郭程 俞晔

摘 要： 新型冠状病毒的出现，给全世界公共卫生和医疗体系都带来了极大的挑战。作为“守门人”，医院承担着发现预警、筛查分类、收治诊疗和科学防控的重要职责。应对此类重大突发传染病，不仅要周密部署、加强防控，更要建立起全方位、全人员、全过程的有效管理体系。上海市第一人民医院应用“六梁六柱”医院全质量管理体系，构建起疫情防控的天罗地网，完成了既定防控任务，实现了“五零”防控目标。以医院全质量管理体系在此次新冠疫情防控中的应用与实践为切入点，针对六大防控系统进行深入分析研究，并对未来医院应对重大突发传染病提出了意见与建议。

关键词： 医院全质量管理;新冠病毒;疫情防控

中图分类号： C 939   文献标志码： A

Abstract： The emergence of novel coronavirus has brought great challenges to the public health and medical system worldwide. As the "gatekeeper"， the hospital undertakes the important responsibilities of discovery and early warning， screening and classification， treatment and scientific prevention and control. In response to such major sudden infectious diseases， we should not only carefully deploy and strengthen prevention and control， but also establish an effective management system of all-round， all personnel and the whole process. Shanghai General Hospital has applied the total quality management system of "six beams and six pillars" to build a vast network of epidemic prevention and control， complete the established prevention and control tasks， and achieve the goal of "five zero" prevention and control. Based on the application and practice of the hospital total quality management system in the prevention and control of the new crown epidemic situation， this paper makes an in-depth analysis and Research on the six prevention and control systems， and puts forward suggestions on the future hospital response to major sudden infectious diseases.

Key words： hospital total quality management; novel coronavirus; epidemic prevention and control

2020年初，我國遭遇了一场突如其来的新型冠状病毒感染的肺炎疫情灾害，对国家公共卫生和传染病的防控带来了极大的挑战。医院是疫情防控、筛查与诊治的重要责任主体，其响应速度、防治力度、覆盖广度与深度，在疫情防治工作中起着至关重要的作用。这些工作需要严密的谋划和部署，形成一套完整的体系方案，才能保证在满足临床防治需求的同时，在感控、物资保障、后勤安保、人员调配等方面做到井井有条、科学有序。

近年来，上海市第一人民医院（以下简称“市一医院”）结合医院管理实践经验，创新性地提出“六梁六柱”医院全质量管理体系，并不断应用于医院管理实践，取得了可喜的效果。……