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| Research on the Application of HACCP in the Supervision of Fever Clinics |
| Pudong New Area Health Inspection Agency , Medical Institution Supervision Department, Shanghai, 200136 |
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Abstract 【Objective】To master the major influence factors in the management of fever clinics; to identify the key controlling point (CCP) of fever clinics and work out plans on HACCP ; to improve the efficiency of health supervision on fever clinics. 【Methods】 The influence factors were investigated in accordance with the setting of fever clinic, the use of the situation, the management status and the management of infectious diseases. The potential hazard of each link was analyzed on the base of the important data (total surface colonies); The CCP and critical limits (CL) were determined according to the expert advice by developing the corresponding preventive measures and establishing the fever outpatient monitoring system for each CCP point.【Results】 In terms of the sanitary conditions of the objects, the desks of all medical institutions, instrument panels surface and handles of devices as well as other objects are all below qualification, among which the telephones and handles of taps are the worst. Eighteen hazard factors have been assured through sitevisiting and questionnaires. These facts include: patients fetch medicines outside fever clinics; the air and ventilation system is not independent and the rubbish in fever clinics are dealt with as medical waste; the mixture of treatment region and ordinary region. The existing problems such as medical processes, personal arrangement, personal protection awareness, and disinfection health problems are all set as key controlling point. Meanwhile, the plan on HACCP has been worked out, and the content, methods, frequency, monitoring, corrective actions, record and revise measures of the key controlling points(CCP) are indentified. 【Conclusion】The HACCP principle is applicable to the supervision of fever clinic in medical institutions. Upon the regulation of CCP and CL in trems of the daily health supervision can improve the efficiency of operation and the efficiency of health supervision, and reduce the risk of regional infectious diseases.
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Received: 26 October 2015
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2015, Vol. 32 
