CAJ | 학술논문

目的：探讨视频监控系统在埃博拉治疗中心（ETC）医护人员防控中的应用效果。方法将高清摄像头安装于污染区100张床位的24个病室、半污染区外环廊、穿脱隔离衣等区域无盲点全方位监控，获取视频资料与信息。在医护值班室，由督导组专家及值班医护人员全天24 h视频监控，动态监测一线工作人员在医疗护理操作、个人防护装备（PPE）、物流运送等工作中遇到的问题与危险，及时纠正并提醒。结果2014年12月至2015年1月，通过对182名一线工作人员（医生、护士、护工）的检查，发现4类239条问题。其中穿脱PPE流程问题147条占61.50%，执行各类操作流程问题35条占14.64%，人流物流分布问题31条占12.97%，其他26条占10.88%。医疗队员无一人感染。结论视频监控系统有助于医护人员进入传染区自身防控，将感染风险降低至“零”。
목적：탐토시빈감공계통재애박랍치료중심（ETC）의호인원방공중적응용효과。방법장고청섭상두안장우오염구100장상위적24개병실、반오염구외배랑、천탈격리의등구역무맹점전방위감공，획취시빈자료여신식。재의호치반실，유독도조전가급치반의호인원전천24 h시빈감공，동태감측일선공작인원재의료호리조작、개인방호장비（PPE）、물류운송등공작중우도적문제여위험，급시규정병제성。결과2014년12월지2015년1월，통과대182명일선공작인원（의생、호사、호공）적검사，발현4류239조문제。기중천탈PPE류정문제147조점61.50%，집행각류조작류정문제35조점14.64%，인류물류분포문제31조점12.97%，기타26조점10.88%。의료대원무일인감염。결론시빈감공계통유조우의호인원진입전염구자신방공，장감염풍험강저지“령”。
Objective To investigate the effect of application of video surveillance system for medical staff in the prevention and control of Ebola treatment center (ETC). Methods The high-definition camera installed in the polluted area 100 beds of 24 wards, semi polluted area ring corridor, wear off gowns and other areas without blind spot. Video data and information were collected. The experts of steering group and medical personnel were on duty of video monitoring 24 hours in the medical duty room. They monitored the situation of frontline staff in medical care, whether wearing personal protective equipment (PPE), logistics and transportation problems encountered in the work, and corrected and reminded. Results From December 2015 to January 2014, by checking 182 people on the first-line staff including doctors, nurses and nursing workers, 239 problems of 4 categories were found. The PPE problems was 147 cases (61.50%), while perform operation process issue 35 cases (14.64%), flow logistics distribution problems 31 cases (12.97%), the others 26 cases (10.88%). All the problems were given a timely reminder. There was no infections among medical team. Conclusion Video surveillance system could help medical staff to prevent and control infection, and reduce the risk of infection.