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논문 기본 정보

자료유형
학술저널
저자정보
Choi Ui Yoon (Department of Pediatrics Eunpyeong St. Mary's Hospital College of Medicine The Catholic University) Jung Seung Eun (Department of Radiology Eunpyeong St. Mary's Hospital College of Medicine The Catholic University o) Kim Mi Sook (Infection Control Department Eunpyeong St. Mary's Hospital College of Medicine The Catholic Univers) Oh Hyang Sook (Infection Control Department Eunpyeong St. Mary's Hospital College of Medicine The Catholic Univers) Kwon Young Mi (Department of Performance Improvement Eunpyeong St. Mary's Hospital College of Medicine The Catholi) Lee Jehoon (Infection Control Department Eunpyeong St. Mary's Hospital College of Medicine The Catholic Univers) Choi Jung-Hyun (Infection Control Department Eunpyeong St. Mary's Hospital College of Medicine The Catholic Univers)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.42
발행연도
2021.11
수록면
1 - 11 (11page)
DOI
10.3346/jkms.2021.36.e295

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초록· 키워드

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Background: To minimize nosocomial infection against coronavirus disease 2019 (COVID-19), most hospitals conduct a prescreening process to evaluate the patient or guardian of any symptoms suggestive of COVID-19 or exposure to a COVID-19 patient at entrances of hospital buildings. In our hospital, we have implemented a two-level prescreening process in the outpatient clinic: an initial prescreening process at the entrance of the outpatient clinic (PPEO) and a second prescreening process is repeated in each department. If any symptoms or epidemiological history are identified at the second level, an emergency code is announced through the hospital's address system. The patient is then guided outside through a designated aisle. In this study, we analyze the cases missed in the PPEO that caused the emergency code to be applied. Methods: All cases reported from March 2020 to April 2021 were analyzed retrospectively. We calculated the incidence of cases missed by the PPEO per 1,000 outpatients and compared the incidence between first-time hospital visitors and those visiting for the second time or more; morning and afternoon office hours; and days of the week. Results: During the study period, the emergency code was applied to 449 cases missed by the PPEO. Among those cases, 20.7% were reported in otorhinolaryngology, followed by 11.6% in gastroenterology, 5.8% in urology, and 5.8% in dermatology. Fever was the most common symptom (59.9%), followed by cough (19.8%). The incidence of cases per 1,000 outpatients was significantly higher among first-time visitors than among those visiting for the second time or more (1.77 [confidence interval (CI), 1.44?2.10] vs. 0.59 [CI, 0.52?0.65], respectively) (P < 0.001). Conclusion: Fever was the most common symptom missed by the PPEO, and otorhinolaryngology and gastroenterology most frequently reported missed cases. Cases missed by the PPEO were more likely to occur among first-time visitors than returning visitors. The results obtained from this study can provide insights or recommendations to other healthcare facilities in operating prescreening processes during the COVID-19 pandemic.
#COVID-19 #Outpatient Clinic #Prescreening #Missed Cases

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참고문헌 (22)

참고문헌 신청
Centers for Disease Control and Prevention / Standard operating procedure for triage of suspected COVID-19 patients in non-US healthcare settings: early identification and prevention of transmission during triage google schola Choi UY / 2021 / Surveillance of the infection prevention and control practices of healthcare workers by an infection control surveillance-working group and a team of infection control coordinators during the COVID-19 pandemic / J Infect Public Health 14(4):454~460 google schola 정혜민 / 2020 / Risk of COVID-19 Transmission from Infected Outpatients to Healthcare Workers in an Outpatient Clinic / Journal of Korean Medical Science 35(50):1~5 dbpia Wang Q / 2020 / The role of triage in the prevention and control of COVID-19 / Infect Control Hosp Epidemiol 41(7):772~776 google schola Kwon Yong Shik / 2020 / Screening Clinic for Coronavirus Disease 2019 to Prevent Intrahospital Spread in Daegu, Korea: a Single-Center Report / Journal of Korean Medical Science 35(26):1~6 dbpia

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