Development and application of quality checklist for the prevention and control of COVID-19 in fever clinic and isolation ward of the general hospital / 浙江大学学报·医学版

To develop a quality control checklist for the prevention and control of coronavirus disease 2019 （COVID-19） in fever clinic and isolation ward of the general hospital and to assess its application. Based on the relevant prevention and control plans and technical guidelines for COVID-19，Delphi method was used to identity items for evaluation，and a quality control checklist for the prevention and control of COVID-19 in the fever clinic and isolation ward was developed in Sir Run Run Shaw Hospital. The checklists included 8 dimensions and 32 items for fever clinic，7 dimensions and 27 items for the isolation ward. The appointed inspectors conducted daily quality control for each shift with this checklist. The expert authority coefficient was 0.88，the mean of the importance of each index in the quality control table was not less than 4.8，and the coefficient of variation was not more than 0.07. During the entire February 2020，8 problems were found and rectified on-the-spot with the application of the checklist. Quality inspection rate was 100% in both isolation wards and fever clinic. The compliance rate and accuracy rate of hand hygiene were 100%; the correct rate of wearing and removing protective equipment increased from 96% to 100%. During the same period，a total of 1915 patients were admitted to the fever clinic，including 191 suspected patients （all were isolated in the hospital，3 were confirmed）. There were no medical staff infected with COVID-19，no cross infection of patients and their families in the hospital. A quality control checklist for the prevention and control of COVID-19 has been developed and applied in the isolation wards and fever clinic，which plays an important role in preventing nosocomial infection.

Application of mini peak flow meters in cough variant asthma / 中国康复理论与实践

@#ObjectiveTo investigate the diagnostic value of mini peak flow meters in cough variant asthma (CVA). Methods131 patients with the main symptom of chronic cough whose chest X-ray showed normal were included in this study. The peak expiratory flow (PEF) rate of each patient was measured by mini peak flow meters during the bronchial dilation test, and the results were analyzed. ResultsThe rate of positive reaction in the test was 33.6% (44/131), of whom 40.9% (18/44) were delayed over 1 year. 16.8% (22/131) of all the patients' PEF increased 10% to 15% in after the test. ConclusionMini peak flow meters can be used in the diagnosis of CVA.