scholarly journals “Virtual Interdisciplinary COVID-19 Team”: A Hospital Pandemic Preparedness Approach

2020 ◽  
Vol 35 (6) ◽  
pp. e190-e190
Author(s):  
Abdullah Balkhair, ◽  
Mahmoud Al Jufaili ◽  
Khalifa Al Wahaibi ◽  
Dawood Al Riyami ◽  
Faisal Al Azri ◽  
...  

The COVID-19 pandemic continues to move at record speed. Health systems and hospitals worldwide face unprecedented challenges to effectively prepare and respond to this extraordinary health crisis and anticipated surge. Hospitals should confront these unparalleled challenges with a comprehensive, multidisciplinary, coordinated, and organized strategy. We report our experience with the systematic application of the “4S” principle to guide our institutional preparedness plan for COVID-19. We used an innovative “virtual interdisciplinary COVID-19 team” approach to consolidate our hospital readiness.

2021 ◽  
Vol 17 (31) ◽  
pp. 87
Author(s):  
Hansong Li ◽  
Yifei Wu

Background: The distribution of healthcare resources across local and global communities has triggered alarms throughout the COVID-19 pandemic. Injustice and inefficiency in the transfer of lifesaving medical supplies are magnified by the urgency of the public health crisis, ramified through pre-existing socioeconomic tensions, and further aggravated by frictions that plague international cooperation and global governance. Aim: This article explores the ethical and economic dimensions of medical supplies, from the microcosm of distributive algorithms to the macroscope of medical trade. Methods: It first analyses the performance, strategy, and social responsibility of ventilator-suppliers through a series of case studies. Then, the authors seek to redress the need-insensitivity of existing distributive models with a new price-based and need-conscious algorithm. Next, the paper empirically traces the exchange of medical supplies across borders, examines the effect of trade disputes on medical reliance and pandemic preparedness, and makes a game-theoretical case for sharing critical resources with foreign communities. Conclusion: The authors argue that the equitable allocation of medical supplies must consider the contexts and conditions of need; that political barriers to medical transfers undermine a government’s capacity to contain the contagion by reducing channels of access to medical goods; and that self-interested public policies often turn out to be counterproductive geopolitical strategies. In the post-pandemic world, the prospect of medical justice demands a balanced ethical and economic approach that cuts across the borders of nation-states and the bounds of the private sector and the public sphere.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Sheuwen Chuang ◽  
David D. Woods ◽  
Morgan Reynolds ◽  
Hsien-Wei Ting ◽  
Asher Balkin ◽  
...  

Abstract Background Large-scale burn disasters can produce casualties that threaten medical care systems. This study proposes a new approach for developing hospital readiness and preparedness plan for these challenging beyond-surge-capacity events. Methods The Formosa Fun Coast Dust Explosion (FFCDE) was studied. Data collection consisted of in-depth interviews with clinicians from four initial receiving hospitals and their relevant hospital records. A detailed timeline of patient flow and emergency department (ED) workload changes of individual hospitals were examined to build the EDs' overload patterns. Data analysis of the multiple hospitals' responses involved chronological process-tracing analysis, synthesis, and comparison analysis in developing an integrated adaptations framework. Results A four-level ED overload pattern was constructed. It provided a synthesis of specifics on patient load changes and the process by which hospitals' surge capacity was overwhelmed over time. Correspondingly, an integrated 19 adaptations framework presenting holistic interrelations between adaptations was developed. Hospitals can utilize the overload patterns and overload metrics to design new scenarios with diverse demands for surge capacity. The framework can serve as an auxiliary tool for directive planning and cross-check to address the insufficiencies of preparedness plans. Conclusions The study examined a wide-range spectrum of emergency care responses to the FFCDE. It indicated that solely depending on policies or guidelines for preparedness plans did not contribute real readiness to MCIs. Hospitals can use the study's findings and proposal to rethink preparedness planning for the future beyond surge capacity events.


2002 ◽  
Vol 191 (3) ◽  
pp. 191-195 ◽  
Author(s):  
R. Fock ◽  
H. Bergmann ◽  
H. Bussmann ◽  
G. Fell ◽  
E.-J. Finke ◽  
...  

2021 ◽  
Author(s):  
Anish K. Agarwal ◽  
Lauren Southwick ◽  
Rachelle Schneider ◽  
Arthur Pelullo ◽  
Robin Ortiz ◽  
...  

BACKGROUND The coronavirus pandemic (COVID-19) has placed strains on communities. In the midst of this public health crisis, health systems have created remote methods of monitoring symptom progression and delivering care virtually. OBJECTIVE Using a text message-based system, we sought to build and test a remote model to explore community needs, connect individuals to curated resources, and facilitate community health worker intervention when needed during COVID-19. The primary aims of this pilot study were to establish the feasibility (ie, engagement with the text line) and acceptability (ie, participant ratings of resources and service) of delivering automated wellbeing resources via smartphone technology. METHODS Eligible patients (18 years or older, cell phone with SMS capability, and recent ED visit) were identified using the EHR. Patients were consented to enroll and begin receiving COVID-19 related information and links to community resources. We collected open- and close-ended resource and mood ratings. We calculated the frequencies and conducted thematic review of open-ended responses. RESULTS In seven weeks, 356 participants were enrolled; 13,917 messages were exchanged including 333 resource ratings (mean 4) and 673 well-being scores (mean 6.8). We received and coded 386 open-ended responses, most elaborated upon their self-reported mood score (29%). Overall, 77% of our participants rated the platform as a service they would highly recommend to a family member or friend. CONCLUSIONS This approach is designed to broaden the reach of health systems, tailor to community needs in real-time, and connect at-risk individuals with robust community health support.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Fadi Choucair ◽  
Nagham Younis ◽  
Alia Hourani

Abstract Background The potential of COVID-19 severe pandemic necessitates the development of an organized and well-reasoned plan for the management of embryology/andrology laboratories while safeguarding the wellbeing of patients and IVF staff. Main body A COVID-19 pandemic response plan was proposed for embryology and andrology laboratories for pre-pandemic preparedness and pandemic management in anticipation of a possible second coronavirus wave. Preparation involves many plans and logistics before a pandemic risk rises. Many operational changes can be considered during the pandemic. This plan includes logistical arrangements, reducing labor needs, conserving supplies, and protective measures for embryologists and gametes/embryos. Conclusion The unpredictable emergence of the COVID-19 pandemic dictates the need for a preparedness plan for embryology/andrology laboratories, which includes an action-oriented plan to secure the safety of all stakeholders.


Vaccine ◽  
2012 ◽  
Vol 30 (28) ◽  
pp. 4240-4248 ◽  
Author(s):  
Wilbur H. Chen ◽  
Patricia L. Winokur ◽  
Kathryn M. Edwards ◽  
Lisa A. Jackson ◽  
Anna Wald ◽  
...  

2020 ◽  
Vol 31 (4) ◽  
pp. 181-182 ◽  
Author(s):  
Andrea Cioffi ◽  
Raffaella Rinaldi

National Health Systems are facing a very serious health emergency related to COVID-19. In this phase of emergency, it is essential to ensure the care of all affected patients but also to ensure the economic stability of the National Health System. This stability is undermined by the potential exponential increase in claims caused by healthcare-associated infections related to COVID-19. That is why it will be essential to use all means necessary to prevent this economic crisis, which could overlap with the health crisis.


2020 ◽  
Vol 17 (02) ◽  
Author(s):  
Grace Chesmore ◽  
Kelsey Diffley ◽  
Lirong Shi

As the world becomes increasingly globalized, the propensity of pandemics, such as COVID-19, increases. The United States Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 (PAHPAI) details the federal response to a health crisis including pandemics. The PAHPAI has hindered the nation’s response to COVID-19 due to its lack of emphasis on diagnostic testing (Burr 2019). Rapid testing is critical to slowing the spread of this disease. Ample testing will identify infected populations and will allow communities to take necessary precautions such as staying home and avoiding contact with others. Widespread shelter in place would not be necessary to control the spread of the virus, therefore reducing the economic impact of the pandemic. We propose Congress amends the PAHPAI to institute an improved testing response for future pandemics.


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