未经评估:以传播迅速但严重程度较低为特征,新的Omicron波导致上海2019年局部冠状病毒病(COVID-19)病例急性增加,其次是更严格的感染预防和控制策略。不可避免地,需要更多的时间来紧急咨询和治疗患有严重疾病的儿童。因此,设计了一种多维方法来简化急诊服务,并降低在复旦大学儿童医院急诊科(ED)的Omicron波中严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的医院感染发生率。(CHFU)。
UNASSIGNED:在ED中实施了多维方法,以帮助实现对紧急服务的需求与大流行控制之间的平衡,包括ED布局调整;电子筛查(E-screen)措施;患者标准管理流程,医务人员,和货物转移;可靠的消毒措施;以及感染预防和控制的监测系统。为了评估管理策略的效果,收集了ED工作人员的医院感染病例和职业暴露事件数据。通过五级儿科分诊工具收集I/II级儿童的人口统计学和临床特征以及他们在复苏室的平均停留时间。
UNASSIGNED:2022年3月1日至5月31日有12,114名ED访客,其中53.24%为医疗紧急情况(6,449/12,114),46.76%为外科紧急情况(5,665/12,114)。29名病人被送到缓冲区,其中4人因病情危重而转入儿科重症监护病房(PICU).六名患者进入ED后COVID-19检测呈阳性,包括三个在缓冲区和三个在急诊室,导致临时关闭ED进行消毒。没有关于医疗延误的报告,意外死亡,患有COVID-19感染的工作人员,或职业暴露于COVID-19。
未经评估:我们的发现强调了多维方法的有效性,可以同时满足患者的紧急护理需求以及大流行的预防和控制。然而,结果是由于上海封锁导致诊所访客成比例减少。可以采用动态评估和进一步优化来应对大流行前的访问量。
UNASSIGNED: Characterized by rapid transmission but lower severity, the new Omicron wave brought about an acute increase in local corona virus disease 2019 (COVID-19) cases in Shanghai, followed by stricter infection prevention and control strategies. Inevitably, more time was required for emergency consultation and treatment of children with critical illnesses. Therefore, a multidimensional approach was designed to streamline the emergency service and reduce the incidence of nosocomial infection of sever acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the Omicron wave for the emergency department (ED) at the Children\'s Hospital of Fudan University (CHFU).
UNASSIGNED: A multidimensional approach was implemented in the ED to help achieve a balance between the demand for emergency services and pandemic control, consisting of ED layout adjustment; electronic screening (E-screening) measures; standard management processes for patients, medical staff, and goods transfer; reliable disinfection measures; and a surveillance system for infection prevention and control. To evaluate the effect of the management strategy, the data on nosocomial infection cases and occupational exposure episodes among staff in the ED were collected. The demographic and clinical characteristics of level I/II children by the five-level pediatric triage tool and their mean duration of stay in the resuscitation room were collected.
UNASSIGNED: There were 12,114 ED visitors from March 1 to May 31 in 2022, among which 53.24% were medical emergencies (6,449/12,114) and 46.76% were surgical emergencies (5,665/12,114). Twenty-nine patients were sent to the buffer zone, four of whom were transferred to the pediatric intensive care unit (PICU) because of the critical situation. Six patients tested positive for COVID-19 after entering ED, including three in the buffer zone and three in the ED clinic, causing a temporary closure of the ED for disinfection. There were no reports on medical care delays, unintended deaths, staff with COVID-19 infection, or occupational exposures to COVID-19.
UNASSIGNED: Our findings highlight the effectiveness of the multidimensional approach, which can simultaneously meet the emergency care needs of patients as well as pandemic prevention and control. However, the results were obtained against the proportional decrease in clinic visitors due to the Shanghai lockdown. Dynamic assessment and further optimization may be adopted to cope with the pre-pandemic visit volume.