WS/T 591-2018 in English
VALIDRegulation for prevention and control of healthcare associated infection in outpatient department and emergency department in healthcare facilities
- Issued on:2018-05-10
- Implemented on:2018-11-01
- File Format:PDF
- Delivery:Via email within 1~3 business days
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本标准规定了医疗机构门诊和急诊科（部、室）（以下简称门急诊）医院感染管理要求、宣教和培训、监测与报告、预检分诊、预防和控制感染的基本措施、基于传播途径的预防措施、医疗废物处置等。
本标准适用于提供门急诊服务的各级各类医疗机构。
Introduction
Analysis of the core content of the standard
This standard was issued by the National Health Commission in 2018, focusing on standardizing the infection prevention and control requirements in key areas such as the pre-examination and triage desk and consulting rooms in outpatient and emergency departments. The main technical indicators include:
| Core elements | Key requirements | Implementation points |
|---|---|---|
| Organizational management | Establish a hospital infection management team | The team leader shall be the person in charge of the outpatient and emergency departments, and at least one part-time infection control staff shall be assigned |
| Zoning management | Environmental risk classification | High-risk areas include blood collection room, dental department, etc., and the frequency of disinfection needs to be increased |
| Personnel protection | PPE usage specifications | When exposed to droplet-borne diseases, wear a surgical mask + goggles. |
Recommendations for the implementation of key measures
Optimization plan for pre-examination and triage
Taking the fever clinic of a tertiary hospital as an example, it should be equipped with:
- Negative pressure clinic with independent ventilation system
- Patient flow route with dual-channel design
- Equipped with contactless hand hygiene facilities
Technology evolution analysis
Main upgrades compared with the previous version:
- Added mandatory use requirement for safety injection devices
- Refine the frequency of environmental surface cleaning (≥2 times/day in high-risk areas)
- Introduce the WHO hand hygiene monitoring method
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