China News Service, Beijing, October 24 (Reporter Du Yan) Li Yajing, director of the Beijing Municipal Health Supervision Institute and second-level inspector, pointed out on the 24th that small medical institutions such as clinics, outpatient departments, etc., Patients should not allow them to leave or guide them to the fever clinic for any reason; and should not routinely receive patients with 11 types of symptoms such as fever, diarrhea, and sore throat.
According to Li Yajing, from October 18 to 23, Beijing has supervised and inspected 1,463 medical and health institutions at all levels and various types, 159 centralized quarantine observation points, 1,654 crowds in public places, and 101 other key risk units. (Including 97 households in vaccination sites and 4 households in schools).
A total of 93 medical and health institutions were found to have problems (including 20 administrative penalties and 1 closed for rectification); 110 public place business units with problems (including 93 administrative penalties); problems were found 9 vaccination sites; 1 centralized isolation observation site with problems.
At the same time, the municipal supervision team carried out random inspections and supervision of clinics, community health service stations, outpatient departments and other small medical institutions in the 16 districts, and found 50 institutions with problems.
Institutions and units with the above problems have been urged on the spot for rectification.
Li Yajing pointed out that small medical institutions such as clinics and outpatient departments mainly have the following problems:
First, it did not post notices for patients with 11 types of symptoms such as fever and other symptoms in obvious places, and failed to update the list of medium- and high-risk areas in a timely manner.
Second, there are vacancies in the pre-inspection and triage. The patient's temperature test code, epidemiological history inquiry and 11 types of related symptom screening registration are not strictly implemented, and the content of the patient registration information is incomplete.
Third, the requirements for regular nucleic acid testing of all staff and daily health monitoring of all staff have not been strictly implemented.
Fourth, the emergency plan, handling procedures, training and assessment, and emergency drills for epidemic prevention and control were not updated and improved in a timely manner.
Fifth, it failed to establish a system of inspection and rectification for hospital-based infection prevention and control, as well as problem accounts, and failed to conduct regular inspections, self-examinations, and self-corrections as required.
Li Yajing emphasized that during the normalized epidemic prevention and control period, small medical institutions in the city should strictly abide by the requirements of the Beijing New Coronary Pneumonia Epidemic Prevention and Control Work Leading Group's medical treatment and hospital infection prevention group work requirements, strictly implement the first diagnosis responsibility system, and earnestly carry out pre-examination and triage. Do not admit patients with suspicious symptoms of new coronary pneumonia without authorization.
Small medical institutions should give full play to the early warning role of sentinel points, strengthen personnel screening, and detect suspected infections as soon as possible.
At the same time, the "quartet responsibilities" will be strictly enforced, the epidemic prevention and control management of this unit will be strengthened, self-examination and self-correction will be strengthened, and the risk of loopholes will be eliminated.
Here, we remind small medical institutions such as clinics and outpatient departments to earnestly implement the "Four Musts":
One is that patients with fever who have been screened in the pre-examination triage shall not be allowed to leave or lead them to the fever clinic for any reason.
Second, patients with 11 types of symptoms such as fever, diarrhea, and sore throat should not be routinely admitted.
Third, units that have been ordered to suspend business for rectification due to poor implementation of epidemic prevention and control measures shall not resume diagnosis and treatment activities without the approval of the administrative department of health and health.
Fourth, it is not allowed to obtain the staff's negative nucleic acid test or vaccination report by any fraudulent behavior or means.
During the period of epidemic prevention and control, medical and health institutions fail to undertake their own infectious disease prevention and control work, hospital infection control tasks, and infectious disease prevention work in their areas of responsibility in accordance with regulations. The "Law on Prevention and Control of Diseases" imposes administrative penalties; if a crime is constituted, it shall be transferred to the public security department to be investigated for criminal responsibility in accordance with the law.
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