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J Zhejiang Univ (Med Sci)  2020, Vol. 49 Issue (5): 656-661    DOI: 10.3785/j.issn.1008-9292.2020.08.09
    
Application of three-in-one intelligent screening in outpatient department of children's hospital during COVID-19 epidemic
SHEN Meiping1(),TONG Lin1,FU Cangcang1,DONG Shuai2,WANG Tianlin1,ZHU Guohong1,XU Hongzhen1,*()
1. Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
2. Zhejiang GooCan Information Technology Co., Ltd., Hangzhou 310052, China
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Abstract  

Objective: To evaluate the application of three-in-one intelligent screening in outpatient pre-inspection in children's hospital. Methods: We randomly enrolled 100 children pre-screened by traditional method in the outpatient department of Children's Hospital of Zhejiang University from February 6th to 16th, 2020, and another 100 children by the intelligent three-in-one mode from February 17th to 27th, 2020. The traditional triage was conducted by nurses based on face-to-face, one-by-one interview of the epidemiological history and consultation department, and the temperature was measured before manual triage. The intelligent three-in-one model combined online rapid pre-inspection and triage, on-site manual confirmation, as well as synchronized online health education system. For on-line registered patients, the system automatically sent the COVID-19 epidemiological pre-screening triage questionnaire one hour before the appointment, requiring parents to complete and submit online before arriving at the hospital. The on-site registered patients were controlled at 100 m away from the hospital entrance. The nurses guided the parents to scan the QR code and fill in the COVID-19 epidemiological pre-examination triage questionnaire. At the entrance of the hospital, the nurse checked the guidance sheet and took the temperature again. The children with red guidance sheet were checked again and confirmed by pre-examination nurses, and accompanied to the isolation clinic through COVID-19 patients-only entrance. The children with yellow guidance sheet were guided to fever clinic. The children with green guidance sheet could go with their parents to the designated area, and then went to the corresponding consultation area. Health education was carried out throughout the treatment, and the system automatically posted the corresponding outpatient instructions and education courses. Parents would read the courses on their mobile phones and counsel online. The time of pre-examination and the coincidence rate of triage were compared between the two groups. Results: The three-in-one intelligent pre-inspection mode took an average of (25.6±8.0) s for each child, which was significantly shorter than the traditional pre-inspection mode (74.8±36.4) s (t=13.182, P < 0.01). The triage coincidence rate of the intelligent pre-inspection model was 98%, which was similar to that of traditional model (97%, χ2=0.251, P>0.05). Conclusion: The three-in-one intelligent pre-inspection model can effectively shorten the patient pre-check time, with similar triage coincidence rate to traditional model.



Key wordsCoronavirus disease 2019      Children      Triage      Pre-inspection      Management      Intelligent medicine     
Received: 07 March 2020      Published: 22 September 2020
CLC:  R183.3  
Corresponding Authors: XU Hongzhen     E-mail: chhlb@zju.edu.cn;6184020@zju.edu.cn
Cite this article:

SHEN Meiping,TONG Lin,FU Cangcang,DONG Shuai,WANG Tianlin,ZHU Guohong,XU Hongzhen. Application of three-in-one intelligent screening in outpatient department of children's hospital during COVID-19 epidemic. J Zhejiang Univ (Med Sci), 2020, 49(5): 656-661.

URL:

http://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2020.08.09     OR     http://www.zjujournals.com/med/Y2020/V49/I5/656


智能三合一预检在2019冠状病毒病疫情期间儿童医院门诊的应用

目的: 评估智能三合一预检的应用对提高2019冠状病毒病(COVID-19)疫情期间医院门诊预检工作效率的价值。方法: 随机抽取浙江大学医学院附属儿童医院2020年2月6日至16日以传统方法预检的患儿和2020年2月17日至27日以智能三合一方法预检的患儿各100例。传统预检分诊方法由护士进行面对面一对一询问流行病学史和就诊科室,并在测量体温后进行人工分诊。智能三合一预检包括线上快速预检分诊、现场人工核查确认、同步在线健康宣教三部分。预约挂号的患儿就诊前1 h系统自动推送《COVID-19流行病学预检分诊调查表》,要求家长在到达医院前完成填写并网上提交;在距医院入口处100 m以外进行通道管制,现场挂号者由护士引导家长扫描二维码填写《COVID-19流行病学预检分诊调查表》。医院入口处由护士核查导诊单并再次测量体温,导诊单为红色的患儿,预检护士再次进行排查,确认无误后由专人经专用通道陪同至隔离门诊就诊;导诊单为黄色的患儿被引导至发热门诊;导诊单为绿色的患儿由家长带领前往指定区域,进行现场人工预检挂号后再到专科门诊就诊。健康宣教全程与门诊就诊节点关联,系统自动推送相应门诊就诊须知与宣教课程,家长可在手机上阅读并在线咨询。比较两组患儿的预检耗时和分诊符合率。结果: 智能三合一预检分诊每例患儿平均耗时(25.6±8.0)s,较传统方法耗时(74.8±36.4)s缩短(t=13.182,P < 0.01);分诊符合率为98%,与传统方法(97%)差异无统计学意义(χ2=0.251,P>0.05)。结论: 智能三合一方法可快速分流患儿及家属,有效缩短患儿预检时间,值得推广。


关键词: 2019冠状病毒病,  儿童,  分诊,  预检,  管理,  智能医疗 
Fig 1 The outpatient pre-inspection flow chart with intelligent three-in-one mode in the children's hospital
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