Emergency Department Adaptations to COVID-19.
| Autor: | Gragg JI; Deputy Chief of the Dept of Emergency Medicine, CRDAMC, Fort Hood, TX., Miller JA; Interim Chief and Medical Director of the Department of Emergency Medicine, CRDAMC, Fort Hood, TX, and Assistant Deputy Commander, Clinical Services, 228th Combat Support Hospital, San Antonio, TX., Donham BP; Commander 261st Multifunctional Medical Battalion., Allen S; Deputy Commander for Human Resources, CRDAMC, Fort Hood, TX., Hall BT; Deputy Commander for Medical Services, CRDAMC, Fort Hood, TX., Malish RG; Commander of Carl R. Darnall Army Medical Center, Fort Hood, TX. |
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| Jazyk: | angličtina |
| Zdroj: | Medical journal (Fort Sam Houston, Tex.) [Med J (Ft Sam Houst Tex)] 2021 Jan-Mar (PB 8-21-01/02/03), pp. 34-36. |
| Abstrakt: | Background: The COVID-19 pandemic creates unique challenges for healthcare systems. While mass casualty protocols and plans exist for trauma-induced large-scale resource utilization events, contagious infectious disease mass casualty events do not have such rigorous procedures established. COVID-19 forces Emergency Departments (EDs) to simultaneously treat seriously ill patients and evaluate large influxes of 'worried well'-while maintaining both staff and patient safety. Methods: The objectives of this project are to create an avenue to evaluate large surges of patients while minimizing hospital-acquired infections. After identifying areas for improvement and anticipating potential failures, we devised eight healthcare delivery innovations to address those areas and meet our objectives: (1) Parallel ED Lanes (2) Universal Respiratory Precautions (3) Respiratory Drive Through (RDT) (4) Medical Company (5) Provider Triage (6) ED Quarterback Patient Liaison (EDQB) (7) Virtual Registration (8) Virtual Ward. Results: To date, no staff members have contracted COVID-19 within the ED footprint. Our RDT has seen 16,994 patients and the medical company 1,109. Provider triage has redirected 465 patients, while our EDQB has interacted with 532 and redirected 93 patients for same-day appointments with their Primary Care Manager (PCM). Conclusion: The system of care establish at our Military Treatment Facility (MTF) has been effective in maximizing staff and patient safety, while providing a new patient-centered healthcare delivery apparatus. |
| Databáze: | MEDLINE |
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