Operationalizing care in a hospital-based respirology clinic during a global pandemic
| Autor: | Sunita Mulpuru, Melanie Chin, Nha Voduc, Christopher J. L. Stone |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Strategic planning medicine.medical_specialty business.industry Public health Critical Care and Intensive Care Medicine medicine.disease Ambulatory care Preparedness Pandemic Medicine Infection control Medical emergency business Personal protective equipment Respiratory care |
| Zdroj: | Canadian Journal of Respiratory, Critical Care, and Sleep Medicine |
| ISSN: | 2474-5340 2474-5332 |
| DOI: | 10.1080/24745332.2020.1832000 |
| Popis: | The novel coronavirus (SARS-CoV-2) pandemic has forced clinicians across Canada to abruptly adapt to a new reality of reduced contact with patients in ambulatory care settings With minimal lead time, ambulatory clinics in Canada were required to adopt aggressive infection prevention and control measures while facing shortages of personal protective equipment and to enact strategies to urgently reorganize patient care These adaptations included the conversion of ambulatory clinics to telephone or virtual care platforms In 2015, the Public Health Agency of Canada (PHAC) published pandemic influenza preparedness guidelines highlighting the importance of pandemic preparedness planning in primary and ambulatory care settings, including clinic continuity planning and provisions for non in-person care Despite these recommendations, hospital-based ambulatory clinics lacked formal strategic plans to adapt patient care processes during the SARS-CoV-2 outbreak Thus, in a short time frame, clinics individually adapted their own patient care processes This creates the potential for gaps in quality of medical care for patients across Canada In this report, we describe the evolution and operationalization of care planning in our hospital-based respirology clinic, highlight the challenges faced, and make recommendations for respirology clinic adaptations based on available guidance This process may be used as a foundation to guide future policy, discussion and guidelines for hospital-based respiratory care to ensure optimal preparedness during the next inevitable respiratory viral pandemic or possible worsening of the current pandemic © 2020 Canadian Thoracic Society |
| Databáze: | OpenAIRE |
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