ISO/PAS 23307:2024
(Main)Healthcare organization management — Pandemic response — Guidance for managing infected patients with respiratory infectious disease
Healthcare organization management — Pandemic response — Guidance for managing infected patients with respiratory infectious disease
This document provides recommendations for healthcare organizations on how to effectively manage and classifies patients who are infected with respiratory infectious diseases, especially during a pandemic. It covers various aspects of patient care, infection control and healthcare facility management to ensure the safety of both patients and healthcare workers in such situations.
Management des organisations de soins de santé — Réponse en cas de pandémie — Lignes directrices relatives à la prise en charge des patients atteints d'une maladie respiratoire infectieuse
General Information
Standards Content (Sample)
Publicly
Available
Specification
ISO/PAS 23307
First edition
Healthcare organization
2024-08
management — Pandemic
response — Guidance for managing
infected patients with respiratory
infectious disease
Management des organisations de soins de santé — Réponse
en cas de pandémie — Lignes directrices relatives à la prise
en charge des patients atteints d'une maladie respiratoire
infectieuse
Reference number
© ISO 2024
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ii
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Classification of patients with respiratory infectious diseases . 2
[1]
4.1 Preliminary patient classification .2
[2]
4.2 Severity classifications based on respiratory infectious disease symptoms .2
5 Control of confirmed patients of respiratory infectious disease . 3
[1]
5.1 Control of overseas entrants .3
5.1.1 People applicable to control .3
5.1.2 Diagnostic tests .3
5.1.3 General control measures .3
[1][4]
5.1.4 Control measures for confirmed patients in the POE screening stage .4
[1][5]
5.2 Control of people in self-quarantine .4
5.2.1 Individuals subject to self-quarantine .4
[6]
5.2.2 Quarantine area and method .5
5.2.3 Recommendations on the prevention of leaving quarantine areas after
quarantine release .5
[3]
5.2.4 Temporarily leaving the quarantine area .5
5.2.5 Quarantine .5
5.3 Control of severally ill patients at the hospital .5
5.3.1 Criteria for entering treatment beds for severely ill patients .5
[7]
5.3.2 Bed allocation .6
[1][3][8][9]
6 Resource management and bed operation . 6
[9]
6.1 Operation of designated isolation bed .6
[11]
6.2 Operation of general isolation bed .6
[3]
Annex A (informative) Survey on patients with respiratory disease . 8
Bibliography .10
iii
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out through
ISO technical committees. Each member body interested in a subject for which a technical committee
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with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are described
in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the different types
of ISO documents should be noted. This document was drafted in accordance with the editorial rules of the
ISO/IEC Directives, Part 2 (see www.iso.org/directives).
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This document was prepared by ISO/TC 304, Healthcare organization management.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www.iso.org/members.html.
iv
Introduction
This document concerns patients infected with respiratory infectious diseases with a high transmission
risk including Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS), and
coronavirus disease 2019 (COVID-19), requiring the isolation of patients.
Major infection routes for respiratory infectious diseases include droplets from humans (e.g. droplets
produced by the source person during breathing, talking, sneezing, coughing) or contact infection when a
person touches one’s own eyes, nose or areas surrounding the lips with their contaminated hands or after
contacting a contaminated mediator.
Such patients usually experience a high fever of 38 °C or above as the most common symptom; however, no
fever can be observed in the early stage. Coughing, dyspnea, fever, malaise, myalgia, headache, chilliness and
other symptoms can also be developed.
This document provides standardized guidance for managing infected patients in healthcare organizations
and other facilities based on the COVID-19 classification criteria of the World Health Organization (WHO) in
classifying patients infected with respiratory diseases with a high transmission risk.
v
Publicly Available Specification ISO/PAS 23307:2024(en)
Healthcare organization management — Pandemic response
— Guidance for managing infected patients with respiratory
infectious disease
1 Scope
This document provides recommendations for healthcare organizations on how to effectively manage and
classifies patients who are infected with respiratory infectious diseases, especially during a pandemic. It
covers various aspects of patient care, infection control and healthcare facility management to ensure the
safety of both patients and healthcare workers in such situations.
2 Normative references
There are no normative references in this document.
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
ISO and IEC maintain terminology databases for use in standardization at the following addresses:
— ISO Online browsing platform: available at https:// www .iso .org/ obp
— IEC Electropedia: available at https:// www .electropedia .org/
3.1
confirmed patient
person who is confirmed to be infected with an infectious disease pathogen according to the test criteria for
respiratory infectious disease diagnosis
3.2
asymptomatic
not showing signs or symptoms of the associated disease
[SOURCE: ISO/TS 16975-4:2022, 3.4]
3.3
symptomatic case
person who has epidemiological association with the outbreak of respiratory infectious diseases and has
associated signs or symptoms following incubation period
3.4
self-quarantine
act of staying away from others, typically at home, after possible exposure to an infectious disease, to
prevent the spread of infection
4 Classification of patients with respiratory infectious diseases
[1]
4.1 Preliminary patient classification
4.1.1 A preliminary classification is carried out according to the following procedure:
a) identifying clinical symptoms and risk factors;
b) determining treatment priority;
c) selecting and classifying patients who require in-patient care.
4.1.2 The preliminary system classifies patients based on the details stated in the confirmed patients
survey and patient screening questionnaire by referring to the factors considered for hospitalization by the
institutions concerned (see Annex A).
— Altered consciousness presented after the onset of respiratory disease infection symptoms.
— Dyspnea (shortness of breath in daily life).
— Fever goes 38 °C or above and lasts for more than three days, not suppressed with antipyretics.
— Diabetes uncontrolled with drugs.
— Patients with mental illness, presenting symptoms uncontrolled with drugs.
— Bedridden patients (lying in bed for more than half of day time).
— Pregnant women presenting with symptoms (including abdominal pain, pains and vaginal bleeding) and
severely ill children.
[2]
4.2 Severity classifications based on respiratory infectious disease symptoms
[1]
The severity of patients with respiratory infectious diseases should be classified as shown in Table 1.
Table 1 — Severity classifications based on respiratory infectious disease symptoms (Example)
Stage Definition Severity
0 No clinical or virological evidence for infection is found Noninfectious
1 Infected with no limit of activities of daily living (ADL)
A mild symptom
(Ambulatory care)
2 Infected with a limit of activities of daily living but no O
3 O with nasal prong
Mild disorder (hospitalized)
4 O with facial mask
5 Non-invasive ventilation/high flow O
6 Invasive ventilation
Severe disorder (hospitalized)
Multi-organ failure/Extra membrane oxygenation (ECMO)/Continuous
renal replacement therapy (CRRT)
8 Death Death
5 Control of confirmed patients of respiratory infectious disease
[1]
5.1 Control of overseas entrants
5.1.1 People applicable to control
According to the national strategy for prevention and control, all travellers entering the country are subject
to control. They are classified by symptoms (symptomatic or asymptomatic cases), nationality (domestic or
foreign) and stay period (long or short term).
5.1.2 Diagnostic tests
The diagnostic tests for overseas entrants are conducted as follows:
a) all overseas entrants should receive a respiratory infectious disease test within 24 h after entry;
b) if necessary, relevant
...
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