全球傳染病準備計畫於新冠肺炎疫情之運用

Application of Emergency Preparedness Program for Managing the Coronavirus COVID-19 Infection

美國醫院評鑑聯合委員會建議醫院應制定因應全球性傳染疾病緊急應變計畫，面對COVID-19（新冠肺炎）疫情爆發當下，個案醫院因此採用相關國際標準，以跨專業團隊和滾動式管理，進行因應策略，包括：與參與全球性監測組織進行溝通、制定和執行隔離策略、選擇適合傳染病的個人防護裝備，且進行訓練（包括示範）工作、建立有效的溝通策略、明確和分配工作人員之角色和責任、管理社區內之新興或再現傳染病；經驗顯示，經歷2020年第一波台灣爆發，和2021年第二波疫情持續因應下，專注於全方面感控風險計畫和對策，且保持彈性和有效領導作為，確實有助於醫院風險管理，因此提出此經驗分享。

The Joint Commission International Accreditation（JCIA）recommends that any hospital should have an emergency preparedness program to respond to the presentation of global communicable diseases. Facing the coronavirus COVID-19 pandemic, the hospital applied the Standard PCI.12.2 to unite a multidiscipline team and develop a multi-faced strategy to combat COVID-19. The strategy included communication with organizations participating in worldwide surveillance activities, development and implementation of segregation and isolation strategies, training, including demonstration, on the use of personal protective equipment appropriate to infectious disease, development and implementation of communication strategies, identification and assignment of staff roles and responsibilities, response to emerging or reemerging infections within the community. Since the beginning of outbreak in late April 2020 and May 2021 in Taiwan, we had many hospitalized patients in our hospital. COVID-19 was well-controlled in the hospital with no intrahospital transmission noted.