195-201
- CountryChina
- Language:Chinese
-
Abstract:
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.
