Bundle infection prevention and control measures: lessons learnt from Wuhan Leishenshan Hospital_West China Medical Journal

Authors：

WANG Ying ^1,2,3 , QIAO Fu ^1,4 , MAO Yiping ^1,5 , LIANG Ke ² , ZHU Xiaoping ^1,6 , SHI Di ^1,6 , GONG Fei ^1,6 , WANG Ting ^1,7 ,  YUAN Yufeng ⁸

1. Quality Management and Nosocomial Infection Control Project Team, Wuhan Leishenshan Hospital, Wuhan, Hubei 430071, P. R. China;
2. Nosocomial Infection Management Office, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P. R. China;
3. Institute of Hospital Management, Wuhan University, Wuhan, Hubei 430071, P. R. China;
4. Department of Infection Control, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
5. Department of Nosocomial Infection Management, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangshu 221006, P. R. China;
6. Office of Quality and Safety Management, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P. R. China;
7. Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P. R. China;
8. Department of Hepatobiliary and Pancreatic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P. R. China;

Corresponding author：

YUAN Yufeng, Email: yuanyf1971@whu.edu.cn

Keywords：

Field infectious disease hospital; Health-care associated infection prevention and control; Coronavirus disease 2019; Bundle measures

DOI：

10.7507/1002-0179.202012214

Video：

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Wuhan Leishenshan Hospital was built within 12 days during the key period of fighting against coronavirus disease 2019 (COVID-19) in Wuhan. It was a field infectious disease hospital with 1500 beds. Due to the emergency of the epidemic situation, the operation mode of “parallel of construction, acceptance, training and treatment” was employed. During the peak period, nearly 3000 medical workers and 13000 builders worked on the same site. In 67 days, 2 011 patients with COVID-19 were treated. Through the bundle infection prevention and control (IPC) measures, Wuhan Leishenshan Hospital achieved zero infection, zero accident, and low level pollution of SARS-CoV-2 (0.3%) by environment monitoring. The bundle IPC measures of Leishenshan Hospital not only provided prevention and control experience for other field infectious disease hospitals at domestic and abroad during the period of COVID-19, but also put forward ideas and work flow for other medical institutions to deal with emerging infectious diseases.

Citation： WANG Ying, QIAO Fu, MAO Yiping, LIANG Ke, ZHU Xiaoping, SHI Di, GONG Fei, WANG Ting, YUAN Yufeng. Bundle infection prevention and control measures: lessons learnt from Wuhan Leishenshan Hospital. West China Medical Journal, 2021, 36(3): 300-305. doi: 10.7507/1002-0179.202012214 Copy

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1. 周乃翔. 践行初心使命奋力建成火神山雷神山医院. 建筑, 2020(15): 20-24.
2. 周先志, 邓传福, 李玉东, 等. 小汤山医院医疗管理实践. 解放军医院管理杂志, 2003, 10(5): 418-419.
3. 《建筑机械化》编辑部. 雷神山医院建设的“中国速度”. 建筑机械化, 2020, 41(1): 11-12.
4. 陈朝阳, 王腾, 刘宇太, 等. 以科技力量成就抗“疫”的“中国速度”−中建三局武汉火神山、雷神山医院优质高效建成背后的秘密. 建筑, 2020(6): 51-53.
5. 杨晋如, 王莹, 倪紫菱, 等. 我国新型冠状病毒肺炎疫情防控政策分析及对医院管理的启示. 中国医院管理, 2020, 40(7): 1-5.
6. Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med, 2020, 382(8): 727-733.
7. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet, 2020, 395(10223): 507-513.
8. 曾艳, 赖永继. 新型冠状病毒肺炎定点医院库房院感风险管控探索−基于雷神山医院的案例分析. 中国社会医学杂志, 2020, 37(4): 361-363.
9. Guo ZD, Wang ZY, Zhang SF, et al. Aerosol and surface distribution of severe acute respiratory syndrome coronavirus 2 in hospital wards, Wuhan, China, 2020. Emerg Infect Dis, 2020, 26(7): 1583-1591.
10. 张丽华, 王骁踊, 赵洪利, 等. 武汉雷神山医院污水处理设施运行情况调查. 中国消毒学杂志, 2020, 37(7): 525-527.
11. 郭晓敏, 张春苗, 刘阳, 等. 集束化护理应用研究进展. 护理研究, 2015, 29(6): 647-649.
12. 覃学军. 医院金字塔管理模式与扁平化管理模式的结合管理分析. 中国卫生产业, 2020, 17(1): 42-43, 46.
13. 吴广江, 张国平, 尹金淑, 等. 综合医院新型冠状病毒肺炎防控体系的建立与应用. 中华医院感染学杂志, 2020, 30(19): 2900-2903.
14. 高姗, 李福琴. 感染防控管理质量控制策略探讨与实践. 华西医学, 2020, 35(3): 285-289.
15. 国家卫生健康委办公厅. 医疗机构内新型冠状病毒感染预防与控制技术指南(第一版). 中国感染控制杂志, 2020, 19(2): 189-191.
16. 刘波, 张永祥, 张卫红. 新型冠状病毒肺炎国内防控规范比较分析. 中国感染控制杂志, 2020, 19(7): 603-610.
17. World Health Organization. Advice on the use of masks in the community, during home care and in healthcare settings in the context of the novel coronavirus (2019-nCoV) outbreak. (2020-12-01)[2021-02-09]. https://www.who.int/publications/i/item/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak.
18. Martín-Rodríguez F, Sanz-García A, López-Izquierdo R, et al. Predicting health care workers’ tolerance of personal protective equipment: an observational simulation study. Clin Simul Nurs, 2020, 47: 65-72.
19. Wang Y, Qiao F, Zhou FL, et al. Surface distribution of severe acute respiratory syndrome coronavirus 2 in Leishenshan Hospital in China. Indoor Built Envir, 2020: 6.
20. 谭德塞. 世卫组织总干事在 2020 年 2月 8日举行的 2019 新型冠状病毒新闻通报会上的讲话. (2020-02-08) [2021-02-09]. https://www.who.int/zh/dg/speeches/detail/director-general-s-remarks-at-the-media-briefing-on-2019-novel-coronavirus---8-february-2020.
21. 谭德塞. 世卫组织总干事在 2020 年 3 月 11 日举行的 2019 新型冠状病毒新闻通报会上的讲话. (2020-03-11) [2021-02-09]. https://www.who.int/zh/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
22. 缪晓辉. 小汤山医院管理启示. 解放军医院管理杂志, 2003, 10(4): 320-321.
23. 刘俊峰, 翟晓辉, 向准, 等. 应对新型冠状病毒肺炎疫情的方舱医院建设管理探讨. 中国医院管理, 2020, 40(3): 12-14.
24. 国家卫生健康委员会卫生应急办公室. 截至 3 月 17 日 24 时新型冠状病毒感染的肺炎疫情最新情况. (2020-03-17] [2021-02-09]. http://www.nhc.gov.cn/yjb/s7860/202003/28d026a0422844969226913ee3d56d77.shtml.
25. 疾病预防控制局. 解读《新型冠状病毒感染的肺炎防控方案(第二版)》. (2020-01-22) [ 2021-02-09]. http://www.nhc.gov.cn/jkj/s3578/202001/301c8b00efa340ceb97d730a6c6ad36f.shtml.
26. Liu L, Zhou H, Lin BR, et al. Real-time monitoring and controlling strategies of indoor environment in the frontline hospitals during COVID-19 pandemic. Chin Sci Bull, 2021, 66(4/5): 424-432.
27. 人民日报. 武汉方舱医院全部休舱. (2020-03-11) [2021-02-09]. http://www.gov.cn/xinwen/2020-03/11/content_5489757.htm.

West China Medical Journal

Bundle infection prevention and control measures: lessons learnt from Wuhan Leishenshan Hospital

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