Managing hand and reconstructive microsurgery service during COVID-19 pandemic: Singapore experience
| Autor: | Vaikunthan Rajaratnam, Usama Farghaly Omar, Tong Pei Yein |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Clinical audit
Microsurgery Quality Improvement Report limb reconstruction Pneumonia Viral Audit 030230 surgery infectious diseases 03 medical and health sciences Patient safety Betacoronavirus respiratory infections 0302 clinical medicine Pandemic Health care Outpatient clinic Medicine Humans 030212 general & internal medicine Pandemics Retrospective Studies Service (business) Infection Control Singapore Clinical Audit business.industry SARS-CoV-2 COVID-19 Hand Injuries Emergency department General Medicine Plastic Surgery Procedures medicine.disease plastic & reconstructive surgery hand & wrist Elective Surgical Procedures Practice Guidelines as Topic Medical emergency Patient Safety business Coronavirus Infections |
| Zdroj: | Postgraduate Medical Journal |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/postgradmedj-2020-137735 |
| Popis: | Introduction Managing healthcare service during pandemics and outbreaks is a challenging process. The aim is to keep patient safety as the priority, besides, continuing to provide essential healthcare services. Methods Situational audit was performed for the services rendered before and during COVID-19 pandemic and the elevation of the disease alert status, and a retrospective analysis of the attendance and procedures performed in the service. Results We present a methodology for performing a situational audit and generating service modification for hand and reconstructive microsurgery unit in a pandemic. There was no significant difference between the number of patients seen at outpatient clinics. However, there was a reduction in the numbers of total surgeries performed, with a 40% drop in the number of elective surgeries performed. There was also a reduction of cases seen in the emergency department hand clinic. Discussion COVID-19 pandemic is currently affecting not only the health service but also, other vital services all over the world. The pandemic puts significant challenges to acute surgical services in a hospital system involved in the management of the pandemic. Surgeons need to take proactive and a systematic approach in managing the available resources while maintaining essential surgical services. This paper provides the tools and methodology for doctors to plan their services in a pandemic situation. Conclusions It is possible to maintain essential surgical services in a pandemic situation through rapid situational audits and generating localised strategies while considering the constraints imposed during the pandemics while maintaining patient and staff safety. |
| Databáze: | OpenAIRE |
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