Practice and experience of regional medical center entrance linkage and closed-loop management under the wartime situation of the COVID-19 in China

Abstract

On 28 July 2021, the first indigenous case of novel coronavirus pneumonia emerged in Yangzhou, marking the beginning of a public health crisis caused by the new coronavirus pneumonia. It is a significant challenge for hospitals to carry out prevention and control measures to ensure the safety of medical professionals and patients when facing the changes in an epidemic situation. Subei People's Hospital, as one of the first group of "Grade III-class A" hospitals in Jiangsu Province and the Yangzhou Regional Medical Centre, responded quickly and scientifically to prevent and control the disease.A closed-loop management system was implemented at the hospital entrance (consisting of the outpatient clinic, emergency clinic, fever clinic, and buffer ward) and an epidemic prevention and control group was established with the assistance of multiple departments. This group optimized the pre-screening and triage system, standardized the fever clinic consultation process, and improved the construction of an informationbased prevention and control network so that patients were detected, diagnosed, isolated, and treated early.The emergency management capability was improved to achieve zero missed consultations of patients attending for COVID-19 and to effectively maintain medical order during this critical period. This current report systematically summarizes the operational practices and the effectiveness achieved by implementation of the entrance closed-loop management in the hospital and analyzed the key operational issues for future reference by medical institutions and management departments.

Infection of healthcare workers despite a high vaccination rate during the fifth wave of COVID-19 due to Omicron variant in Hong Kong

“…Nosocomial acquisition of SARS-CoV-2 remains difficult to ascertain because our HCWs, especially clinical staff, were not under closed-loop management in the hospital as in mainland China [ 35 ]. Clinical staff who had performed AGP for COVID-19 patients reported having donned full PPE during patient care.…”

COVID-19 prevention and control measures and experiences during the 14th National Games of China: a qualitative interview study

“…Closed-loop management (also called the bubble strategy) is a management approach that has been developed from the principles of integrated information systems, closed-loop systems, management control, and management closure ( 31 ). An integrated system was created at the National Village, contract hotels, training venues, other pre-listed destinations, and dedicated connecting transportation to separate participants from residents at the 14th National Games.…”

“…There was a small fever clinic and medical station within the National Village, and patients could also choose to seek medical treatment at nearby designated hospitals, which had green channels for athletes to use. Closed-loop management measures were used to avoid contact between athletes and outsiders, effectively reduce crowd sizes and wait times, and reduce the possibility of cross-infection ( 31 ). The experts noted that group entries and exits, pipeline transport, and bubble management were all types of closed management.…”

Psychological status of medical staff dedicated to nucleic acid collection in COVID-19 epidemic during closed-loop management: A cross-sectional study

“…Closed-loop management is a management method formed by integrated information system, closed-loop system, management control and management closure principle. It can be effectively used in epidemic prevention and control (10). Point-to-point management allowed for closed-loop hospital locations, closed-loop roadways, closed-loop lodging sites, closedloop epidemics and closed-loop patient status (hospital to hotel accommodation sites, hospital to quarantine sites).…”