The study summarized the treatment experience of the Tenth People’s Hospital of Tongji University in supporting the treatment of COVID-19 patients. That was, according to the situation of COVID-19 patients in the supported wards, the human resources of doctors, nurses and pharmacists should be allocated reasonably, their respective responsibilities should be clarified, and the work flow should be continuously optimized on the basis of division of labor and cooperation, and the concept of hospital sense should be always implemented. The treatment of severe patients with COVID-19 was the key and difficult point in supporting treatment work, and multidisciplinary collaboration and psychological intervention should be adopted at the same time, and continuous strengthening of the development of critical care medicine was an important strategy to deal with major public health events in the future.

目的 建立住院患者医疗服务行风风险预警体系,加强对医疗服务行为的行风风险监管.方法 采用文献分析法、专家咨询与论证确定风险的预警指标体系及管理规范,并通过信息化技术手段,开发风险预警系统.结果 从合理住院、合理收费、合理治疗、合理检查、合理用药、合理用耗等6个层面构建了医疗服务的行风预警框架,明确了14个二级行风预警指标、相应的评分标准,规定了预警等级及处置方案,并实现信息化监管.结论 以住院患者为中心的行风风险预警体系可促进医疗服务行为规范化管理,保障患者的合法权益,并可作为临床医生、临床科室行风管理的重要手段.

从源头上预防医疗服务中的不正之风,是医院行风建设的重要内容之一.作者围绕医疗服务规范化管理要求,通过文献分析、专家咨询等,梳理相关行风风险点,从"合理住院、合理收费、合理治疗、合理检查、合理用药、合理用耗"6个层面构建行风预警框架,并明确14个行风预警指标,通过信息化技术手段开发行风风险预警系统,实现对住院患者医疗服务行为的信息化监管.实践发现,风险预警系统通过量化分级的方式,实时关注行风指数,起到了行风精准管理的作用,提高了行风管理效率.行风预警体系可促进医疗服务行为的规范化管理,保障患者合法权益,并可作为临床医生、科室行风管理的重要手段及考核依据.

截至6月19日,中国确诊2019冠状病毒病（2019 coronavirus disease, COVID-19）患者84940例,海外确诊8521199例.钟南山院士团队 [1] 将COVID-19患者分为重症和非重症两类,其中重症患者比例为15.7%～25.5% [1,2] .与非重症患者相比,重症患者死亡率更高（8.1%vs. 1.4%）,并发症发生率更高(肺炎:94.8%vs.