ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 ›› 2020, Vol. 17 ›› Issue (4): 300-303.doi: 10.3761/j.issn.1672-9234.2020.04.003

• 新型冠状病毒肺炎专题 • 上一篇    下一篇

风险矩阵评估在介入导管室防控新型冠状病毒肺炎中的应用

张耕瑞,杨丽,赵欣,王荣勤,王英伟,曾庆,邵合德,曾宪强,马彦高,段东奎   

  1. 473000 河南省南阳市 南阳市中心医院
  • 收稿日期:2019-02-08 出版日期:2020-04-20 发布日期:2020-04-30
  • 作者简介:张耕瑞：男,本科,主管护师,E-mail：61056314@qq.com

Risk matrix assessment in prevention and control of COVID-19 in interventional catheterization room

ZHANG Geng-rui,YANG Li,ZHAO Xin,WANG Rong-qin,WANG Ying-wei,ZENG Qing,SHAO He-de,ZENG Xian-qiang,MA Yan-gao,DUAN Dong-kui   

  • Received:2019-02-08 Online:2020-04-20 Published:2020-04-30

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摘要：

目的 探讨风险矩阵评估在介入导管室防控新型冠状病毒肺炎中的应用效果。 方法 对16名专家进行2轮专家咨询,确定了传染源、传播途径、易感人群、防控能力4个一级指标、14个二级指标;将二级指标以感染发生可能性为纵坐标,感染发生所引发后果严重性为横坐标,建立介入导管室发生新型冠状病毒肺炎院内感染二维风险矩阵模型;针对5个高风险和3个中风险指标制订并实施应急防控措施。 结果 2020年1月23日—2月26日介入导管室顺利完成107例患者的介入手术,患者及医护人员均无发生院内感染。 结论 运用风险矩阵评估,发现主要潜在风险因素,采取针对性防控措施,避免了介入导管室发生新型冠状病毒肺炎院内感染。

关键词: 感染性疾病, 感染防控, 风险评估, 新型冠状病毒肺炎

Abstract:

Objective To explore the effects of risk matrix assessment in prevention and control of COVID-19 in interventional catheterization room. Methods Two rounds of expert consultations were conducted with 16 experts. Four primary indicators including infection sources,transmission routes,susceptible populations,and prevention and control capabilities were identified. Besides,14 secondary indicators were also determined. A two-dimensional risk matrix was established with the infection possibility as the vertical ordinate and outcome severity as the abscissa for all secondary indicators. Emergency prevention and control measures were developed for 5 high-risk and 3 medium-risk indicators. Results From 23 January to 26 February in 2020,107 interventional procedures were successfully completed in the interventional catheterization room. No patients and medical staffs caught the infection. Conclusion The risk matrix assessment can help identify the main potential risk factors. Targeted prevention and control measures can therefore be taken to prevent COVID-19 infection in the interventional catheter room.

Key words: Infectious Diseases, Infection Prevention and Control, Risk Assessment, Coronavirus Disease 2019