Development and application of quality checklist for the prevention and control of COVID-19 in fever clinic and isolation ward of the general hospital.
10.3724/zdxbyxb-2021-0003
- Author:
Chenping ZHU
1
;
Haixiang ZHU
1
;
Susu HUANG
1
;
Yuhua YUAN
1
;
Yiyu ZHUANG
1
;
Hongying PAN
1
;
Hongxia XU
1
;
Hongfang ZHU
1
;
Huiyin CHEN
1
;
Lili CHENG
1
Author Information
1. Department of Nosocomial Infections，Sir Run Run Shaw Hospital，Zhejiang University School of Medicine，Hangzhou 310016，China.
- Publication Type:Journal Article
- Keywords:
Coronavirus disease 2019;
Delphi method;
Fever clinic;
Isolation ward;
Quality control
- MeSH:
COVID-19;
Checklist;
Fever;
Hospitals, General;
Humans;
SARS-CoV-2
- From:
Journal of Zhejiang University. Medical sciences
2021;50(1):74-80
- CountryChina
- Language:English
-
Abstract:
To develop a quality control checklist for the prevention and control of coronavirus disease 2019 （COVID-19） in fever clinic and isolation ward of the general hospital and to assess its application. Based on the relevant prevention and control plans and technical guidelines for COVID-19，Delphi method was used to identity items for evaluation，and a quality control checklist for the prevention and control of COVID-19 in the fever clinic and isolation ward was developed in Sir Run Run Shaw Hospital. The checklists included 8 dimensions and 32 items for fever clinic，7 dimensions and 27 items for the isolation ward. The appointed inspectors conducted daily quality control for each shift with this checklist. The expert authority coefficient was 0.88，the mean of the importance of each index in the quality control table was not less than 4.8，and the coefficient of variation was not more than 0.07. During the entire February 2020，8 problems were found and rectified on-the-spot with the application of the checklist. Quality inspection rate was 100% in both isolation wards and fever clinic. The compliance rate and accuracy rate of hand hygiene were 100%; the correct rate of wearing and removing protective equipment increased from 96% to 100%. During the same period，a total of 1915 patients were admitted to the fever clinic，including 191 suspected patients （all were isolated in the hospital，3 were confirmed）. There were no medical staff infected with COVID-19，no cross infection of patients and their families in the hospital. A quality control checklist for the prevention and control of COVID-19 has been developed and applied in the isolation wards and fever clinic，which plays an important role in preventing nosocomial infection.
