Time phased scheduling and Disease grading management to achieve efficient rescue of batches of COVID-19 infected patients in shelter hospital
10.3760/cma.j.issn.1671-0282.2022.08.016
- VernacularTitle:分时分级管理实现方舱医院批量新冠感染者高效应急救治
- Author:
Ying SUN
1
;
Minghua SU
;
Xiaohong ZHANG
;
Jiajia LI
;
Tingting LUO
;
Yun ZHANG
;
Feng CHEN
;
Tao JIANG
;
Tong WU
;
Xiaobo HUANG
;
Kang CHEN
;
Chuanzhu LV
Author Information
1. 四川省医学科学院·四川省人民医院老年医学中心，成都 610072
- Keywords:
COVID-19;
Shelter hospital;
Medical team;
Doctor management;
Emergency rescue
- From:
Chinese Journal of Emergency Medicine
2022;31(8):1110-1115
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce how to quickly set up a doctor team to achieve efficient treatment of batchs COVID-19 patients in Changchun GongTi shelter hospital.Methods:A cross-sectional study was conducted to analyze the basic situation of the doctors who supported the Changchun Gongti shelter hospital. The workload is the total number of patients from April 3 to 28, 2022. At the beginning of the task, the first week and the third week of the task, the five point scoring method was used to reflect the doctor's physical and mental state, stress state and rescue achievement. The time phased scheduling and disease grading management were fully implemented after 10 days of operation in the shelter. The doctors' ward round efficiency and self scoring changes before and after the implementation of the plan were compared, and the rescue results were summarized.Results:Total of 56 doctors (the Sichuan medical assistance team to Changchun), who undertook the work of Changchun Gongti shelter Hospital, came from 12 professional departments of 14 hospitals. By internal and external linkage-time phased scheduling and information-based patient zoning and grading management, the admission time of batch patients was shortened from (14.64±10.09) min to (6.80±5.10) min per person( P<0.05), the number of patients that each doctor can view per hour ranges from (28.50±12.26) to (68.43±19.95) ( P<0.01). A total of 1 293 patients were treated. There were no deaths, no accidents and no mild illness to severe illness in shelter hospital. 35 doctors completed a continuous survey. Before and after the implementation of those measures, the average physical state scores and the psychological state scores of doctors improved ( P=0.03), the self-score of stress feeling decreased ( P<0.01), and the self-score of professional achievement increased ( P<0.01). Conclusions:To adapt to the characteristics of emergency treatment for batch COVID-19 patients, the internal and external linkage-time phased scheduling and information-based patient zoning and grading management could help the temporarily convened doctors deal with a large number of patients efficiently, reduce work stress and exposure risk in shelter hospital.
