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1.
J Nurs Adm ; 50(10): 497-498, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32925659

RESUMEN

When the coronavirus hit the United States earlier this year, hospitals across the country were forced to quickly convert to crisis mode. Overnight, health systems transformed clinical and administrative operations to care for rising numbers of COVID-19 patients. Now, as the country slowly reopens and we move back to "normal," hospitals again face a major reboot to regroup and recover. Those that meet this challenge successfully will survive. Many others will not. This month's Magnet Perspectives column examines how Magnet hospitals are uniquely positioned to ride the waves and manage the chaos. What are the components that helped them adapt and adjust when COVID-19 struck, and how are those elements facilitating response and recovery? The column also looks at how the Magnet Recognition Program itself responded to challenges posed by the coronavirus and altered some of its long-standing processes to meet customer needs.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/enfermería , Administración Hospitalaria , Enfermeras Administradoras/psicología , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/enfermería , Habilitación Profesional/estadística & datos numéricos , Humanos , Liderazgo , Grupo de Enfermería/organización & administración , Estados Unidos/epidemiología
2.
J Perinatol ; 40(Suppl 1): 36-46, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32859963

RESUMEN

OBJECTIVES: To determine the relationship between the emergence of COVID-19 and neonatal intensive care unit (NICU) family presence as well as how NICU design affects these changes. STUDY DESIGN: A cross-sectional survey from April 21 to 30, 2020. We queried sites regarding NICU demographics, NICU restrictions on parental presence, and changes in ancillary staff availability. RESULTS: Globally, 277 facilities responded to the survey. NICU policies preserving 24/7 parental presence decreased (83-53%, p < 0.001) and of preserving full parental participation in rounds fell (71-32%, p < 0.001). Single-family room design NICUs best preserved 24/7 parental presence after the emergence of COVID-19 (single-family room 65%, hybrid-design 57%, open bay design 45%, p = 0.018). In all, 120 (43%) NICUs reported reductions in therapy services, lactation medicine, and/or social work support. CONCLUSIONS: Hospital restrictions have significantly limited parental presence for NICU admitted infants, although single-family room design may attenuate this effect.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Administración Hospitalaria , Unidades de Cuidado Intensivo Neonatal/organización & administración , Pandemias , Padres , Neumonía Viral , Visitas a Pacientes/estadística & datos numéricos , Estudios Transversales , Arquitectura y Construcción de Hospitales , Humanos , Recién Nacido , Política Organizacional , Habitaciones de Pacientes , Estados Unidos
3.
Am J Disaster Med ; 15(2): 99-111, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32804390

RESUMEN

OBJECTIVE: Identify operational lessons to support hospital and health system preparedness and response for sea-sonal and pandemic influenza based on firsthand experiences from the 2017-2018 influenza season. DESIGN: We conducted semistructured, retrospective interviews with New York City Health+Hospitals (NYCH+H) personnel to gather firsthand experiences from the 2017-2018 influenza season and evaluated stress data across four operational domains reported by NYCH+H hospitals during the 2017-2018 influenza season. SETTING: Frontline hospitals in the NYCH+H health system during and after the 2017-2018 influenza season. PARTICIPANTS: Interviews conducted with personnel from 5 NYCH+H frontline hospitals. Operational stress data re-ported by 11 NYCH+H hospitals during the 2017-2018 influenza season. MAIN OUTCOME MEASURES: Operational challenges and lessons from frontline hospitals responding to severe sea-sonal influenza. RESULTS: Operational stresses during the 2017-2018 influenza season varied over the influenza season, between facilities, and across operational domains. Patient surge and staff absenteeism pushed some facilities to their limits, and supply shortages highlighted shortcomings in existing procurement systems. Resources tied to pandemic influ-enza were unavailable without a pandemic declaration. CONCLUSION: Seasonal influenza poses dynamic operational stresses across health systems and cities, potentially causing major impacts outside of declared pandemics. Lessons from NYCH+H can help other hospitals and health systems anticipate operational challenges, but novel solutions are needed to mitigate effects of patient surge and per-sonnel and supply shortages during severe influenza seasons and pandemics. Improved data collection can help health systems better understand operational stresses and challenges across their facilities.


Asunto(s)
Prestación de Atención de Salud/organización & administración , Personal de Salud/estadística & datos numéricos , Hospitales/estadística & datos numéricos , Gripe Humana , Pacientes/estadística & datos numéricos , Absentismo , Personal de Salud/psicología , Planificación en Salud/organización & administración , Administración Hospitalaria , Humanos , Gripe Humana/diagnóstico , Gripe Humana/epidemiología , Entrevistas como Asunto , Ciudad de Nueva York/epidemiología , Pandemias , Estudios Retrospectivos , Estaciones del Año
4.
Am J Disaster Med ; 15(1): 7-22, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32804382

RESUMEN

Hospitals, which care for some of the most vulnerable individuals, have been impacted by disasters in the past and are likely to be affected by future disasters. Yet data on hospital evacuations are infrequent and outdated, at best. This goal of this study was to determine the characteristics and frequency of disasters in the United States that have resulted in hospital evacuations by an appraisal of the literature from 2000 to 2017. There were 158 hospital evacuations in the United States over 18 years. The states with the highest number of evacuations were Florida (N = 39), California (N = 30), and. Texas (N = 15). The reason for the evacuation was "natura" in 114 (72.2 percent), made-man "intentional" 14 (8.9 percent), and man-made "unintentional" or technological related to internal hospital infrastructure 30 (19 percent).The most common natural threats were hurricanes (N = 65) (57 percent), wildfires (N = 21) (18.4 percent), floods (N = 10) (8.8 percent), and storms (N = 8) (7 percent). Bombs/bomb threats were the most common reason (N = 8) (57.1 percent) for a hospital evacuation result-ing from a man-made intentional disaster, followed by armed gunman (N = 4) (28.6 percent). The most frequent infrastruc-ture problems included hospital fires/smoke (N = 9) (30 percent), and chemical fumes (N = 7) (23.3 percent). Of those that reported the duration and number of evacuees, 30 percent of evacuations lasted over 24 h and the number of evacuees was >100 in over half (55.2 percent) the evacuations. This information regarding hospital evacuations should allow hospital administrators, disaster planners, and others to better prepare for disasters that result in the need for hospital evacuation.


Asunto(s)
Planificación en Desastres/organización & administración , Desastres/estadística & datos numéricos , Hospitales , Transferencia de Pacientes/estadística & datos numéricos , Transporte de Pacientes/estadística & datos numéricos , Tormentas Ciclónicas , Fuego , Inundaciones , Administración Hospitalaria , Humanos , Estados Unidos
6.
Healthc Q ; 23(2): 16-17, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32762814

RESUMEN

As a chief nurse in Ontario during the severe acute respiratory syndrome (SARS) outbreak in 2003, I never thought I would experience anything even remotely similar, let alone exponentially worse, in my lifetime. Seventeen years and almost 17,000 km later, the COVID-19 crisis feels eerily similar in many ways, and completely different in others.


Asunto(s)
Infecciones por Coronavirus , Brotes de Enfermedades/prevención & control , Pandemias , Neumonía Viral , Síndrome Respiratorio Agudo Grave , Australia/epidemiología , Betacoronavirus , Canadá/epidemiología , Administración Hospitalaria , Humanos , Administración en Salud Pública/métodos , Cuarentena/organización & administración
7.
J Med Syst ; 44(10): 177, 2020 Aug 26.
Artículo en Inglés | MEDLINE | ID: mdl-32845385

RESUMEN

BACKGROUND: The outbreak of Coronavirus disease (COVID-19) pandemic has become the most serious global health issue. Isolation policy in hospitals is one of the most crucial protocols to prevent nosocomial infection of COVID-19. It is important to monitor and assess the physical conditions of the patients in isolation. METHODS: Our institution has installed the novel non-contact wireless sensor for vital sign sensing and body movement monitoring for patients in COVID-19 isolation ward. RESULTS: We have collected and compared data between the radar record with the nurse's handover record of two patients, one recorded for 13 days and the other recorded for 5 days. The P value by Fisher's exact test were 0.139 (temperature, P > 0.05) and 0.292 (heart beat rate, P > 0.05) respectively. CONCLUSIONS: This is the first report about the application experience of this equipment. Therefore we attempted to share the experience and try to apply this equipment in COVID-19 patients in future to offer the more reliable and safe policy.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Monitoreo Fisiológico/instrumentación , Neumonía Viral/epidemiología , Radar/instrumentación , Telemetría/instrumentación , Betacoronavirus , Infecciones por Coronavirus/prevención & control , Infección Hospitalaria/prevención & control , Administración Hospitalaria , Humanos , Movimiento , Pandemias/prevención & control , Aislamiento de Pacientes , Neumonía Viral/prevención & control
9.
Neurología (Barc., Ed. impr.) ; 35(6): 372-380, jul.-ago. 2020. tab, mapas
Artículo en Español | IBECS | ID: ibc-189802

RESUMEN

INTRODUCCIÓN: La sobrecarga asistencial y los cambios organizativos frente a la pandemia de COVID-19 podrían estar repercutiendo en la atención al ictus agudo en la Comunidad de Madrid. MÉTODOS: Encuesta estructurada en bloques: características del hospital, cambios en infraestructura y recursos, circuitos de código ictus, pruebas diagnósticas, rehabilitación y atención ambulatoria. Análisis descriptivo según el nivel de complejidad en la atención del ictus (disponibilidad o no de unidad de ictus y de trombectomía mecánica). RESULTADOS: De los 26 hospitales del SERMAS que atienden urgencias en adultos, 22 cumplimentaron la encuesta entre el 16 y 27 de abril. El 95% han cedido neurólogos para atender a pacientes afectados por la COVID-19. Se han reducido camas de neurología en el 89,4%, modificado los circuitos en urgencias para ictus en el 81%, con circuitos específicos para sospecha de infección por SARS-CoV2 en el 50%, y en el 42% de los hospitales los pacientes con ictus agudo positivos para SARS-CoV2 no ingresan en camas de neurología. Ha mejorado el acceso al tratamiento, con trombectomía mecánica las 24 h en el propio hospital en 10 hospitales, y se han reducido los traslados interhospitalarios secundarios. Se ha evitado el ingreso de pacientes con ataque isquémico transitorio o ictus leve (45%) y se han incorporado consultas telefónicas para seguimiento en el 100%. CONCLUSIONES: Los cambios organizativos de los hospitales de la Comunidad de Madrid frente a la pandemia por SARS-Co2 han modificado la dedicación de recursos humanos e infraestructuras de las unidades de neurología y los circuitos de atención del ictus, realización de pruebas diagnósticas, ingreso de los pacientes y seguimiento


INTRODUCTION: The overload of the healthcare system and the organisational changes made in response to the COVID-19 pandemic may be having an impact on acute stroke care in the Region of Madrid. METHODS: We conducted a survey with sections addressing hospital characteristics, changes in infrastructure and resources, code stroke clinical pathways, diagnostic testing, rehabilitation, and outpatient care. We performed a descriptive analysis of results according to the level of complexity of stroke care (availability of stroke units and mechanical thrombectomy). RESULTS: The survey was completed by 22 of the 26 hospitals in the Madrid Regional Health System that attend adult emergencies, between 16 and 27 April 2020. Ninety-five percent of hospitals had reallocated neurologists to care for patients with COVID-19. The numbers of neurology ward beds were reduced in 89.4% of hospitals; emergency department stroke care pathways were modified in 81%, with specific pathways for suspected SARS-CoV2 infection established in 50% of hospitals; and SARS-CoV2-positive patients with acute stroke were not admitted to neurology wards in 42%. Twenty-four hour on-site availability of mechanical thrombectomy was improved in 10 hospitals, which resulted in a reduction in the number of secondary hospital transfers. The admission of patients with transient ischaemic attack or minor stroke was avoided in 45% of hospitals, and follow-up through telephone consultations was implemented in 100%. CONCLUSIONS: The organisational changes made in response to the SARS-Co2 pandemic in hospitals in the Region of Madrid have modified the allocation of neurology department staff and infrastructure, stroke units and stroke care pathways, diagnostic testing, hospital admissions, and outpatient follow-up


Asunto(s)
Humanos , Adulto , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Betacoronavirus , Pandemias , Prioridades en Salud , Accidente Cerebrovascular/terapia , Administración Hospitalaria , Neurología/organización & administración , Teleneurología , España
10.
Enferm. foco (Brasília) ; 11(1,n.esp): 185-191, ago. 2020.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1116667

RESUMEN

Objetivo: relatar a experiência de liderar a implantação de ações técnicas e assistenciais em hospital para atendimento da pandemia do COVID-19. Método: Relato de Experiência da atuação como gestora na implantação das ações no Hospital Israelita Albert Einstein para atendimento à pandemia do novo coronavírus. Resultados: Foi criado um Comitê de Gestão de Crise multiprofissional que estabeleceu ações como a formação de um Núcleo de Inteligência e um de Epidemiologia, bem como para padronização das boas práticas e uso dos recursos. Conclusão: A participação neste momento de pandemia na experiência de protagonizar ações visando o melhor atendimento foi importante, reafirmando o papel da Enfermagem e do Enfermeiro na gestão na área hospitalar. (AU)


Objective: to report the experience of leading the implementation of technical and assistance actions in a hospital to care for the pandemic of COVID-19. Method: Experience report of performance as a manager in the implementation of actions at Hospital Israelita Albert Einstein to attend the pandemic of the new coronavirus. Results: A multiprofessional Crisis Management Committee was created, which established actions such as the formation of an Intelligence Center and an Epidemiology Center, as well as for the standardization of good practices and the use of resources. Conclusion: Participation in this pandemic moment in the experience of leading actions aimed at better care was important, reaffirming the role of Nursing and Nurse in the management in the hospital area. (AU)


Objetivo: informar la experiencia de liderar la implementación de acciones técnicas y de asistencia en un hospital para atender la pandemia de COVID-19. Método: Informe de experiencia del desempeño como gerente en la implementación de acciones en el Hospital Israelita Albert Einstein para asistir a la pandemia del nuevo coronavirus. Resultados: se creó un Comité de Gestión de Crisis multiprofesional, que estableció acciones como la formación de un Centro de Inteligencia y un Centro de Epidemiología, así como para la estandarización de buenas prácticas y el uso de recursos. Conclusión: La participación en este momento pandémico en la experiencia de liderar acciones dirigidas a una mejor atención fue importante, reafirmando el papel de Enfermería y Enfermera en la gestión en el área hospitalaria. (AU)


Asunto(s)
Coronavirus , Enfermería , Infecciones por Coronavirus , Pandemias , Administración Hospitalaria
13.
Assist Inferm Ric ; 39(2): 66-108, 2020.
Artículo en Italiano | MEDLINE | ID: mdl-32686776

RESUMEN

. The covid-19 emergency in the words of the nurses . This special issue of AIR is dedicated to the direct professional experiences and personal testimonies of a sample of the nursing personnel during the most dramatic phase of the covid-19 pandemia in the most severely affected regions of Northern Italy (Lombardy, Piedmont, Veneto, Friuli, Trentino, Emilia Romagna Regions). The decision to adopt a research strategy aimed to give visibility and voice to colleagues representing some of the key hospitals of the regions obliged to a radical reorganisation of their structures and organisation of care, was adopted to catch from inside the crisis scenarios the expected mix of intense emotions (from anxiety, to fatigue, to personal and professional uncertainty, to the burden of impotence), and of needed technical creativity and efficiency which were requested to face a totally unexpected situation where guidelines could hardly be of help. The interview/diaries/focus groups were carefully planned not so much in terms of the contents, but with attention to the acceptance of the interviewed to enter in a free dialogue, with no Q&A, to be recorded, and to last for the time felt to be by both sides appropriate. The texts which are reported in this dossier are fragments of the recordings (overall more then 30 hours), without adjustments. It has been agreed that while all the names of the participants are provided as 'authors', the individual contributions are anonymous (not out of privacy consideration!) as they are part of a collective narrative, which reflects the great variability of the languages and of the perceived-expressed experiences and memories. The material has been organised in sections which are conceived as 'verbal snapshots' taken from the networks of care settings, but at the same time of the places and houses where the colleagues were literally full-time living, to assure unaccountable overtime working hours, and the requested 'safety distances' and lockdowns. The titles of the 8 sections coincide somehow with the principal components of the chain of activities and challenges which had to be faced: The changes in everyday's care, How to be prepared to the emergency, The teamwork, The loneliness and the isolation of the patients, The loneliness of the nurses, The difficult choices, The organization of the work and of the wards, change after covid-19. The core of the dossier is framed by boxes which provide also a minimum background of the administrative and epidemiological data on the pandemia in the regions of interest (it is interesting to remind that the central-southern areas of Italy have been far less affected), and a brief concluding reflection on reflection on the post-pandemia from the nursing point of view.


Asunto(s)
Actitud del Personal de Salud , Actitud Frente a la Salud , Infecciones por Coronavirus , Enfermeras y Enfermeros/psicología , Pandemias , Neumonía Viral , Toma de Decisiones Clínicas , Urgencias Médicas , Administración Hospitalaria , Humanos , Italia , Soledad , Enfermería/métodos , Enfermería/organización & administración , Grupo de Enfermería , Aislamiento de Pacientes
14.
MEDICC Rev ; 22(2): 69-71, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: covidwho-477563

RESUMEN

Speaking remotely with US graduates of Havana's Latin American School of Medicine (ELAM), I found them at work on hospital floors, in ICUs and health centers across the United States, putting their professional and personal commitment to the test against COVID-19. Nowhere was that more evident than in New York City, the disease's epicenter, where one grad told me virtually every hospital has at least one MD from the Cuban school, which has provided free 6-year medical training for some 30,000 doctors since the school's founding in 1999. The student body comes primarily from low- and middle-income countries worldwide, but Cuba also provided 200 US students with scholarships. One of them is Dr Joaquín Morante (ELAM Class of 2012), who did his medical residency in internal medicine, followed by fellowships in pulmonary disease and critical care medicine. Triple-licensed in internal medicine, pulmonary and critical care medicine, he is now an attending physician on staff at Jacobi Medical Center in The Bronx, one of New York City's public hospitals, and considered a 'hot spot' due to its COVID-19 caseload. I spoke with him during a break at home in mid-April.Dr Joaquín Morante, ELAM Class of 2012: Pulmonologist, critical care attending physician at Jacobi Medical Center, New York City.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Médicos , Neumonía Viral/epidemiología , Cuba , Administración Hospitalaria , Humanos , Unidades de Cuidados Intensivos/organización & administración , Masculino , Ciudad de Nueva York/epidemiología , Pandemias , Ropa de Protección/provisión & distribución , Ventiladores Mecánicos/provisión & distribución
15.
Indian J Public Health ; 64(Supplement): S240-S242, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: covidwho-553382

RESUMEN

The response to the first health worker case in India and novel strategies adopted in the context of evolving pandemic of COVID-19 is presented here. On the same day of confirmation, institutional COVID cell was established, and contact tracing was started. A total of 184 contacts were identified and quarantined. Hospital services were scaled down, and responsibilities were reassigned. In-house digital platforms were used for daily meetings, contact tracing, line listing, risk stratification, and research. Reverse transcription polymerase chain reaction-based severe acute respiratory syndrome-CoV2 testing facility was established in the institute. All high-risk contacts were given hydroxychloroquine prophylaxis. No secondary cases were found. Hospital preparedness, participatory decision-making through institutional COVID cell, optimal use of in-house digital platforms, and coordination with the state health department and national bodies, including Indian Council of Medical Research, were the supporting factors. Rapidly evolving guidelines, trepidation about the disease, logistic delays, and lack of support systems for people under quarantine were the challenges in the containment exercise.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Administración Hospitalaria , Control de Infecciones/organización & administración , Pandemias/prevención & control , Neumonía Viral/prevención & control , Betacoronavirus , Trazado de Contacto/métodos , Humanos , Cuarentena/métodos
17.
Artículo en Inglés | MEDLINE | ID: covidwho-401231

RESUMEN

This paper describes the evolving role of robotics in healthcare and allied areas with special concerns relating to the management and control of the spread of the novel coronavirus disease 2019 (COVID-19). The prime utilization of such robots is to minimize person-to-person contact and to ensure cleaning, sterilization and support in hospitals and similar facilities such as quarantine. This will result in minimizing the life threat to medical staff and doctors taking an active role in the management of theCOVID-19 pandemic. The intention of the present research is to highlight the importance of medical robotics in general and then to connect its utilization with the perspective of COVID-19 management so that the hospital management can direct themselves to maximize the use of medical robots for various medical procedures. This is despite the popularity of telemedicine, which is also effective in similar situations. In essence, the recent achievement of the Korean and Chinese health sectors in obtaining active control of the COVID-19 pandemic was not possible without the use of state of the art medical technology.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/métodos , Administración Hospitalaria , Control de Infecciones/métodos , Neumonía Viral/epidemiología , Robótica/métodos , Betacoronavirus , Humanos , Pandemias , Telemedicina
18.
Stud Health Technol Inform ; 270: 1363-1364, 2020 Jun 16.
Artículo en Inglés | MEDLINE | ID: mdl-32570660

RESUMEN

Effective bed management is important for hospital management. Until now, bed allocation process is generally controlled by administrative staffs in centralized manner but it is not always effective. In the present study, we proposed and evaluated new method for bed allocation applying market mechanism via token. Evaluation was performed with newly-developed game-type simulation. Nurse managers as research participants played it and answered for survey. The result showed that the proposed method can be useful with appropriate operational design.


Asunto(s)
Ocupación de Camas , Administración Hospitalaria , Enfermeras Administradoras , Humanos
19.
Artículo en Inglés | MEDLINE | ID: mdl-32481547

RESUMEN

This paper describes the evolving role of robotics in healthcare and allied areas with special concerns relating to the management and control of the spread of the novel coronavirus disease 2019 (COVID-19). The prime utilization of such robots is to minimize person-to-person contact and to ensure cleaning, sterilization and support in hospitals and similar facilities such as quarantine. This will result in minimizing the life threat to medical staff and doctors taking an active role in the management of theCOVID-19 pandemic. The intention of the present research is to highlight the importance of medical robotics in general and then to connect its utilization with the perspective of COVID-19 management so that the hospital management can direct themselves to maximize the use of medical robots for various medical procedures. This is despite the popularity of telemedicine, which is also effective in similar situations. In essence, the recent achievement of the Korean and Chinese health sectors in obtaining active control of the COVID-19 pandemic was not possible without the use of state of the art medical technology.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/métodos , Administración Hospitalaria , Control de Infecciones/métodos , Neumonía Viral/epidemiología , Robótica/métodos , Betacoronavirus , Humanos , Pandemias , Telemedicina
20.
Rev Esp Salud Publica ; 942020 Jun 16.
Artículo en Español | MEDLINE | ID: mdl-32541647

RESUMEN

OBJECTIVE: Decision making in hospitals, and especially in their own healthcare services, is hardly referenced in the literature. During the pandemic period, healthcare services have put in place contingency plans to minimize the consequences of the coronavirus on professionals and patients. However, the deployment of contingency plans and results are hardly shared, depriving other services of references to refute, compare or emulate the aforementioned plans. The objective of this work was the description of the implementation and evaluation of Contingency Plans in the Covid-19 pandemic in a unit of inflammatory bowel disease of a Digestive Service in the Sanitary Area of Pontevedra and O Salnés. METHODS: A team of managers and professionals adapted the 10 measures recommended by Deloitte to face a pandemic to the healthcare environment. The measures were then formulated as a checklist. From the Plan-Do-Check-Act improvement cycle, they were grouped into categories: risk management, organizational management and decision-making. Finally, an external team carried out a qualitative evaluation of the implementation of the contingency plan carried out. RESULTS: The Intestinal Inflammatory Disease Unit of the Digestive Service has obtained an assessment of compliance with the 10 recommended measures to confidently face a pandemic. CONCLUSIONS: Sharing the deployment of the contingency plan and its results is useful to identify good practices. This article shows a method to evaluate decision-making in pandemic situations. The outcomes faces the The Intestinal Inflammatory Disease Unit in an excelent position.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Administración Hospitalaria , Departamentos de Hospitales/organización & administración , Enfermedades Inflamatorias del Intestino/terapia , Enfermedades Intestinales/terapia , Pandemias/prevención & control , Neumonía Viral/prevención & control , Betacoronavirus , Lista de Verificación , Infecciones por Coronavirus/complicaciones , Toma de Decisiones , Prestación de Atención de Salud , Planificación en Desastres , Adhesión a Directriz , Humanos , Enfermedades Inflamatorias del Intestino/complicaciones , Enfermedades Intestinales/complicaciones , Neumonía Viral/complicaciones , Evaluación de Programas y Proyectos de Salud , Salud Pública , Gestión de Riesgos , España/epidemiología
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