Systems Analysis of a Dedicated Ambulatory Respiratory Unit for Seeing and Ensuring Follow-up of Patients With COVID-19 Symptoms
| Autor: | Hans Kim, Tze Sheng Yap, Mark D. Aronson, Kashika Goyal, Timothy S. Anderson, Tiantian White, Russell S. Phillips, James C. Benneyan, Nicole Nehls, Marc Cohen, Julia Lindenberg, Gordon D. Schiff, Scot B. Sternberg |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Systems Analysis Pneumonia Viral education Staffing Ambulatory Care Facilities Workflow Unit (housing) Documentation Phone Humans Medicine Respiratory Care Units Referral and Consultation Aged systems engineering SARS-CoV-2 business.industry Health Policy COVID-19 symptom follow-up Original Articles Continuity of Patient Care Middle Aged medicine.disease Gatekeeping Ambulatory ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Female Medical emergency business Boston |
| Zdroj: | The Journal of Ambulatory Care Management |
| ISSN: | 0148-9917 |
| DOI: | 10.1097/jac.0000000000000390 |
| Popis: | Supplemental Digital Content is Available in the Text. COVID-19 necessitated significant care redesign, including new ambulatory workflows to handle surge volumes, protect patients and staff, and ensure timely reliable care. Opportunities also exist to harvest lessons from workflow innovations to benefit routine care. We describe a dedicated COVID-19 ambulatory unit for closing testing and follow-up loops characterized by standardized workflows and electronic communication, documentation, and order placement. More than 85% of follow-ups were completed within 24 hours, with no observed staff, nor patient infections associated with unit operations. Identified issues include role confusion, staffing and gatekeeping bottlenecks, and patient reluctance to visit in person or discuss concerns with phone screeners. |
| Databáze: | OpenAIRE |
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