Rapid Response of an Academic Surgical Department to the COVID-19 Pandemic: Implications for Patients, Surgeons, and the Community
| Autor: | Julie Ann Sosa, Logan Pierce, Wen T. Shen, Elizabeth M. Lancaster, Amanda Sammann, Elizabeth C. Wick, Michael C. Conte |
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| Rok vydání: | 2020 |
| Předmět: |
Operating Rooms
8.1 Organisation and delivery of services 030230 surgery Safeguarding Surgery Department Hospitals University 0302 clinical medicine Pandemic Personnel Medicine Infection control Viral COVID-19 coronavirus disease 2019 Communication humanities Operative Hospitals 030220 oncology & carcinogenesis Surgical Procedures Operative Workforce VA Veterans Affairs Medical emergency Descriptive research Coronavirus Infections PPE personal protective equipment Health and social care services research Pneumonia Viral Advisory Committees Clinical Sciences Staffing Article 03 medical and health sciences Hospital Betacoronavirus Clinical Research Humans UCSF University of California San Francisco Personal protective equipment Veterans Affairs Pandemics Personal Protective Equipment Surgeons Infection Control University Surgical Procedures business.industry SARS-CoV-2 COVID-19 Pneumonia medicine.disease Personnel Hospital Good Health and Well Being Surgery business Surgery Department Hospital |
| Zdroj: | Journal of the American College of Surgeons, vol 230, iss 6 Journal of the American College of Surgeons |
| Popis: | Background As the coronavirus disease 2019 (COVID-19) pandemic continues to spread, swift actions and preparation are critical for ensuring the best outcomes for patients and providers. We aim to describe our hospital and Department of Surgery’s experience in preparing for the COVID-19 pandemic and caring for surgical patients during this unprecedented time. Study Design This is a descriptive study outlining the strategy of a single academic health system for addressing the following 4 critical issues facing surgical departments during the COVID-19 pandemic: developing a cohesive leadership team and system for frequent communication throughout the department; ensuring adequate hospital capacity to care for an anticipated influx of COVID-19 patients; safeguarding supplies of blood products and personal protective equipment to protect patients and providers; and preparing for an unstable workforce due to illness and competing personal priorities, such as childcare. Results Through collaborative efforts within the Department of Surgery and hospital, we provided concise and regular communication, reduced operating room volume by 80%, secured a 4-week supply of personal protective equipment, and created reduced staffing protocols with back-up staffing plans. Conclusions By developing an enabling infrastructure, a department can nimbly respond to crises like COVID-19 by promoting trust among colleagues and emphasizing an unwavering commitment to excellent patient care. Sharing principles and practical applications of these changes is important to optimize responses across the country and the world. Graphical abstract |
| Databáze: | OpenAIRE |
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