探索医院弹性保护或风险因素:为未来的灾难应对工作吸取教训
Wenwen Shi1, Rujie Chen1,2, Kuan Wang1
1Department of Emergency Nursing, School of Nursing, Navy Military Medical University, Shanghai, China.
Frontiers in public health
|April 11, 2024
概括
医院的弹性是灾难应对的关键. 这项研究研究了中国医院在COVID-19爆发期间如何发展性,并确定了未来公共卫生紧急情况的医疗保健之外的关键因素.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 灾难医学 灾难医学
背景情况:
- 目前关于医院应灾能力的研究往往缺乏关注公共卫生紧急情况期间的风险因素和保护策略.
- 这项研究调查了2020年首次COVID-19爆发期间中国一线医院的弹性发展情况.
研究的目的:
- 检查COVID-19大流行早期中国一线医院医院弹性发展情况.
- 确定影响医院应对重大传染病爆发的弹性的主要因素.
- 为增强未来应对灾害工作提供见解.
主要方法:
- 对参与中国COVID-19初始应对行动的26名医院工作人员进行了半结构化采访.
- 使用有目的和雪球采样技术来招募参与者.
- 世界卫生组织 (WHO) 针对传染病紧急情况的"行动框架"指导面试框架.
- 使用Colaizzi的七步方法和模板分析分析数据.
主要成果:
- 世卫组织的"行动框架"有效地确定了有助于医院恢复能力的因素.
- 虽然医疗反应 (材料,IT,诊断/治疗) 是至关重要的,但意识,跨学科合作和治疗经验也至关重要.
- 建立智能指挥系统,促进团队合作,加强监视,改善风险沟通,加强感染控制和环境消毒对于恢复力至关重要.
结论:
- 在重大传染病爆发中,医院的弹性不仅需要增强治疗能力.
- 有效的指挥协调,感染控制计划和智能设备部署至关重要.
- 规划医院,社区和国家医疗保健系统之间的强有力的沟通和协调对于整体的弹性至关重要.
相关概念视频
Steps in Outbreak Investigation
125
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
125
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Types of Reports II: Incident or Occurrence Report
827
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
827
Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
Psychological and Sociocultural Causes of Schizophrenia
84
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
84
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K


