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疫情防控常态化下生殖中心手术患者的安全管理模式探讨

Exploration on the safety management model for surgical patients in the reproductive center under the normalized prevention and control of epidemic
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摘要 目的探索常态化新型冠状病毒肺炎疫情防控期间生殖中心手术患者安全管理模式。方法选取2020年2—10月于北京大学人民医院生殖医学中心计划实施辅助生殖技术(ART)助孕手术治疗的患者2387例,根据医院疫情防控要求,通过术前核查化验,手术日核对患者身份信息及流行病学资料,按照常规患者执行常规消毒感染防控管理措施、特殊患者升级消毒感染防控管理措施的原则,在消除患者焦虑恐惧情绪的同时,探索出一套“一全二对三消四个零”的安全管理模式。结果对所有上述2387例患者实施该安全管理模式,做到了患者身份信息核对零差错、新型冠状病毒肺炎疑似患者零漏检、院内交叉感染零发生,在保证医疗安全的同时,做到了患者零投诉。结论“一全二对三消四个零”的安全管理模式值得临床推广应用。 Objective To explore the safety management model for surgical patients in the reproductive center under the normalized prevention and control of coronavirus disease 2019(COVID-19).Methods A total of 2387 patients who were scheduled to undergo assisted pregnancy surgery with assisted reproductive technology(ART)from February to October 2020 at Reproductive Medicine Center of Peking University People's Hospital were selected as the research objects.According to the requirements of hospital for epidemic prevention and control,preoperative examination and laboratory tests were performed on these patients,and patients'information and epidemiological data were checked on the day of surgery before a safety management model of'one whole,two pairs,three eliminations and four zeros'was explored while eliminating patients'anxiety and fear with reference to the principle of implementing routine disinfection and infection prevention and control management measures for regular patients and upgrading disinfection and infection prevention and control management measures for special patients.Results The safety management model was implemented for all the above 2387 patients and achieved zero errors in checking the information of patients,zero omission in examining patients with suspected COVID-19,and zero occurrence of inhospital cross-infection,which ensured medical safety while achieving zero patient complaints.Conclusion The safety management model of"one whole,two pairs,three eliminations and four zeros"is worthy of promotion and application in clinic.
作者 路曼 宋敬荣 陈曦 黄楠楠 付旻 李新 王静 LU Man;SONG Jingrong;CHEN Xi;HUANG Nannan;FU Min;LI Xin;WANG Jing(Department of Family Planning and Reproductive Medicine,Peking University People's Hospital,Beijing 100044,China)
出处 《中国医药科学》 2021年第22期213-215,241,共4页 China Medicine And Pharmacy
关键词 新型冠状病毒 疫情防控 手术安全 终末消毒 Coronavirus disease 2019 Epidemic prevention and control Sur gical safety Terminal disinfection
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