降低新興傳染病新病人收療流程不完整率

In December 2018, when our unit coordinated with the infection control office to carry out the novel influenza A virus infections drill program, the incomplete rate of admissions for patients with emerging infectious diseases was nearly 50%. According to the analysis, the causes included the following: 1) The standard operating procedure did not describe the work contents in detail, including the details of receiving patients, the items to be prepared, and the order for cleaning the environment; 2) The teaching did not emphasize the importance of the new patient admission process and lacked diverse learning tools to enhance learning motivation; 3) The outfit removal sequence was complex, the labels only provided written descriptions, and some skills could be easily neglected; 4) There was a lack of practice drills as well as diverse auditing tools and mechanisms; 5) There were many items to be prepared, which were scattered, and the checklist was inconvenient to use. In response to these problems, we 1) designed an e-book for education and training; 2) re-recorded the process contents; 3) revised the standard operating procedure, and created a manual and a poster for display; 4) designed an auditing table and system; 5) developed a board game for teaching; and 6) set up special carts with epidemic prevention items and graphic cards showing the preparation of these items. After implementing these improvement measures, the incomplete rate of admissions for patients with emerging infectious diseases reduced from 44.1% to 1.4%, and the correct awareness rate about admissions of new patients with emerging infectious diseases increased from 67.7% to 95.3%. The effects could be maintained at the target values continuously, and the diversified teaching strategies achieved good results. It is suggested that all medical institutions refer to these measures, so that the support staff can learn by themselves quickly when an epidemic progresses.