基于新型冠状病毒肺炎疫情防控的大型公立医院医疗流程构建

Establishment of Medical Service Protocols in Large Public Hospitals for the Prevention and Control of Coronavirus Disease 2019

摘要: 新型冠状病毒肺炎疫情的全球暴发给医院应急防控带来严峻挑战。大型公立医院作为应对新型冠状病毒肺炎的主战场，应从门诊、急诊、住院、手术、出院全流程进行把控。预检分诊作为医院的首层关卡，是疫情防控的关键节点，需重点关注并加强相关应对机制的建设，以快速遏制外源性/内源性危险因素；同时落实全员培训与考核，加强互联网诊疗等信息化建设，为医院诊疗工作的有序开展保驾护航。

Abstract: Coronavirus disease 2019(COVID-19)poses a challenge to hospitals for the prevention and control of public health emergencies. As the main battlefield of preventing and controlling COVID-19, large public hospitals should develop service protocols of diagnosis and treatment for outpatient, emergency, hospita-lization, surgery, and discharge. The construction of medical protocols should be based on the risk factors of key points and focused on pre-inspection triage and screening, to establish a rapid response mechanism to deal with exogenous and endogenous risk factors. Implementation of all-staff training and assessment, strengthening the information system, and use of medical internet service are important. This study explores the construction of medical protocols in large public hospitals during the pandemic, and provides a reference for the orderly diagnosis and treatment in hospitals during the pandemic.