Obstetric Inpatient and Ultrasound Clinical Personnel Absences during the COVID-19 Pandemic in New York City.

Autor:	Spiegelman J; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Bertozzi-Villa C; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., D'Alton ME; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Aubey JJ; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Fuchs K; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Goffman D; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Gyamfi-Bannerman C; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Miller R; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Robinson KE; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Sheen JJ; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Simpson LL; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Valderrama NE; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Wen T; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Zork N; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York., Friedman AM; Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York.
Jazyk:	angličtina
Zdroj:	American journal of perinatology [Am J Perinatol] 2022 May; Vol. 39 (7), pp. 714-716. Date of Electronic Publication: 2021 Nov 22.
DOI:	10.1055/s-0041-1740008
Abstrakt:	Objective: To review obstetric personnel absences at a hospital during the initial peak of coronavirus disease 2019 (COVID-19) infection risk in New York City from March 25 to April 21, 2020. Study Design: This retrospective study evaluated absences at Morgan Stanley Children's Hospital. Clinical absences for (1) Columbia University ultrasonographers, (2) inpatient nurses, (3) labor and delivery operating room (OR) technicians, (4) inpatient obstetric nurse assistants, and (5) attending physicians providing inpatient obstetric services were analyzed. Causes of absences were analyzed and classified as illness, vacation and holidays, leave, and other causes. Categorical variables were compared with the chi-square test or Fisher's exact test. Results: For nurses, absences accounted for 1,052 nursing workdays in 2020 (17.2% of all workdays) compared with 670 (11.1%) workdays in 2019 ( p  < 0.01). Significant differentials in days absent in 2020 compared with 2019 were present for (1) postpartum nurses (21.9% compared with 12.9%, p  < 0.01), (2) labor and delivery nurses (14.8% compared with 10.6%, p  < 0.01), and (3) antepartum nurses (10.2% compared with 7.4%, p  = 0.03). Evaluating nursing assistants, 24.3% of workdays were missed in 2020 compared with 17.4% in 2019 ( p  < 0.01). For ultrasonographers, there were 146 absences (25.2% of workdays) in 2020 compared with 96 absences (16.0% of workdays) in 2019 ( p  < 0.01). The proportion of workdays missed by OR technicians was 22.6% in 2020 and 18.3% in 2019 ( p  = 0.25). Evaluating attending physician absences, a total of 78 workdays were missed due to documented COVID-19 infection. Evaluating the causes of absences, illness increased significantly between 2019 and 2020 for nursing assistants (42.6 vs. 57.4%, p  = 0.02), OR technicians (17.1 vs. 55.9%, p  < 0.01), and nurses (15.5 vs. 33.7%, p  < 0.01). Conclusion: COVID-19 outbreak surge planning represents a major operational issue for medical specialties such as critical care due to increased clinical volume. Findings from this analysis suggest it is prudent to devise backup staffing plans. Key Points: · 1) COVID-19 outbreak surge planning represents a major operational issue for obstetrics.. · 2) Inpatient obstetric volume cannot be reduced.. · 3) Staffing contingencies plans for nurses, sonographers, and physicians may be required.. Competing Interests: M.E.D. has had a leadership role in ACOG II's Safe Motherhood Initiative which has received unrestricted funding from Merck for Mothers. C.G.-B. disclosed receiving an unrestricted research grant paid to the institution by SMFM/AMAG and research funding from NICHD and NHLBI. She also served on a local advisory board for Sera Prognostics. R.M. disclosed receiving honorarium for writing a chapter on TRAP sequence for UpToDate. The other authors did not report any potential conflicts of interest. (Thieme. All rights reserved.)
Databáze:	MEDLINE
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