Asunto(s)
Anticoagulantes/uso terapéutico , COVID-19/sangre , Enoxaparina/uso terapéutico , Productos de Degradación de Fibrina-Fibrinógeno/análisis , Riñón/fisiopatología , SARS-CoV-2 , Trombofilia/tratamiento farmacológico , Trombosis/prevención & control , Anciano , Anciano de 80 o más Años , Anticoagulantes/administración & dosificación , Peso Corporal , Proteína C-Reactiva/análisis , COVID-19/complicaciones , Relación Dosis-Respuesta a Droga , Enoxaparina/administración & dosificación , Femenino , Adhesión a Directriz , Humanos , Incidencia , Unidades de Cuidados Intensivos/estadística & datos numéricos , Masculino , Volúmen Plaquetario Medio , Persona de Mediana Edad , Oxígeno/sangre , Guías de Práctica Clínica como Asunto , Modelos de Riesgos Proporcionales , Estudios Retrospectivos , Factores de Riesgo , Trombofilia/etiología , Trombosis/epidemiología , Trombosis/etiologíaRESUMEN
Appropriate dissemination of information to the general public is a key component of the pandemic response. In 2018, recorded infection control advice messages were affixed to 30% of England's automated hospital switchboards during the seasonal influenza and norovirus outbreaks. As the majority of messages were mandatory for all callers, healthcare professionals using the hospital switchboard - including during time-critical emergencies - had their enquiries significantly delayed by these measures. Importantly, published analyses did not demonstrate an association between these messages and patient outcomes. As of May 2020, 85% of NHS trusts made use of infection control messages; on average, these delayed healthcare professionals by 59.4 seconds per call, but had no clear association with patient outcomes from COVID-19. An ongoing national switchboard quality improvement project seeks to establish a gold standard whereby healthcare professionals with urgent enquiries can press 'X' to skip past infection control messages and have their calls triaged immediately.