台灣某大型社區醫院預防新冠肺炎院內感染的行政管理策略

Hospital Administrative Measures to Prevent Nosocomial Outbreak of COVID-19 in a Large Community Hospital in Taiwan

目的：醫院處於新冠肺炎（COVID-19）大流行的最前線。除了感染控制措施，有效的管理策略也同樣重要。本篇旨在介紹台灣某大型社區醫院的防疫管理作為。方法：本文報導該醫院各院區在2020及2021年間的防疫作為。所實施的管理策略包括：定期防疫會議、出入口管制、戶外發燒篩檢站、病房管制、主動發掘門診與住院疑似個案、戶外領藥站、資源重新配置與防疫物資分配、防疫指引編寫、遠距醫療照護與檢疫所設置。結果：經過兩年的努力，一家6,301人的大型社區醫院中，院內感染極少（＜1%）。2020及2021年從戶外領藥站分別釋出了25,050及15,057張處方。通訊診療在2020及2021年服務了10,194個病人。另一方面，集中檢疫所服務了6,867個病人。結論：面對COVID-19大流行的再次出現，透過分享本文的經驗，期望可以為地球村做出貢獻。

Purpose: Hospitals are at the frontline of the COVID-19 pandemic. In addition to infection control measures, effective administrative strategies are equally important. We aimed to present administrative measures implemented in a large community hospital in Taiwan. Methods: We report strategies administered to all of the hospital branches in 2020 and 2021. The strategies included regular administrative meetings, entrance control, outdoor fever screen station, ward control, proactive inpatient and outpatient case identification, outdoor walk-through dispensary, resource allocation and distribution of supplies, guidelines, telemedicine and group quarantine. Results: After years of effort, nosocomial infection in a large community hospital of 6,301 staff remained minimal (＜1%). We filled 25,050 and 15,057 prescriptions in the outdoor walk-through dispensary in 2020 and 2021, respectively. We served 10,194 patients using telemedicine in 2020 and 2021. On the other hand, we served 6,867 people in group quarantine. Conclusion: By sharing our experience we may contribute to the global community in face of the re-emergence of COVID-19 pandemic.