The development of new normal of Acute Respiratory Tract Infection clinic in the active phase on safety

Abstract

Due to the emerging diseases Covid-19 epidemic situation, there are no clear guidelines for working in a hospital. This research aims to study and develop the New Normal of ARI Clinic in the Active Phase on safety and to evaluate the results of the development of the New Normal of ARI Clinic. This is a research and development (R&D) which divided into 3 phases: Phase 1, situation study, Phase 2, ARI clinic development in active phase, and Phase 3 evaluation of development outcomes. The sample was 551 outpatients with symptoms or a history of fever and respiratory symptoms who attended the service during the study period. The data were analyzed using descriptive statistics and analyzed the percentage difference of URI screening accuracy and COVID-19 (Proportion difference test). The new normal of ARI Clinic in active phase consisted of 3 components: 1) 2P safety 2) Prevention to an epidemic, and 3) Access to triage & screening of COVID-19. The results showed that there were screened for investigation of PUI 9.38% and 0.54% received laboratory testing, It had an error from screening for disease investigation, 1.45%, an error from the screen temperature and refer to ARI Clinic at 10.16%. It had screened for suspected symptoms 100% and repeat/confirm from chest x-ray at 3.63%. When analyzed the percentage difference of URI and COVID-19 screening accuracy, was found to be statistically significant (P <0.05 (Z = 11.49, P = 0.00)). The development of new normal of Acute Respiratory Tract Infection clinic in the active phase on safety, the method and the key step is to screen accurately, which results in the effectiveness of the Acute Respiratory Tract Infection clinic and be able to screen and isolate patients accurately and quickly, making the patient safe.