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1.
BMC Health Serv Res ; 20(1): 78, 2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32013980

RESUMO

BACKGROUND: Good workspace design is key to the quality of work, safety, and wellbeing for workers, yet we lack vital knowledge about optimal hospital design to meet healthcare workforce needs. This study used novel mobile methods to examine the concept of Work-as-Done and the effect of workspace-use on healthcare professional practice, productivity, health and safety in an Australian university hospital. METHODS: This pilot study took place in one gastroenterological surgical unit between 2018 and 2019. Data collection involved 50 h of observations and informal conversations, followed by interpretation of five architectural plans and 45 photographs. Fieldnotes were thematically analysed and corroborated by analysis of visual data using a predefined taxonomy. RESULTS: Six themes were identified, revealing spaces that both support and hinder Work-as-Done. Fit-for-purpose spaces facilitated effective communication between staff, patients and families, conferred relative comfort and privacy, and supported effective teamwork. Unfit-for-purpose spaces were characterised by disruptions to work practices, disharmony among team members, and physical discomfort for staff. Staff employed workarounds to manage unfit-for-purpose spaces. CONCLUSION: The results identified negative impacts of negotiating unfit-for-purpose workspaces on the work and wellbeing of staff. While the use of workarounds and adaptations enable staff to maintain everyday working practices, they can also lead to unexpected consequences. Results indicated the need to identify and support fit-for-purpose spaces and minimize the detrimental qualities of unfit-for-purpose spaces. This study showed that mobile methods were suitable for examining Work-as-Done in a fast-moving, adaptive hospital setting.


Assuntos
Eficiência Organizacional , Arquitetura Hospitalar , Recursos Humanos em Hospital/psicologia , Centro Cirúrgico Hospitalar/organização & administração , Local de Trabalho , Austrália , Hospitais Universitários , Humanos , Observação , Projetos Piloto
2.
J Nurs Adm ; 49(11): 556-560, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651616

RESUMO

OBJECTIVE: This descriptive survey explores the experiences of chief nursing officers (CNOs) who have participated in hospital-based building or remodeling projects. BACKGROUND: As a pivotal member of the leadership team for facility projects, CNOs are often charged with contributing to decisions regarding placement of technology connections, selection of design elements to prevent healthcare-associated infections, choice of location for supplies, and management of construction change orders. METHODS: A descriptive survey approach guided telephone interviews with 12 CNOs from across the United States. Credibility was achieved through peer debriefing and member checking. Transferability was demonstrated through detailed description; dependability and confirmability were demonstrated through an audit trail of the data collection and analysis processes. RESULTS: Three main themes were identified, and a list of practice implications was developed. CONCLUSIONS: CNOs can use the recommendations from this study as a starting point for future building or remodeling projects.


Assuntos
Atitude do Pessoal de Saúde , Guias como Assunto , Arquitetura Hospitalar/normas , Liderança , Enfermeiras Administradoras/psicologia , Papel Profissional , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Estados Unidos
3.
Public Health ; 175: 145-147, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31494335

RESUMO

OBJECTIVES: Aspergillus spp could be responsible of nosocomial aspergillosis in immunocompromised patients. In 2018, it was decided to demolish a building of Careggi Hospital (Florence, Italy), the Chief Medical Officer ordered a 9-months-long air and surface microbiological sampling and extraordinary preventive measures. STUDY DESIGN: A 9-months-long prospective study. METHODS: After mapping the at-risk areas, air and surface samples were collected in different locations: in corridors, in rooms (high efficiency particulate air filter (HEPA) filtered or not), and outdoors. The samples were collected during the critical phases of the demolition. Air temperature and weather conditions were determined and recorded at the beginning of each sampling. RESULTS: Seventy-eight air samples and 72 surface samples were collected. The results showed highest contamination at time zero (before extraordinary preventive measures) and in the wards without HEPA filtered air. No specific prophylaxis strategy was implemented at our hospital for immunocompromised patients, and no cases of aspergillosis were recorded. CONCLUSIONS: Our results showed that extraordinary protective measures, the use of air treatment systems, and a continuous monitoring could be associated with decreased Aspergillus air contamination during construction, renovation, or demolition works.


Assuntos
Microbiologia do Ar , Aspergilose/prevenção & controle , Aspergillus/isolamento & purificação , Infecção Hospitalar/prevenção & controle , Arquitetura Hospitalar , Aspergilose/epidemiologia , Infecção Hospitalar/epidemiologia , Humanos , Itália/epidemiologia , Estudos Prospectivos
4.
Neuron ; 103(4): 559-562, 2019 08 21.
Artigo em Inglês | MEDLINE | ID: mdl-31437452
5.
Stud Health Technol Inform ; 264: 1757-1758, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438329

RESUMO

Medical geo-informatics allows the Health world to address major challenges thanks to attractive concepts, methods and user-friendly IT. PoleSat-web-2018 presents a decision support system - a modelling "variable geometry" IT tool for simulation of hospital spatial planning. The outputs enable quasi-instantaneous analytic visualization at several geographic levels. PoleSat-web-2018 provides prospective views of hospital catchments (by grouping, closing) and proves to be relevant for the French planners of the Ministry of Health.


Assuntos
Sistemas de Informação Geográfica , Arquitetura Hospitalar , Internet , Estudos Prospectivos , Software
6.
Washington, D.C.; PAHO; 2019-08-13.
em Inglês | PAHO-IRIS | ID: phr-51448

RESUMO

[Introduction]. The Hospital Safety Index occupies a central place in local, national and global efforts to improve the functioning of hospitals in emergencies and disasters. This is an area that the World Health Organization (WHO) has promoted and supported for more than 25 years. After the Pan American Health Organization (PAHO) and WHO released the first version of the Hospital Safety Index in 2008, ministries of health and other health entities, other government ministries and agencies, and public and private hospitals across the six regions of WHO have joined their counterparts in the Americas in applying and adapting the Hospital Safety Index. The growing interest in safe hospitals led to calls from countries and other stakeholders for the revision of Hospital Safety Index to make it a truly global assessment tool that can be used in all contexts across the world. In emergencies, disasters and other crises, a community must be able to protect the lives and well-being of the affected population, particularly in the minutes and hours immediately following impact or exposure. The ability of health services to function without interruption in these situations is a matter of life and death. The continued functioning of health services relies on a number of key factors, namely: that health services are housed in structures (such as hospitals or other facilities) that can resist exposures and forces from all types of hazards; medical equipment is in good working order and is protected from damage; community infrastructure and critical services (such as water, electricity etc.) are available to support the health services; and health personnel are able to provide medical assistance in safe and secure settings when they are most needed... This Guide for evaluators for the Hospital Safety Index provides a step-by-step explanation of how to use the Safe Hospitals Checklist, and how the evaluation can be used to obtain a rating of the structural and nonstructural safety, and the emergency and disaster management capacity, of the hospital. The results of the evaluation enable hospital’s own safety index to be calculated.


Assuntos
Emergências em Desastres , Instalações de Saúde , Gestão da Segurança , Medicina de Emergência , Planejamento em Desastres , Avaliação de Risco e Mitigação , Arquitetura Hospitalar , Instituições de Saúde, Recursos Humanos e Serviços , Planejamento Hospitalar
7.
Bull Hist Med ; 93(2): 207-240, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31303629

RESUMO

Neurosurgeon Wilder Penfield (1891-1976) envisioned hospital architecture as a powerful medical tool. Focusing on two key interiors in the 1934 Montreal Neurological Institute (MNI)-the operating room and the foyer-this article engages newly accessible textual and material evidence to show Penfield's intense involvement in the design of the building. A unique, tri-level surgical room, with a sophisticated setup for photography, made the MNI's surgery interactive. The OR is discussed with regard to the relationship of doctors and architects and Penfield's penchant for architectural travel. Subsequently, we visit the foyer as a spatial counterpoint to the operating room. Its design enabled a particular, Penfield-inspired view of the brain and recounted neurological history in the language of Art Deco design. An emphasis on axial movement pushed visitors to "consume" a work of sculpture, meticulously copied from another in Paris. The architecture of the MNI thus monumentalized Penfield's accomplishments, by his own design.


Assuntos
Arquitetura Hospitalar/história , Neurocirurgiões/história , História do Século XX , Arquitetura Hospitalar/normas , Neurocirurgia/história , Quebeque
8.
Rev Chilena Infectol ; 36(2): 126-138, 2019 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-31344151

RESUMO

The hospital environment is a potential source of exposure to pathogens such as bacteria, fungi and parasites that can cause infections in patients with cancer including transplanted hematopoietic precursors. To mitigate this risk, the design, construction and location elements of the patient care area must be taken into account. Recommendations are given to provide safe environments, including aspects related to characteristics and use of a protected environment, the definition of critical processes, clinical teams dedicated to the care of patients, suggestions of areas to be monitored, the microbiological quality of air and water.


Assuntos
Infecção Hospitalar/microbiologia , Infecção Hospitalar/prevenção & controle , Equipamentos e Provisões Hospitalares/microbiologia , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Arquitetura Hospitalar/métodos , Neoplasias/complicações , Microbiologia do Ar , Exposição Ambiental/efeitos adversos , Humanos , Imunocompetência , Controle de Infecções/métodos , Neoplasias/terapia , Medição de Risco , Fatores de Risco , Microbiologia da Água
9.
Nurs Womens Health ; 23(4): 299-308, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31251934

RESUMO

OBJECTIVE: To evaluate the information that women with low-risk pregnancies received during the prenatal period about latent labor and the early-labor lounge (ELL) and their subsequent use of the ELL. DESIGN: Cross-sectional design with survey. SETTING/LOCAL PROBLEM: Community hospital in the northeastern United States with a low-risk cesarean birth rate of 33%, which exceeds the national target rate of 23.9%. PARTICIPANTS: Low-risk, nulliparous, pregnant women with a term singleton vertex fetus at hospital admission (N = 67). INTERVENTION/MEASUREMENTS: An electronic survey was administered before hospital discharge following birth. The survey assessed prenatal education, use of the ELL, admission characteristics, and birth satisfaction. Descriptive analysis was used. RESULTS: Nearly half (43.9%) of the women surveyed used the ELL. ELL users received prenatal care (72.3%), knew signs of active labor (93.1%), and had a cesarean birth rate of 7.1%. Significantly greater proportions of women prenatally cared for by midwives reported knowledge of the signs of early labor (100% vs. 80%; χ2 = 4.4, p = .04) and of the availability of the ELL (18.2% vs. 70.6%; χ2 = 15.2, p < .001). A range of activities were offered in the ELL, and at least 75% of women indicated that all activities were helpful during latent labor. Birth satisfaction scores, measured on a scale of 0 to 40, with 40 indicating greatest satisfaction, ranged from 22 to 35 among ELL participants. CONCLUSION: An ELL is a care innovation that hospitals can consider for providing support to women with low-risk pregnancies during the latent phase of labor. Women who used the ELL reported feeling that it provided guidance and support. An ELL is a woman-centered option for delayed admission.


Assuntos
Arquitetura Hospitalar/normas , Trabalho de Parto/psicologia , Cuidado Pré-Natal/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Gravidez , Cuidado Pré-Natal/métodos , Cuidado Pré-Natal/normas , Inquéritos e Questionários
10.
Crit Care Nurs Q ; 42(3): 265-277, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31135477

RESUMO

Medical technology has progressed tremendously over the last few decades, but the same development cannot be seen in the design of these intensive care unit environments. Authors report results of a study of evidence-based room design, emphasizing the impact on conveying a caring attitude to patients. Ten nonparticipant observations were conducted in patient rooms with 2 different designs, followed by interviews. The data were analyzed using a phenomenological-hermeneutical approach. The results did not reveal that it was obvious that redesigned spaces resulted in a more caring attitude. The meanings of caring displayed during nursing activities were interpreted by interpreting gazes. Some of the nursing staff had an instrumental gaze, interpreted as caring with a task-orientated approach, while others communicated their caring with an attentive and attuned gaze, where the needs of the patients regulated the working shift. The study findings indicated that caring may not be perceived when nurses use a task-oriented approach. However, when nurses practice a person-centered approach, using an attentive and attuned gaze, caring is conveyed. Caring in intensive care contexts needs to be assisted by a supportive environment design that cultivates the caring approach.


Assuntos
Enfermagem de Cuidados Críticos/tendências , Empatia , Arquitetura Hospitalar , Relações Enfermeiro-Paciente , Quartos de Pacientes/normas , Humanos , Unidades de Terapia Intensiva , Entrevistas como Assunto , Pesquisa Qualitativa
12.
Int J Health Care Qual Assur ; 32(4): 731-738, 2019 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-31111780

RESUMO

PURPOSE: Patients with extended hospital admissions had no recreation facilities in the ward. They were often confined to spaces around their beds, using the ward corridor for rehabilitation. The purpose of this paper is to outline a quality improvement (QI) intervention-provision of a recreational space for long-stay patients. DESIGN/METHODOLOGY/APPROACH: An exploratory quantitative pre-, post-test design was utilised, and executed in three phases: patients, visitors and staff survey to explore recreation and comfort needs and preferences; store room refurbishment; and patient, visitor and staff satisfaction with the recreation room. FINDINGS: Overall, 77 questionnaires were completed (n=49 staff; n=28 patient/visitor). Almost two-thirds (64.7 per cent; n=11) of patients had a stay greater than six weeks. Insufficient private space and concerns about disturbing other patients were identified as barriers to taking part in activities. Consequently, a store room was refurbished as a recreation room (9.0 m × 6.0 m) and furnished in three distinct areas. Following refurbishment, over 90 per cent (n=24) of respondents agreed that there was a suitable space where patients could "go and chat" and spend time with family and visitors or speak to the healthcare team. PRACTICAL IMPLICATIONS: The physical environment in acute hospitals is seldom prioritised. Needs-based QI projects can improve patient hospital experiences. ORIGINALITY/VALUE: This case study highlights how nursing staff can be informed by patients' and families' needs and preferences, and initiate QI projects that improve patient hospital experiences.


Assuntos
Arquitetura Hospitalar , Melhoria de Qualidade , Recreação , Hospitais Urbanos , Humanos , Irlanda , Preferência do Paciente , Inquéritos e Questionários
13.
Adv Emerg Nurs J ; 41(2): 145-149, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31033662

RESUMO

This article describes the quality improvement process used to implement a waiting area within fast track. Staff and patient survey data indicated a significant decrease in workload, with a subsequent high satisfaction of both groups following the redesign process.


Assuntos
Serviço Hospitalar de Emergência/organização & administração , Arquitetura Hospitalar , Melhoria de Qualidade , Listas de Espera , Eficiência Organizacional , Humanos , Queensland , Inquéritos e Questionários , Carga de Trabalho
14.
Int J Gynaecol Obstet ; 146(1): 29-35, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31017650

RESUMO

Patients at risk of organ dysfunction or with established organ dysfunction should be referred to central or tertiary-level hospitals. However, even in central hospitals, intensive care unit (ICU) beds are often unavailable, which may contribute to maternal deaths. One pragmatic solution is to establish obstetric critical care units (OCCUs) in the labor wards of central hospitals; however, specific guidance on how to do this is limited. In addition, globally applicable standards of care are lacking, with uncertainty regarding who should lead obstetric critical care. In this article the specific OCCU infrastructure, equipment and human resources required to establish such units in central hospitals in low- and middle-income countries are described in sufficient detail for easy replication. Admission and discharge guidelines and operational recommendations that include quality indicators are also provided.


Assuntos
Arquitetura Hospitalar/métodos , Unidades de Terapia Intensiva/organização & administração , Obstetrícia/organização & administração , Cuidados Críticos/organização & administração , Feminino , Humanos , Morte Materna/prevenção & controle , Recursos Humanos de Enfermagem no Hospital/organização & administração , Gravidez , Complicações na Gravidez/terapia
15.
Surg Innov ; 26(4): 449-455, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31018770

RESUMO

Purpose. To describe our initial experience with a full robot-assisted approach for living donor nephrectomy (RALDN) and kidney transplantation (RAKT) in a dedicated twin operating room. Methods. From January to December 2017, 5 cases of RALDN and RAKT were performed in a single high-volume robotic center. All patients underwent a standard left RALDN. The renal hilum was controlled with Hem-O-Lok clips (WECK) and the kidney extracted through a Pfannenstiel incision. RAKT was performed according to the Vattikuti Urology Institute-Medanta technique. Results. RALDN: median estimated blood loss was 182 mL (range = 80-450 mL), no postoperative blood transfusion was required. The median (range) warm ischemia time was 175 (90-220 seconds). No conversion was registered. Median console time was 143 minutes (range = 115-220 minutes). No major surgical intraoperative and postoperative early and late complications occurred. RAKT: all 5 patients successfully underwent RAKT. Median (range) console time was 230 (190-200) minutes, vascular suture time was 58.7 (48-73) minutes, cold ischemia time was 46.2 (30-88) minutes, and rewarming time was 61.2 (55-72) minutes. No conversion was required. No major surgical intraoperative and postoperative early and late complications occurred. Mean glomerular filtration rate at days 1, 3, and 7 postoperatively was 26, 42, and 57 (range = 6-90) mL/min/1.73 m2, respectively. No case of delayed graft function was observed. No anastomosis revision, urological complications, lymphocele, and surgical site infection occurred. Conclusions. In our experience, RALDN and RAKT are safe and effective. The intuitiveness of the robotic approach provided substantial benefits both for the living donor and recipient from the very beginning of our series. No intraoperative and postoperative complications occurred.


Assuntos
Transplante de Rim/métodos , Doadores Vivos , Nefrectomia/métodos , Procedimentos Cirúrgicos Robóticos/métodos , Feminino , Arquitetura Hospitalar , Humanos , Masculino , Salas Cirúrgicas , Duração da Cirurgia
16.
HERD ; 12(1): 26-43, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30892962

RESUMO

OBJECTIVES:: This systematic literature review synthesizes and assesses quality of research addressing associations of patient and staff outcomes with inpatient unit designs incorporating decentralized caregiver workstations. BACKGROUND:: A current hospital design trend is to include decentralized caregiver workstations on inpatient units. A review of literature addressing decentralized unit design is needed. METHODS:: The systematic review methodology was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Database searches were conducted for studies published in peer-reviewed journals through October 2017. Included were empirical studies associating patient and/or staff outcomes and unit design with decentralized caregiver workstations. Individual studies were evaluated for quality using established methods, and Grading of Recommendations Assessment, Development and Evaluation (GRADE) and GRADE-Confidence in the Evidence from Reviews of Qualitative Research (GRADE-CERQual) guided rigorous inspection of evidence quality and strength for quantitative outcomes and qualitative findings, respectively. RESULTS:: The search yielded 1,096 records with 36 full-text articles examined and 12 articles included in the final review. This work was dominated by studies with limited analyses. Staff outcomes have been most widely studied, especially collaboration/communication and walking. Overall, studies exploring decentralized nursing as a design intervention have produced limited results for both staff and patient outcomes. Strength of evidence of the current literature with quantitative methods as a whole was rated very low quality. CONCLUSIONS:: Although varying degrees of caregiver workstation decentralization in inpatient units are now common, the literature addressing the impacts of such designs is of very low quality and shows inconsistency in associated outcomes. Rigorous, well-designed studies with consistently defined design and outcome measures are needed for greater confidence in determining any effects of decentralized unit design.


Assuntos
Pessoal de Saúde , Arquitetura Hospitalar , Postos de Enfermagem/organização & administração , Comunicação , Eficiência Organizacional , Humanos , Pacientes Internados , Satisfação no Emprego , Ruído , Caminhada
17.
Br J Radiol ; 92(1098): 20180918, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30912958

RESUMO

OBJECTIVES: To describe our preliminary experience in establishing an MRI suite capable to deliver targeted prostate biopsy and cryoablation. METHODS: This article includes a description of the necessary infrastructure alterations, scanning sequence suggestions, anaesthetic advice, and practical procedural considerations. We aim to examine the anticipated issues most UK centres would encounter and offer our experience in overcoming them. During this process we will also explore some of the technical aspects of MRI-guided prostate biopsy and cryoablation. RESULTS: The clinical indication, treatment rationale, intervention strategy, and initial clinical outcomes are described for our first series of patients. CONCLUSION: MRI-guided prostate intervention provides many theoretical advantages over traditional TRUS guidance. This article demonstrates some of the complexities encountered in establishing this technique in a UK centre, and the proposed solutions. ADVANCES IN KNOWLEDGE: This article gives an account of establishing the first MRI intervention suite in the UK. It demonstrates some of the logistical considerations, and offers the unit's early experience.


Assuntos
Institutos de Câncer/organização & administração , Neoplasias da Próstata/cirurgia , Criocirurgia/instrumentação , Inglaterra , Arquitetura Hospitalar , Humanos , Biópsia Guiada por Imagem , Imagem por Ressonância Magnética Intervencionista , Masculino , Corpo Clínico Hospitalar/educação , Segurança do Paciente , Seleção de Pacientes
19.
Health Secur ; 17(1): 69-73, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30779609

RESUMO

In response to the 2014 Ebola outbreak, the Office of the Assistant Secretary for Preparedness and Response (ASPR) funded the creation of 10 Regional Ebola and Other Special Pathogen Treatment Centers (RESPTCs) across the United States. These high-level isolation units are designed to provide care for patients infected with high-consequence pathogens, such as viral hemorrhagic fevers, in an environment that is safe for patients, staff, the hospital, and surrounding communities. This commentary describes the impact on infection prevention and preparedness that the Johns Hopkins biocontainment unit has on the hospital and health system beyond the unit itself. Training, research projects, and collaborative partnerships conducted by a high-level isolation unit team while the unit is not activated for patient care can enhance infection prevention, multidisciplinary training and innovation, personal protective equipment design and testing, clinical skills, and infection prevention beyond the isolation setting.


Assuntos
Surtos de Doenças/prevenção & controle , Doença pelo Vírus Ebola/prevenção & controle , Arquitetura Hospitalar , Controle de Infecções/métodos , Contenção de Riscos Biológicos/métodos , Pessoal de Saúde , Humanos , Isolamento de Pacientes , Equipamento de Proteção Individual , Centros de Atenção Terciária , Estados Unidos
20.
Health Secur ; 17(1): 27-34, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30779610

RESUMO

High-consequence pathogens create a unique problem. To provide effective treatment for infected patients while providing safety for the community, a series of 10 high-level isolation units have been created across the country; they are known as Regional Ebola and Special Pathogen Treatment Centers (RESPTCs). The activation of a high-level isolation unit is a highly resource-intensive activity, with effects that ripple across the healthcare system. The incident command system (ICS), a standard tool for command, control, and coordination in domestic emergencies, is a command structure that may be useful in a biocontainment event. A version of this system, the hospital emergency incident command system, provides an adaptable all-hazards approach in healthcare delivery systems. Here we describe its utility in an operational response to safely care for a patient(s) infected with a high-consequence pathogen on a high-level isolation unit. The Johns Hopkins Hospital created a high-level isolation unit to manage the comprehensive and complex needs of patients with high-consequence infectious diseases, including Ebola virus disease. The unique challenges of and opportunities for providing care in this high-level isolation unit led the authors to modify the hospital incident command system model for use during activation. This system has been tested and refined during full-scale functional and tabletop exercises. Lessons learned from the after-action reviews of these exercises led to optimization of the structure and implementation of ICS on the biocontainment unit, including improved job action sheets, designation of physical location of roles, and communication approaches. Overall, the adaptation of ICS for use in the high-level isolation unit setting may be an effective approach to emergency management during an activation.


Assuntos
Contenção de Riscos Biológicos/métodos , Serviços Médicos de Emergência/organização & administração , Doença pelo Vírus Ebola/terapia , Arquitetura Hospitalar/métodos , Controle de Infecções/métodos , Corpo Clínico Hospitalar/educação , Doença pelo Vírus Ebola/transmissão , Sistemas de Comunicação no Hospital , Humanos , Isolamento de Pacientes , Centros de Atenção Terciária
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