Abstract：【Objective】 During the epidemic of novel coronavirus pneumonia (COVID-19), 4R crisis management theory was adopted to take positive and effective measures to avoid recurrence and spread of infection.【Methods】 From January 24, 2020 to March 7, 2020, a 4R crisis management method was adopted in the pediatric emergency room of our hospital. The four links of crisis reduction, crisis preparation, crisis response and crisis recovery were taken as nodes to establish and improve the department nursing management system in special period for comprehensive prevention and control. Our mission is to evaluate the situation of suspected cases treated by screening in pediatric emergency room, medical staff's mastery of covid-19 knowledge, pediatric emergency screening process, correct use of masks, standard protection and other knowledge, so as to understand the wearing rate and correct rate of masks of all people in pediatric emergency department, the number of accompanying persons per day, and the incidence of hospital infection. 【Results】 During this period, a total of 20 children who need further evaluation were screened out by pediatric emergency department of our hospital. Among them, 10 cases were confirmed as suspected cases and went to the designated hospital for observation. No confirmed cases were found. The qualified rate of medical staff in mastering covid-19 knowledge, pediatric emergency treatment process and emergency plan, correct use of masks and standard protection increased from 67% to 100%. The rate of wearing masks increased from 45.5% to 96.0% and the correct rate of wearing masks increased from 80.6% to 95.0%. The number of visiting and accompanying persons decreased from 3.1 cases per day before management to 1.8 cases per day per capita per day. No infection was found among medical staff, and the infection rate was 0%. 【Conclusion】 4R crisis management theory and methods are conducive to guide the prevention and control and management of pediatric emergency during the spread of covid-19 epidemic, improve the efficiency of hospital diagnosis and treatment, reduce hospital infection, and ensure the safety of children, family members and medical staff, and control the spread of the epidemic. This study can be used for reference and reference for the management of departments in similar situations.
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2020, Vol. 37 
