Number | Problem list | Rectification list | Responsibility list | Problem- solving list |
1 | How to find fever patients for the first time? | Set up temperature monitoring points at each entrance of the hospital. | Outpatient office, Nursing department, Security department | Solved |
2 | How to avoid forgetting to ask about epidemiological history? | Add an epidemiological history to the outpatient and inpatient electronic system. If you do not complete it, you cannot proceed to the next step. | Medical department, Outpatient office | Solved |
3 | How to monitor the symptoms and temperature of family members and caregivers of inpatients? | Guide proactive health notifications and take temperature measurements twice in the morning and evening. | Nursing department | Solved |
4 | Isolation/observation room is not enough; how to isolate patients in the first place? | Reconstruction of two general medical wards into isolated observation wards. | Medical department, Nursing department, Department of infection control | Solved |
5 | What to do for patients with symptoms from the epidemic area for more than 14 days of medical observation period? | A special consultation room is set up in the emergency area. And a specialist is required to come over for treatment. | Medical department, Emergency department | Solved |
6 | How to deal with fever patients in whom the possibility of infectious diseases has been eliminated? | A special consultation room is set up in the emergency area. A specialist is required for the treatment. | Medical department, Emergency department | Solved |
7 | How can medical staff strengthen their protection? | Develop a graded protective plan, set up a nosocomial infection protection supervision posts to supervise the implementation of protective measures. | Department of Infection control, Medical department, Nursing department | Solved |
8 | How to arrange a route for a suspected patient? | Find the route of least crowd contact. Set up a dedicated elevator, and establish a procedure of examinations outside the clinic and hospitalizations for fever outpatients; procedures of the transfer and inspection for patients in isolation and observation; procedure of fever patients to fever clinic. More than a dozen medical procedures in total. | Medical department, Department of infection control, Nursing department, Logistics support department, Outpatient office | Solved |
9 | How to strengthen daily disinfection? | The environmental cleaning and disinfection SOP during the COVID-19 was formulated. All original clean level areas were updated to disinfection level. | Department of infection control, Logistics support department | Keep improving |
10 | How to perform terminal disinfection in patients with COVID-19? | First use Endipen (compound quaternary ammonium salt spray) to disinfect the surface of environment and then perform conventional terminal disinfection. | Department of Infection control, Logistics Support department, Nursing department | Solved |
11 | How to treat medical waste in patients with COVID-19? | Double-layer medical garbage bag, 3/4 full, sealed with gooseneck knot, and put another medical garbage bag before taking out the contaminated area. | Department of infection control, Logistics support department | Solved |
12 | How to deal with medical fabrics used by patients with COVID-19? | Seal into soluble storage bag and transport to an outsourced washing company for processing. | Department of infection control, Logistics support department, | Solved |
13 | What about emergency surgery? | Develop an emergency surgical treatment procedure, screen for novel coronavirus nucleic acid before surgery, and perform surgery in negative pressure surgery for patients with unknown infection of COVID-19. Surgery for patients with a limited period of time should be performed after twice negative novel crown nucleic acid test (more than 24 h between two times). | Medical department, Department of infection control | Solved |
14 | How can employees resume work safely? | The returnees from the affected area should not go to work before 14 days of isolation at home. | Human resources department, Preventive health division | Solved |
15 | How to strengthen training? | Full-staff training through various online and offline ways. | Department of infection control, Medical department, Nursing department, Logistics Support department. | Keep improving |
16 | How to ensure that measures are put in place? | Establish nosocomial infection supervision posts and implement two-level management of hospitals and departments. | Department of infection control, Medical department, Nursing department, Logistics support department. | Keep improving |