Emergency Center Curbside Screening During the COVID-19 Pandemic: Retrospective Cohort Study

Autor: Aimen Vanood, Alexandra Halalau, Jessica Hamilton, Amr E. Abbas, Jeffrey Ditkoff, James Ziadeh, Aryana Sharrak
Jazyk: angličtina
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Michigan
020205 medical informatics
Coronavirus disease 2019 (COVID-19)
Pneumonia
Viral
MEDLINE
emergency center
Health Informatics
02 engineering and technology
03 medical and health sciences
0302 clinical medicine
COVID-19 Testing
Pandemic
Health care
0202 electrical engineering
electronic engineering
information engineering
medicine
Humans
Mass Screening
030212 general & internal medicine
Pandemics
Mass screening
Retrospective Studies
Original Paper
business.industry
Clinical Laboratory Techniques
Medical record
Public health
pandemic
public health
Public Health
Environmental and Occupational Health
COVID-19
curbside testing
drive-through testing
Retrospective cohort study
Emergency medicine
Public aspects of medicine
RA1-1270
business
Coronavirus Infections
Emergency Service
Hospital
Zdroj: JMIR Public Health and Surveillance
JMIR Public Health and Surveillance, Vol 6, Iss 3, p e20040 (2020)
ISSN: 2369-2960
Popis: Background Coronavirus disease (COVID-19) is a global pandemic that has placed a significant burden on health care systems in the United States. Michigan has been one of the top states affected by COVID-19. Objective We describe the emergency center curbside testing procedure implemented at Beaumont Hospital, a large hospital in Royal Oak, MI, and aim to evaluate its safety and efficiency. Methods Anticipating a surge in patients requiring testing, Beaumont Health implemented curbside testing, operated by a multidisciplinary team of health care workers, including physicians, advanced practice providers, residents, nurses, technicians, and registration staff. We report on the following outcomes over a period of 26 days (March 12, 2020, to April 6, 2020): time to medical decision, time spent documenting electronic medical records, overall screening time, and emergency center return evaluations. Results In total, 2782 patients received curbside services. A nasopharyngeal swab was performed on 1176 patients (41%), out of whom 348 (29.6%) tested positive. The median time for the entire process (from registration to discharge) was 28 minutes (IQR 17-44). The median time to final medical decision was 15 minutes (IQR 8-27). The median time from medical decision to discharge was 9 minutes (IQR 5-16). Only 257 patients (9.2%) returned to the emergency center for an evaluation within 7 or more days, of whom 64 were admitted to the hospital, 11 remained admitted, and 4 expired. Conclusions Our curbside testing model encourages the incorporation of this model at other high-volume facilities during an infectious disease pandemic.
Databáze: OpenAIRE
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