CN112259201A - Medical institution new coronary pneumonia infection prevention and control capability evaluation system based on dual weighting - Google Patents
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Abstract
The invention discloses a medical institution new crown pneumonia infection prevention and control capability evaluation system based on double weighting, which determines the weight of each evaluation item through an evaluation item weight determination module, calculates the weight of each capability evaluator through the evaluation item weight determination module, performs weighted calculation on the score of each evaluation item given by each capability evaluator through a first weighted calculation module based on the weight of each evaluation item to obtain a first weighted capability evaluation score, performs weighted calculation on the first weighted capability evaluation score corresponding to the capability evaluator through a second weighted calculation module based on the weight of each capability evaluator to obtain a second weighted capability evaluation score, and sums all the obtained second weighted capability evaluation scores to obtain the capability evaluation score of a target capability evaluation medical institution. According to the invention, the problem that the accuracy and the authenticity of the evaluation result of the existing evaluation method for the new coronary pneumonia infection prevention and control capability of the medical institution are poor can be solved.
Description
Technical Field
The invention belongs to the technical field of infection prevention and control, and particularly relates to a medical institution new coronary pneumonia infection prevention and control capability evaluation system based on double weighting.
Background
The infection prevention and control of the new coronary pneumonia in the medical institution refers to a series of comprehensive infection prevention and control measures taken by the medical institution aiming at potential infection sources in order to effectively prevent and control the propagation of community infection in the medical institution in the emergency reaction process of the new coronary pneumonia, and the comprehensive infection prevention and control measures comprise whole training, administrative management and control, early identification of the infection sources, implementation of the infection prevention and control measures (engineering control, environmental management and control, behavior management and protection of medical staff), effective isolation treatment activities, resource reservation and configuration (including construction of an infection comprehensive prevention and control organization system, protection and disinfection material reservation, treatment resource guarantee and allocation plan) for completing the tasks and the like.
The existing evaluation method for the prevention and control capability of the new coronary pneumonia in the medical institution generally evaluates the prevention and control capability of the new coronary pneumonia in the medical institution based on evaluation indexes given by infection prevention and control experts. However, this evaluation method is designed only for the weight of a single evaluation index, and does not consider the influence of the overall weight of evaluation indexes belonging to the same evaluation item and the weight of a specific evaluator on the final evaluation result. Therefore, the accuracy and authenticity of the evaluation result of the evaluation method are to be further improved.
Disclosure of Invention
The invention aims to solve the problem that the accuracy and the authenticity of an evaluation result of the existing evaluation method for the new coronary pneumonia infection prevention and control capability of a medical institution are poor.
In order to achieve the purpose, the invention provides a medical institution new coronary pneumonia infection prevention and control capability evaluation system based on double weighting.
The invention discloses a medical institution new coronary pneumonia infection prevention and control capability evaluation system based on double weighting, which comprises:
the system comprises a capability evaluation task establishing module, a task information processing module and a task information processing module, wherein the capability evaluation task establishing module is used for establishing a new coronary pneumonia infection prevention and control capability evaluation task of a medical institution, and task information of the task comprises target capability evaluation medical institution, the number of capability evaluators and capability evaluation work starting time;
the system comprises a capability evaluator selection module, a capacity evaluator selection module and a capacity evaluator selection module, wherein the capability evaluator selection module is used for randomly selecting a preset number of capability evaluators from a pre-established capability evaluator candidate library;
the capability evaluation task distribution module is used for sending a pre-established capability evaluation task package to the mobile terminal of each capability evaluator through the cloud server, wherein the capability evaluation task package contains target capability evaluation medical institution information, a pre-established capability evaluation question bank and evaluation work starting time, the capability evaluation question bank contains a plurality of sub-question banks, and each sub-question bank corresponds to a preset evaluation item;
the assessment event monitoring module is used for acquiring position motion information and answer information of each ability assessor during the ability assessment work period, wherein the position motion information comprises total stay time, total moving time, motion tracks, position information and stay time of each stay area, total steps and step time distribution of the corresponding ability assessor in the range of a target ability assessment medical institution, and the answer information comprises total answer time, accumulated answer time of each question, total number of times of answer modification of the question, serial number, score and number of times of modification of the question of each modified answer;
the evaluation item weight determining module is used for determining the weight of each evaluation item according to the question setting principle of the capability evaluation question bank;
the evaluator weight calculation module is used for calculating the weight of each ability evaluator based on the position motion information and the answer information of the ability evaluator;
the capability evaluation initial score acquisition module is used for receiving the score of each evaluation item of the target capability evaluation medical institution fed back by the mobile terminal of each capability evaluator through the cloud server;
the first weighted calculation module is used for carrying out weighted calculation on the score of each evaluation item of the target ability evaluation medical institution given by each ability evaluator based on the weight of each evaluation item to obtain a first weighted ability evaluation score of the target ability evaluation medical institution;
the second weighted calculation module is used for carrying out weighted calculation on the first weighted ability evaluation score corresponding to each ability evaluator based on the weight of the ability evaluator to obtain a second weighted ability evaluation score, and summing all the obtained second weighted ability evaluation scores to obtain the ability evaluation score of the target ability evaluation medical institution;
and the capability grading module is used for grading the new coronary pneumonia infection prevention and control capability of the target capability evaluation medical institution based on the capability evaluation score of the target capability evaluation medical institution.
Preferably, the ability evaluator selecting module randomly selects a predetermined number of ability evaluators in a pre-established ability evaluator candidate library by using a random selection algorithm based on selection weights.
Preferably, for the random selection algorithm based on selection weight, the selection weight of each ability evaluator is determined based on the number of ability evaluation participation of the ability evaluator, the degree of association with the target ability evaluation medical institution, the job title, and the job title.
Preferably, the evaluation event monitoring module is configured in the mobile terminal of each capability evaluator; the evaluation event monitoring module comprises an evaluation event main monitoring sub-module and a wake-up sub-module, wherein the wake-up sub-module is used for responding to an input preset monitoring wake-up instruction to wake up the evaluation event main monitoring sub-module.
Preferably, the evaluation item weight determination module determines the weight of each evaluation item according to a built-in mapping table of evaluation items and weights, which is determined based on human experience of a person who presents the capability evaluation question bank.
Preferably, the evaluator weight calculation module calculates the weight of the capability evaluator based on a built-in evaluator weight fusion calculation model;
the evaluator weight fusion calculation model is obtained by fusing a pre-established first evaluator weight calculation model, a pre-established second evaluator weight calculation model and a pre-established third evaluator weight calculation model;
the first evaluator weight calculation model is established based on a multi-parameter fitting algorithm;
the second evaluator weight calculation model is established based on a BP neural network algorithm;
the third evaluator weight calculation model is established based on an XGboost algorithm;
the fusion operation is realized by adopting a Stacking algorithm.
Preferably, the ability ranking module ranks the new coronary pneumonia infection prevention and control ability of the target ability assessment medical institution based on a built-in mapping table of ability assessment scores and ability rankings.
Preferably, the mapping table of the ability evaluation score and the ability level is updated in real time based on the new coronary pneumonia epidemic prevention and control level of the region where the target ability evaluation medical institution is located.
Preferably, the system for evaluating the prevention and control capability of the new coronary pneumonia infection of the medical institution further comprises:
and the evaluation item score calculation module is used for carrying out weighted calculation on the scores of the target evaluation items given by the ability evaluators based on the weight of each ability evaluator and summing all obtained weighted calculation values to obtain the scores of the target evaluation items.
Preferably, the system for evaluating the prevention and control capability of the new coronary pneumonia infection of the medical institution further comprises:
and the alarm module is used for sending alarm information to the corresponding alarm information receiving end when the level of the infection prevention and control capacity of the evaluated target capacity evaluation medical institution reaches a preset alarm level and the score of the single evaluation item of the target capacity evaluation medical institution is lower than the normal threshold of the preset corresponding evaluation item.
The invention has the beneficial effects that:
the invention relates to a medical institution new crown pneumonia infection prevention and control capability evaluation system based on double weighting, wherein an evaluation item weight determination module determines the weight of each evaluation item according to a question making principle of a capability evaluation question bank, an evaluator weight calculation module calculates the weight of each capability evaluator based on position motion information and answer information during the capability evaluation work period of each capability evaluator, a first weighting calculation module performs weighting calculation on the score of each evaluation item of a target capability evaluation medical institution given by each capability evaluator based on the weight of each evaluation item to obtain a first weighting capability evaluation score of the target capability evaluation medical institution, a second weighting calculation module performs weighting calculation on the first weighting capability evaluation score corresponding to the capability evaluator based on the weight of each capability evaluator to obtain a second weighting capability evaluation score, and all the obtained second weighting capability evaluation scores are summed, and obtaining the capability evaluation score of the target capability evaluation medical institution.
It can be seen that the ability assessment score of the target ability assessment medical institution given by the new coronary pneumonia infection prevention and control ability assessment system of the medical institution of the present invention is determined based on the weight of each assessment item and the weight of each ability assessor. Compared with the existing evaluation method for the new crown pneumonia infection prevention and control capability of the medical institution, the evaluation system for the new crown pneumonia infection prevention and control capability of the medical institution based on the double weighting not only considers the weight of a single evaluation index, but also further considers the overall weight of the evaluation indexes belonging to the same evaluation item and the influence of the weight of a specific evaluator on a final evaluation result. Therefore, the accuracy and the authenticity of the evaluation result of the evaluation system based on the dual-weighting medical institution new coronary pneumonia infection prevention and control capability are relatively high.
Additional features and advantages of the invention will be set forth in the detailed description which follows.
Drawings
The above and other objects, features and advantages of the present invention will become more apparent by describing in more detail exemplary embodiments thereof with reference to the attached drawings, in which like reference numerals generally represent like parts throughout.
Fig. 1 shows a schematic block diagram of a medical institution new crown pneumonia infection prevention and control capability evaluation system based on double weighting according to an embodiment of the present invention.
Detailed Description
Preferred embodiments of the present invention will be described in more detail below. While the following describes preferred embodiments of the present invention, it should be understood that the present invention may be embodied in various forms and should not be limited by the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art.
Example 1: fig. 1 shows a functional block diagram of a medical institution new coronary pneumonia infection prevention and control capability evaluation system based on double weighting according to the embodiment. Referring to fig. 1, the system for evaluating the prevention and control capability of new coronary pneumonia infection in a medical institution based on dual weighting according to the present embodiment includes:
the system comprises a capability evaluation task establishing module, a task information processing module and a task information processing module, wherein the capability evaluation task establishing module is used for establishing a new coronary pneumonia infection prevention and control capability evaluation task of a medical institution, and task information of the task comprises target capability evaluation medical institution, the number of capability evaluators and capability evaluation work starting time;
the system comprises a capability evaluator selection module, a capacity evaluator selection module and a capacity evaluator selection module, wherein the capability evaluator selection module is used for randomly selecting a preset number of capability evaluators from a pre-established capability evaluator candidate library;
the capability evaluation task distribution module is used for sending a pre-established capability evaluation task package to the mobile terminal of each capability evaluator through the cloud server, wherein the capability evaluation task package contains target capability evaluation medical institution information, a pre-established capability evaluation question bank and evaluation work starting time, the capability evaluation question bank contains a plurality of sub-question banks, and each sub-question bank corresponds to a preset evaluation item;
the assessment event monitoring module is used for acquiring position motion information and answer information of each ability assessor during the ability assessment work period, wherein the position motion information comprises total stay time, total moving time, motion tracks, position information and stay time of each stay area, total steps and step time distribution of the corresponding ability assessor in the range of a target ability assessment medical institution, and the answer information comprises total answer time, accumulated answer time of each question, total times of answer modification of the question, serial number, score and times of modification of the question of each modified answer;
the evaluation item weight determining module is used for determining the weight of each evaluation item according to the question setting principle of the capability evaluation question bank;
the evaluator weight calculation module is used for calculating the weight of each ability evaluator based on the position and motion information and the answer information of each ability evaluator;
the capability evaluation initial score acquisition module is used for receiving the score of each evaluation item of the target capability evaluation medical institution fed back by the mobile terminal of each capability evaluator through the cloud server;
the first weighted calculation module is used for carrying out weighted calculation on the score of each evaluation item of the target ability evaluation medical institution given by each ability evaluator based on the weight of each evaluation item to obtain a first weighted ability evaluation score of the target ability evaluation medical institution;
the second weighted calculation module is used for carrying out weighted calculation on the first weighted ability evaluation score corresponding to each ability evaluator based on the weight of the ability evaluator to obtain a second weighted ability evaluation score, and summing all the obtained second weighted ability evaluation scores to obtain the ability evaluation score of the target ability evaluation medical institution;
and the capability grading module is used for grading the new coronary pneumonia infection prevention and control capability of the target capability evaluation medical institution based on the capability evaluation score of the target capability evaluation medical institution.
In this embodiment, the capability evaluation question bank includes 7 question banks, each question bank includes a plurality of questions, and the questions included in each question bank belong to the same evaluation item. The 7 evaluation items corresponding to the 7 question banks are as follows in sequence: 1. medical institution basic information; 2. setting a pre-inspection diagnosis point and arranging personnel; 3. heating outpatient service and disease area isolation management; 4. nucleic acid detection management; 5. training, staff management and infection prevention measures are implemented; 6. hand hygiene and environmental cleaning and disinfection; 7. and (4) treating medical waste.
The evaluator weight calculation module of the embodiment calculates the weight of each ability evaluator based on the position and motion information and the answer information of each ability evaluator:
the position motion information comprises total stay time, total moving time and motion trail of a corresponding ability evaluator in the range of a target ability evaluation medical institution, position information and stay time of each stay area, total step number and step number time distribution, and the position motion information can reflect the degree of investment of the ability evaluator on ability evaluation investigation work to a certain extent;
the answer information comprises total answer time, accumulated answer time of each question, total times of answer modification of the questions, sequence number, score and times of modification of the questions of each modified answer, and the answer information can reflect the answer input degree of the ability evaluator to a certain degree.
Therefore, the evaluator weight calculation module of the embodiment determines the weight of the ability evaluator according to the degree of the ability evaluator to enter the ability evaluation survey and the degree of the ability evaluator to enter the answer, and the weight of the ability evaluator can be understood as the credibility of the answer given by the ability evaluator.
According to the medical institution new crown pneumonia infection prevention and control capability evaluation system based on double weighting, the evaluation results given by the capability evaluators are subjected to double weighting based on the weights of the evaluation items and the weights of the capability evaluators, so that the final evaluation results are more real and credible.
The ability evaluator selecting module of the embodiment randomly selects a predetermined number of ability evaluators from a pre-established ability evaluator candidate library by adopting a random selection algorithm based on selection weight.
For the random selection algorithm based on the selection weight adopted by the ability evaluator selection module of the present embodiment, the selection weight of each ability evaluator is determined based on the ability evaluation participation times of the ability evaluator, the degree of relevance to the target ability evaluation medical institution, the job title, and the job title.
For the random selection algorithm based on the selection weight in this embodiment, when the capability evaluation participation number of a capability evaluator is closer to the median of the counted capability evaluation participation numbers, the probability that the capability evaluator is selected is higher, and the index of the capability evaluation participation number is comprehensively considered based on the participation enthusiasm and the evaluation experience of the capability evaluator; when a target ability assessment medical institution is evaluated, the smaller the degree of correlation between a ability assessor and the target ability assessment medical institution, the higher the probability that the ability assessor is selected because the ability assessor can evaluate more impartially; when the target ability evaluation medical institution carries out self evaluation, the higher the correlation degree between one ability evaluator and the target ability evaluation medical institution is, the higher the probability that the ability evaluator is selected is, because the ability evaluator has better understanding on the condition of the target ability evaluation medical institution, the convenience is brought to the evaluation work, and the evaluation efficiency is high; the higher the job title of a competency evaluator, the higher the probability that the competency evaluator is selected; the higher the job title of a competency evaluator, the higher the probability that the competency evaluator will be selected because his confidence or credibility is higher when the competency evaluator is higher in job title, job title.
In the process of random selection of the ability evaluator, the probability of the ability evaluator being selected, i.e. the selection weight, is determined by the above four factors together. And the weight of each factor is determined by human experience. In this embodiment, when the target ability assessment medical institution is assessed, the selection weight of the ability assessor may be understood as the sum of the confidence level, the participation volume, and the assessment experience value of the ability assessor. The credibility of the ability evaluator is embodied by the relevance, the post and the title of the ability evaluator and the target ability evaluation medical institution, and the participation volume and the evaluation experience value of the ability evaluator are embodied by the participation times of the ability evaluator.
The evaluation event monitoring module of the embodiment is configured in the mobile terminal of each capability evaluator; the evaluation event monitoring module comprises an evaluation event main monitoring sub-module and a wake-up sub-module, and the wake-up sub-module is used for responding to an input preset monitoring wake-up instruction to wake up the evaluation event main monitoring sub-module.
Specifically, the evaluation event monitoring module of this embodiment is implanted in the mobile terminal of the capability evaluator in the form of a capability evaluation APP, and the capability evaluation APP acquires the location information and answer information of the mobile terminal based on the information acquisition permission given in advance. The ability evaluator can submit the answer and the answer through the ability evaluation APP, the ability evaluation APP calculates the score of each evaluation item and uploads the score of each evaluation item to the cloud server, and the cloud server sends the received score of each evaluation item to the ability evaluation initial score acquisition module.
The evaluation item weight determining module of this embodiment determines the weight of each evaluation item according to a built-in mapping table of evaluation items and weights, which is determined based on the human experience of the person who presents the capability evaluation question bank.
The evaluator weight calculation module of the embodiment calculates the weight of the evaluator based on a built-in evaluator weight fusion calculation model;
the evaluator weight fusion calculation model is obtained by fusing a pre-established first evaluator weight calculation model, a pre-established second evaluator weight calculation model and a pre-established third evaluator weight calculation model;
the first evaluator weight calculation model is established based on a multi-parameter fitting algorithm;
a second evaluator weight calculation model is established based on a BP neural network algorithm;
a third evaluator weight calculation model is established based on an XGboost algorithm;
the fusion operation is realized by adopting a Stacking algorithm.
In this embodiment, training data and correction data required for establishing the first evaluator weight calculation model, the second evaluator weight calculation model and the third evaluator weight calculation model are all from collected historical data and ability evaluator weight values obtained from human experience, and the historical data refers to collected position and motion information and answer information of each ability evaluator. And taking the historical data as input parameters of the initial model, and taking the capability evaluation person weight value as output parameters of the initial model so as to realize the establishment and correction of a corresponding evaluation person weight calculation model.
The evaluator weight fusion calculation model of the embodiment is a three-in-one fusion model of the first evaluator weight calculation model, the second evaluator weight calculation model and the third evaluator weight calculation model, and the evaluator weight fusion calculation model takes advantages of the three-in-one fusion model of the first evaluator weight calculation model, the second evaluator weight calculation model and the third evaluator weight calculation model, so that the calculated precision of the weight of the capability evaluator is higher. The BP neural network algorithm, the XGBoost algorithm, and the Stacking algorithm are all prior art, and a person skilled in the art can establish the relevant weight calculation model of the present invention based on the above algorithms, and the present invention is easy to implement, and is not described herein again.
The capability level classification module of the embodiment classifies the new coronary pneumonia infection prevention and control capability level of the target capability evaluation medical institution based on the built-in capability evaluation score and the mapping table of the capability level.
In this embodiment, the mapping table of the ability evaluation score and the ability level is updated in real time based on the new coronary pneumonia epidemic situation prevention and control level of the region where the target ability evaluation medical institution is located.
The medical institution new coronary pneumonia infection prevention and control capability evaluation system based on the double weighting further comprises an evaluation item score calculation module and an alarm module;
the evaluation item score calculation module is used for carrying out weighted calculation on the scores of the target evaluation items given by the ability evaluators based on the weight of each ability evaluator, and summing all obtained weighted calculation values to obtain the scores of the target evaluation items.
The alarm module is used for sending alarm information to the corresponding alarm information receiving end when the level of the infection prevention and control capacity of the evaluated target capacity evaluation medical institution reaches a preset alarm level and the score of a single evaluation item of the target capacity evaluation medical institution is lower than a preset normal threshold of the corresponding evaluation item.
The following is a specific example of the capability evaluation question bank of the present embodiment:
the first evaluation item: basic information of medical institution
1. (cases of Individual cases) of infection management department (division by 3)
And A, an infection management department is independently arranged, and staffing meets requirements. Index of 5
Infection management department is independently provided, and staffing is less than [ (1) division ]
C. non-professional infection managers [ (0) division ]
2. Infection prevention and control contents and responsibilities in Xinguan pneumonia medical institution [ individually selected topic ] "division 3" ]
□ A. infection prevention and control is mainly nosocomial infection prevention and control, which is dominated by the department of nosocomial infection management under division 1
□ B infection prevention and control is the comprehensive prevention and control of infection in medical institutions, and is performed by hospital-wide mobilization, clear responsibility, close coordination, implementation of the whole process, all links, and all factors management, as the 3 rd division
3. In the emergent preparation of new coronary pneumonia prevention and control of medical institution, normalized prevention and control: [ problem ] S3 points (separation)
□ A, comprehensive implementation of State Council "Notification of medical treatment and treatment of New crown pneumonia in autumn and winter" Requirements "3 division" concerning issuing and handling work
□ B. the main administrator partially knows and follows the implementation of score 1 (division)
□ C, the master administrator is unaware of the above requirements [ (0 division) ]
4. And (4) defining the early warning condition and the emergency response management requirement of the new coronary pneumonia. When new non-input cases or cases with unknown sources of coronary pneumonia appear in the city, or the cases are continuously transmitted in the community or show a rapid rising trend in a short period, all levels of medical institutions need to take emergency response, namely, the medical institutions are in a state of comprehensive prevention and control of infection in wartime, and the comprehensive prevention and control of infection needs to be strengthened. [ problem ] S3 points (separation)
All the people know division 3-
B. Only the administrator knows ` 1 min `
C. medical staff know all 1 s
The second evaluation item: setting of pre-examination and triage points and arrangement of personnel
5. Setting and managing pre-examination triage: [ multiple choice ]. sup. (3) points ]
□ A. eye positions, clear marks, relative independence, and good ventilation (division 2)
□ B, preparing necessary disinfecting and protecting products, and using the scores of 1 correctly
□ C, unclear location identification and poor ventilation (0 division)
□ D preparation of hand hygiene or protective disinfection products is insufficient or used in the Specification of "0 fen
6. The person who performed the preliminary screening score is [ single question ]. department 3 ]
□ A. trained doctor (3 points)
□ B. trained nurses [ (2 cents) ] as a new candidate
□ C. trained non-medical personnel [ (1 division ])
□ D. untrained medical personnel [ (0 fen ]
□ E. non-medical personnel without training as an index of 0
7. Preliminary examination and triage management [ multiple questions ]. department of 3(s) ]
A. preliminary screening and sorting are performed for code scanning verification management, and code scanning can screen out regions of high or medium risk [ (2) points ]
B. preliminary screening examination carries out code scan verification, but it is impossible to display the risk ranks [ (0) score ]
C, can enter into all 0 minutes without authentication
O.D. persons entering the hospital perform temperature monitoring by division of 1-
8. Preparation of objects for preliminary examination and differentiation [ Single examination questions ]. department 3(s) ]
A surgical mask, a thermometer (non-contact type, contact type thermometer with disinfection), a hand hygiene facility, a medical waste bin, a suspected patient basic condition registration form, and the like are provided. Index of 5
O B. protective and disinfectant articles, etc. are prepared incompletely or used incorrectly as 0 division
9. Preliminary examination of the population in the triage region [ Single-choice questions ] "score 3" ]
A. people are persuaded in the area and keep a distance of 3 points in a meter
B, prompt or mark for keeping one meter spacing, and guidance by people without pre-inspection and differentiation [ 1 ]
C. dense population, not reaching the requirement of 0 min in a meter pitch
10. The fever patients go to the outpatient clinic procedure [ single choice ]. department 3 ]
A. the transfer process is reasonable, the special person is guided to the outpatient department according to the designated route, and the person protection is reasonable in 3 minutes
B. the transfer process is reasonable, there are the identification and route guidance of the outpatient clinic with fever, but no specialist guide in score 1
C. route is unreasonable, and nobody can guide division 0
11. Appointment register development: [ multiple choice ]. sup. (3) points ]
□ A, making appointment in different time periods, registering appointment in different forms, and "3 minutes" in science and efficiency
□ B. developing reservation registration with a reservation registration ratio of more than 50%, (2 scores)
□ C, only the reservation registration of the telephone is performed, the ratio of reservation registration is less than 50%' 1 min
□ D, performing registration without appointment [ (0 fen ]
12. The medical treatment process and the population management [ single choice ]. department 3 ]
A. the treatment process is normative and reasonable, one person can treat one room by one room, effective shunting is realized, and the density of infusion persons and the like can be effectively reduced by adopting substitution and other methods (3 division)
B, the diagnosis process is reasonable, and the interval between persons in some regions is less than 1 meter [ (2) ] to grasp
C. the physician's visit is unreasonable and the people gather all 0 points
13. Ventilation of medical area [ single selected topic ] (3 min.) ]
□ A, natural ventilation and good indoor ventilation condition; or there may be air disinfection or purification means, or there may be mechanical ventilation means. The airflow direction is as follows: from the clean area → the potentially contaminated area → the contaminated area. Index of 5
□ B, the air conditioning system is a fan coil fresh air adding system, and the normal operation of an exhaust system needs to be ensured; in the case of a fan coil system without fresh air, the fan should be opened in a door or window division of [ (1) ]
□ C, when the ventilation of air conditioner is full air system, the air return valve should be closed, and all fresh air manner (division 2) is adopted
□ D. Central air Conditioning, unclear Ventilation mode or ineffective Ventilation/purification [ (0 division) ]
14. Emergency treatment isolated rescue room conditions [ single choice ] "3 minutes
A. there is a separate emergency rescue area for critical illness, which can effectively ventilate or purify the air by division 3
B, setting up emergency rescue area and not ventilating or purifying the air effectively in division 1
C. isolating rescue area and emergency hall insubstantial isolating barrier [ (0) division ]
15. The preparation and selection of the protective articles for medical staff in outpatient emergency treatment and pre-examination triage are as follows: [ multiple choice ]. sup. (3) points ]
□ A work clothes, medical mask as if all 1 fen
□ B. isolation gown, medical protective mask, gloves [ (1 division ])
□ C goggles or face screen [ (1 division ]
□ D Disposable caps and shoe covers of 0 fen
16. Medical staff in outpatient emergency treatment and pre-examination and triage manages [ multiple choice ] (index 4) ]
A. protective articles are prepared by the following rules of [ (2 points) ]
O.B. after the initiation of emergency response, medical staff in outpatient and preliminary examination and triage undergo intensive training division 2
C protective articles are used in all the cases of division 0
17. Invasive diagnosis and treatment activities such as endoscopy and hemodialysis [ problem of single selection ]. department of 3 ]
A nucleic acid detection of a subject to be diagnosed or diagnosed, and adjustment of all 3 points according to risk class
B nucleic acid detection of medical objects, not adjusted according to Risk class [ (1) points ]
C. nucleic acid detection of an unpredicted subject under examination/diagnosis 0 min
The third evaluation item: heating outpatient service and ward isolation management
18. Distribution process of fever clinic and facility [ multiple choice ] of equipments [ (3) division ]
□ A, reasonably setting 'three-area two-channel', physically separating the contaminated area, potential contaminated area and cleaning area, making the channels dedicated for doctor and patient, and making the marks of the cleaning and contaminated article exit/channel striking (division as [ (1) ]
□ B, the behavior in each region satisfies the region management requirement ` 1 division `
□ C, unreasonable layout flow, crossed dirt and dirt, or no medical or patient-specific channel(s)' 0 division
□ D patients with fever undergo CT examination with isolation control measures [ (1) score ]
19. Starting an emergency response, a fever clinic, isolating infection of a disease area and comprehensively preventing and controlling [ multiple choice ]' 4 points ]
□ A. the number of fever diagnosis rooms, isolation observation rooms and facilities satisfy the control requirement of division 1
□ B establishing comprehensive infection prevention and control supervisor or supervising system of division 1
□ C isolation, disinfection, protection action execution specification. Ensure the effectiveness of anytime disinfection and end disinfection by 1 min
□ D, defining the operation mode of air conditioning system and satisfying the control requirement of division 1
20. The fever patients screening items include [ multiple questions ] (all 4 points ])
□ A. nucleic acid detection [ 2 ]
□ B. antibodies, blood "conventional" score 1
□ C pulmonary CT test (score 1)
21. The protection articles for the patients with fever outpatient service, disease isolation and nucleic acid collection are prepared with [ multiple choice ]' score 4 ]
□ A. medical protective mask for surgery and medical use, goggles or face screen, isolation gown, gloves division 2
□ B cleaning work clothes for local area daily, and cleaning shoes for local area regularly under the control of' 1 division
□ C protective clothing, disposable cap, shoe cover [ (1 division ])
22. The medical staff protective articles for fever outpatient service and disease isolation are used in [ single choice ] (division 3) ]
Right as division 3
O B. not normalizing division 0 (o)
23. After the emergency response is started, the fever clinic and the isolation ward are performed to determine whether the whole training is performed [ single choice question ] (score 3) ]
O. A is O3
O, B, N, o [ (0) points
Fourth evaluation item: nucleic acid detection management
24. Nucleic acid Collection management [ multiple questions ] (5 points) ]
□ A. reasonable layout, normative flow, separate collection of different risk regions, and ventilation or purification in accordance with the requirements of division 1
□ B, collecting and transporting specimens in accordance with the biological safety requirements of division 1
□ C. Protectant for nucleic acid testers uses the standard [ (1) division ]
□ D. pathogenic specimens containing pathogenic activity should be treated as infectious waste after sterilization with biosafety sterilizer or chemical sterilization at the production site ` 1 `
□ E. initiation of Emergency response, nucleic acid harvester was trained in score 1
Fifth evaluation item: training, staff management and infection prevention measures
25. All-member training, employee management [ multiple choice ] (5 min.) ]
□ A, reporting epidemic situation change in time, developing training of all people, performing differentiation training on different posts to make the best of all people score 1
□ B, establishing and implementing an employee health monitoring and reporting system. Monitoring body temperature, timely reporting and treating the monitored symptoms such as cough, fever and the like as scores 1
□ C, performing closed management to reduce unnecessary collections of all the [ (1) points ]
□ D establishing employee present address risk level confirmation, registration and infection exposure epidemiological survey archive [ (1 point ])
□ E training, nucleic acid testing, health monitoring etc. all employees (including third-party employees such as escort, clean keeping, etc.) (score 1)
Sixth evaluation item: hand hygiene and environmental cleaning and disinfection
26. Medical and treatment area hand hygiene and disinfection facility configuration [ multiple choice ] "4 points
A. the hand disinfectant and facilities are fully equipped, and meet the requirements of convenient hand hygiene (division 1)
B, Standard glove use, taking off gloves immediately after completion of the operation and performing hand hygiene in score 1
C, frequent contact with the object surface, cleaning and disinfecting frequency is increased without omission, and the method is accurate and specified as division 1
D. prohibiting touching of the mucous membrane and cleaning of the inside of the clothing by hand before hand hygiene during wearing of the protective article [ (1) ]
E. hand hygiene or environmental object surface cleaning and disinfecting do not meet the requirement of score 0
The seventh evaluation item: medical waste disposal
27. Medical waste disposal [ multiple choice ] (all 4 points) ] for suspected or confirmed new coronary pneumonia patient
□ A. the medical waste collecting barrel is pedal and is in a cover-sealed state (score 1) when not in use
□ B medical waste should be sterilized by spraying 1000mg/L of chlorine-containing sterilizing solution onto the surface of the bag (taking care of uniform spraying) or by wrapping a layer of medical waste bag as division 1 before leaving the area (potential contamination)
□ C, using a double-layer medical waste packaging bag, a gooseneck-knot type seal, and a layered sealing band of division 1
□ D medical waste produced in the clean area was subjected to the conventional medical waste disposal under score of "1
28. Medical waste management [ multiple choice ] (all 3 points) ] for suspected or confirmed new coronary pneumonia patients
□ A. after the completion of daily delivery, wiping the disinfection-delivery tools with 1000mg/L of chlorine-containing disinfection solution [ 1 ]
□ B, the temporary storage place of medical wastes is a relatively independent area marked as an eye-catching [ (1) division ]
□ C medical waste delivery person personal protection meets the requirements of "1 fen
Eighth evaluation item: establishment and execution of emergency plan for epidemic prevention and control
29. Manpower resource emergency allocation plan making and executing [ multiple choice questions ]' 3 points ]
□ A, making an emergency allocation plan for personnel, meeting the needs of hospital internal prevention and control and hospital external aid tasks, and making a response for isolating and reducing personnel in the middle-high risk area to meet the needs of emergency work (division 1)
□ B, ensuring the manpower allocation of key departments to satisfy the medical requirements of patients requiring periodic examinations such as hemodialysis, radiotherapy and chemotherapy for tumors, pregnant and parturient women, chronic patients, etc., and emergency treatment of cardiovascular and cerebrovascular diseases, etc.' 1 point
□ C, avoiding high-risk medical staff who sample rescue nucleic acid and the like from returning to the accumulation area of susceptible people such as hemodialysis room immediately without monitoring for work under division 1
30. Making emergency plan, deducing [ multiple choice ] "3 points
□ A, setting necessary buffer zones, such as emergency rescue, emergency operation and ward buffer zone, etc.' 1 point
□ B isolation criteria for febrile patients, transportation procedures, transportation routes, personnel protection, etc., and specific, clear, reasonable and operable division of [ (1) ]
□ C, strict visiting management, establishing the monitoring and reporting system of the symptoms of the inpatients, accompanying persons and other people as the index 1
□ D. developing emergency deduction, and continuously perfecting the emergency plan as score 1
Based on the above capability evaluation question bank, the dual-weighting-based system for evaluating the prevention and control capability of the new coronary pneumonia infection of the medical institution of the present embodiment structurally covers the following four aspects:
firstly, evaluating the comprehensive prevention and control capacity of infection in a normal state (emergency preparation);
secondly, evaluating the identification capability of the early warning condition of the starting emergency response;
thirdly, evaluating the implementation situation of early infection comprehensive prevention and control measures in emergency response;
and fourthly, potential infection sources (all staff such as patients and related staff, medical staff and the like) are identified and managed in a closed loop mode.
Meanwhile, in content, the system for evaluating the infection prevention and control capability of the new coronary pneumonia of the medical institution based on the dual weighting of the embodiment is based on a structural framework, surrounds the core task and the basic principle of the emergency response of the new coronary pneumonia (infectious agents are discovered early, reported early, isolated early and treated early, so as to control epidemic spread as soon as possible), and evaluates the four-early closed-loop prevention and control capability: aiming at potential infection sources (outpatient and inpatient and workers such as accompanying and attending staff, family members, nursing staff, medical staff and the like), the standardization, the rationality and the safety of the working procedures of outpatient and emergency pre-examination and triage, fever receiving and diagnosis, isolation, examination, observation and referral are evaluated so as to effectively prevent and control nosocomial infection; the infection of staff communities is prevented and controlled from spreading in hospitals through staff health monitoring; and simultaneously, evaluating human resources, equipment facilities and protection and disinfection material storage and distribution required by implementing the prevention and control measures.
Having described embodiments of the present invention, the foregoing description is intended to be exemplary, not exhaustive, and not limited to the embodiments disclosed. Many modifications and variations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments.
Claims (10)
1. Medical institution new crown pneumonia infection prevention and control ability evaluation system based on dual weighting is characterized by comprising:
the system comprises a capability evaluation task establishing module, a task information processing module and a task information processing module, wherein the capability evaluation task establishing module is used for establishing a new coronary pneumonia infection prevention and control capability evaluation task of a medical institution, and task information of the task comprises target capability evaluation medical institution, the number of capability evaluators and capability evaluation work starting time;
the system comprises a capability evaluator selection module, a capacity evaluator selection module and a capacity evaluator selection module, wherein the capability evaluator selection module is used for randomly selecting a preset number of capability evaluators from a pre-established capability evaluator candidate library;
the capability evaluation task distribution module is used for sending a pre-established capability evaluation task package to the mobile terminal of each capability evaluator through the cloud server, wherein the capability evaluation task package contains target capability evaluation medical institution information, a pre-established capability evaluation question bank and evaluation work starting time, the capability evaluation question bank contains a plurality of sub-question banks, and each sub-question bank corresponds to a preset evaluation item;
the assessment event monitoring module is used for acquiring position motion information and answer information of each ability assessor during the ability assessment work period, wherein the position motion information comprises total stay time, total moving time, motion tracks, position information and stay time of each stay area, total steps and step time distribution of the corresponding ability assessor in the range of a target ability assessment medical institution, and the answer information comprises total answer time, accumulated answer time of each question, total number of times of answer modification of the question, serial number, score and number of times of modification of the question of each modified answer;
the evaluation item weight determining module is used for determining the weight of each evaluation item according to the question setting principle of the capability evaluation question bank;
the evaluator weight calculation module is used for calculating the weight of each ability evaluator based on the position motion information and the answer information of the ability evaluator;
the capability evaluation initial score acquisition module is used for receiving the score of each evaluation item of the target capability evaluation medical institution fed back by the mobile terminal of each capability evaluator through the cloud server;
the first weighted calculation module is used for carrying out weighted calculation on the score of each evaluation item of the target ability evaluation medical institution given by each ability evaluator based on the weight of each evaluation item to obtain a first weighted ability evaluation score of the target ability evaluation medical institution;
the second weighted calculation module is used for carrying out weighted calculation on the first weighted ability evaluation score corresponding to each ability evaluator based on the weight of the ability evaluator to obtain a second weighted ability evaluation score, and summing all the obtained second weighted ability evaluation scores to obtain the ability evaluation score of the target ability evaluation medical institution;
and the capability grading module is used for grading the new coronary pneumonia infection prevention and control capability of the target capability evaluation medical institution based on the capability evaluation score of the target capability evaluation medical institution.
2. The system of claim 1, wherein the capability assessor selection module randomly selects a predetermined number of capability assessors from a pre-established library of capability assessor candidates using a random selection algorithm based on selection weights.
3. The system of claim 2, wherein for the random selection algorithm based on selection weights, the selection weight of each capability evaluator is determined based on the number of participation times of the capability evaluator in capability evaluation, the degree of association with a target capability evaluation medical institution, the job title, and the job title.
4. The system for evaluating the capacity of a medical institution for preventing and controlling new crown pneumonia infection according to claim 1, wherein the evaluation event monitoring module is configured in a mobile terminal of each capacity evaluator; the evaluation event monitoring module comprises an evaluation event main monitoring sub-module and a wake-up sub-module, wherein the wake-up sub-module is used for responding to an input preset monitoring wake-up instruction to wake up the evaluation event main monitoring sub-module.
5. The system of claim 1, wherein the evaluation item weight determination module determines the weight of each evaluation item according to a built-in mapping table of evaluation items and weights, the mapping table of evaluation items and weights being determined based on human experience of the subjects in the capacity evaluation question bank.
6. The system for evaluating the infection prevention and control capability of new coronary pneumonia in medical institution according to claim 1, wherein the evaluator weight calculation module calculates the weight of capability evaluator based on built-in evaluator weight fusion calculation model;
the evaluator weight fusion calculation model is obtained by fusing a pre-established first evaluator weight calculation model, a pre-established second evaluator weight calculation model and a pre-established third evaluator weight calculation model;
the first evaluator weight calculation model is established based on a multi-parameter fitting algorithm;
the second evaluator weight calculation model is established based on a BP neural network algorithm;
the third evaluator weight calculation model is established based on an XGboost algorithm;
the fusion operation is realized by adopting a Stacking algorithm.
7. The system according to claim 1, wherein the capability ranking module ranks the new crown pneumonia infection prevention and control capability of the target capability evaluation medical institution based on a built-in mapping table of capability evaluation score and capability rank.
8. The system for evaluating the infection prevention and control capability of new coronary pneumonia in medical institution of claim 7, wherein the mapping table of capability evaluation score and capability level is updated in real time based on the new coronary pneumonia epidemic prevention and control level of the region where the target capability evaluation medical institution is located.
9. The system for evaluating the prevention and control capability of new coronary pneumonia infection of medical institution according to claim 1, further comprising:
and the evaluation item score calculation module is used for carrying out weighted calculation on the scores of the target evaluation items given by the ability evaluators based on the weight of each ability evaluator and summing all obtained weighted calculation values to obtain the scores of the target evaluation items.
10. The system for evaluating the prevention and control capability of new coronary pneumonia infection of medical institution according to claim 1, further comprising:
and the alarm module is used for sending alarm information to the corresponding alarm information receiving end when the level of the infection prevention and control capacity of the evaluated target capacity evaluation medical institution reaches a preset alarm level and the score of the single evaluation item of the target capacity evaluation medical institution is lower than the normal threshold of the preset corresponding evaluation item.
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