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코로나19 감염관리와 예방을 위한 감염관리감시단 활동

Activities of an infection control surveillanceworking group for the infection control and prevention of COVID-19

대한의사협회지 2020년 63권 9호 p.574 ~ 580
최의윤, 권영미, 최정현, 이제훈,
소속 상세정보
최의윤 ( Choi Ui-Yoon ) - Catholic University College of Medicine St. Paul’s Hospital Department of Pediatrics
권영미 ( Kwon Young-Mi ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Performance Improvement Unit
최정현 ( Choi Jung-Hyun ) - Catholic University Eunpyeong St. Mary’s Hospital Department of Internal Medicine
이제훈 ( Lee Je-Hoon ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Laboratory Medicine

Abstract


The coronavirus disease 2019 (COVID-19) pandemic is unlikely to end soon, and hospitals face a high risk of exposure to COVID-19 and nosocomial infections. Therefore, strengthened infection control and prevention (ICP) strategies are crucial. Here, we share our experience of activities implemented by an infection control surveillanceworking group (ICS-WG) and the introduction of a hospital emergency code for patients requiring screening for COVID-19, which were established at a university-affiliated hospital. This hospital applies multi-step processes to identify patients who must visit the outdoor screening clinic for COVID-19 testing, instead of entering the hospital building. However, some of these patients inevitably end up inside the hospital building. To solve this issue, we implemented a process to announce the emergency code (“code apple”) and have the medical personnel escort such patients to the outdoor screening clinic. This process was useful in protecting the hospital from unnecessary exposure to COVID-19. The ICS-WG was assigned to conduct the surveillance of ICP practices, patrol the hospital, and recommend improvements for any practices that did not adhere to the guidelines. The ICS-WG also developed a checklist as a monitoring tool for ICP practices. The checklists were distributed to the infection control coordinators who were assigned to monitor their team’s ICP practices and report to the ICS-WG. Overall, we believe that code apple and the ICS-WG are effective strategies in improving ICP practices of COVID-19 at hospitals.

키워드

코로나바이러스감염증-19; 감염관리; 병원감염; 점검표
COVID-19, Infection control; Cross infection; Checklist

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