2020 年第 8 期 第 15 卷

新型冠状病毒肺炎疫情期间急诊患者疏解措施的探索与实践

Exploration and practice of the measures to relieve emergency patients during the epidemic period of corona virus disease-19

作者：夏岩1  李爽2  路明3

英文作者：Xia Yan1 Li Shuang2 Lu Ming3  

单位：1首都医科大学附属北京天坛医院医务处100070；2首都医科大学附属北京天坛医院信息中心100070；3首都医科大学附属北京天坛医院党委办公室100070

英文单位：1Department of Medical Service Bejing Tiantan Hospital Capital Medical University Beijing 100070 China; 2Information Center Bejing Tiantan Hospital Capital Medical University Beijing 100070 China; 3Party Committee Office Bejing Tiantan Hospital Capital Medical University Beijing 100070 China

关键词：新型冠状病毒肺炎；急诊；疏解；分类；管理

英文关键词：Coronavirusdisease-19;Emergency;Relief;Classification;Management

• 摘要：

• 目的  探索新型冠状病毒肺炎（COVID-19）期间急诊患者的疏解措施。方法  选取2020年1—4月COVID-19疫情期间和2019年1—4月首都医科大学附属北京天坛医院急诊患者诊疗信息，并对关键节点的数据进行比较，比较2020年1—4月与2019年同期急诊住院、急诊滞留及急诊输液情况。了解针对医院急诊患者采取的疏解措施的效果。结果  2020年1—4月医院通过急诊收住院患者比例与2019年同期相比明显增加［29.0%（2 643/9 121）比17.9%（3 358/18 755）］，急诊留观室、输液室、抢救室患者滞留现象有所缓解。2020年1—4月急诊抢救室、留观室、输液室滞留量与2019年同期分别降低了14.3%（61/426）、29.6%（45/152）、50.4%（354/702）。在疫情期间急诊就诊量逐渐增高但急诊输液比例明显下降。结论  2020年COVID-19疫情期间，通过急诊留院患者分类管理、完善处置流程和监测手段，增加急诊患者收住院，有效疏解急诊滞留患者，特殊时期急诊患者疏解措施得到了充分的实践。

• Objective  To explore measures to relieve emergency patients during corona virus disease-19（COVID-19） outbreaks. Methods  Information on diagnosis and treatment of emergency patients in Beijing Tiantan Hospital， Capital Medical University was collected in January-April 2019 and in January to April 2020 during the corona virus disease-19 (COVID-19) epidemic. Emergency hospitalization, emergency detention and emergency infusion were compared between January to April 2020 and the same period in 2019， to understand the effect of relief measures for hospital emergency patients. Results  From January to April 2020, the proportion of hospitalized patients admitted through emergency treatment increased significantly compared with the same period in 2019 ［29.0%（2 643/9 121） vs 17.9%（3 358/18 755）］, the retention of patients in the emergency observation room, infusion room and emergency room was alleviated. From January to April 2020, the retention in emergency room, observation room and infusion room decreased by 14.3%(61/426), 29.6%(45/152) and 50.4%(354/702) respectively compared with the same period in 2019. During the epidemic period, the number of emergency visits increased gradually but the proportion of emergency transfusion decreased significantly. Conclusion  During the COVID-19 epidemic in 2020, the emergency hospitalization of patients should be increased through classified management, improved treatment procedures and monitoring means, and the emergency hospitalization of patients should be effectively relieved.