Service Quality Analysis of a Field Hospital during COVID-19 in Thailand

The objectives of this research are to explore dimensions of service quality and evaluate service quality expectations, perceptions and satisfactions of healthcare workers in a field hospital. Data were collected from 126 medical personnel who were caring for COVID-19 patients. The questionnaire was developed from guidelines for setting up field hospitals in Thailand. Exploratory Factor Analysis (EFA) extracted 7 dimensions, Service quality was analyzed with service gap analysis, Important Performance Analysis (IPA) and Priority nonconformity index (PNCI). The Gap analysis found that overall service quality was satisfactory. Infrastructure was a most satisfied dimension. Social responsibility was a most dissatisfaction. IPA showed logistics with risk management and administrative procedure were strength. The PNCI suggested to transfer resources from infrastructure medical service, occupational health and safety to improve personnel quality and social responsibility. © 2022 ACM.

Investigation of healthcare-associated SARS-CoV-2 infection: Learning outcomes from an investigative process in the initial phase of the pandemic.

Background: Healthcare-associated (HCA) SARS-CoV-2 infection is a significant contributor to the spread of the 2020 pandemic. Timely review of HCA cases is essential to identify learning to inform infection prevention and control (IPC) policies and organisational response. Aim: To identify key areas for improvement through rapid investigation of HCA SARS-CoV-2 cases and to implement change. Methods: Cases were identified based on date of first positive SARS-CoV-2 PCR sample in relation to date of hospital admission. Cases were reviewed using a structured gap analysis tool to identify key learning points. These were discussed in weekly multidisciplinary meetings to gain consensus on learning outcomes, level of harm incurred by the patient and required actions. Learning was then promptly fed back to individual teams and the organisation. Findings: Of the 489 SARS-CoV-2 cases admitted between 10th March and 23rd June 2020, 114 suspected HCA cases (23.3%) were reviewed; 58/489 (11.8%) were ultimately deemed to be HCA. Five themes were identified: individual patient vulnerability, communication, IPC implementation, policy issues and organisational response. Adaptations to policies based on these reviews were completed within the course of the initial phase of the pandemic. Conclusion: This approach enabled timely learning and implementation of control measures and policy development.

How to Make Green Building Certification & Rating Systems More Pandemic-Sustainable?

The present study demonstrates a gap analysis (in response to the COVID-19 pandemic) of the best known widely used green building certification and rating systems (GBC&RSs): LEED, WELL, BREEAM, CASBEE. These systems have been analyzed for their missing responses according to a list of selected pandemic-sustainable indicators. The gap levels for each system have been calculated and then compared to each other. Among four GBC&RSs, BREEAM exhibited the smallest gap score, whereas LEED and WELL held the largest gap scores. Following these results, we suggest courses of action for each system to remove the gaps that will result in achieving a better response under pandemic conditions. © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

Building Energy Audits—Diagnosis and Retrofitting towards Decarbonization and Sustainable Cities

A collection of twelve papers published in Energies, in a Special Issue on “Building Energy Audits-Diagnosis and Retrofitting”, was bound together and published in 2021, focusing on the built environment. The aim was to systematically collect and analyze relevant data for obtaining adequate knowledge on the energy use profile of buildings, and was extended for the sustainability assessment of the built environment. To date, all papers have been very well received, attaining a total of 97 citations and over 15,300 views. The papers addressed historic and various building types, baselines for non-residential buildings from energy performance audits and from in-situ measurements, monitoring and data analysis, assessment of indoor environmental quality, model calibration and verification of energy savings, along with an urban audit and rating method for assessing the sustainability of the built environment. Following on from the success of this Special Issue, the decision was made to reopen and extend it to include papers related to decarbonization and sustainability, at building, city, region, and national scales. This Editorial reviews the performance of the first Special Issue and outlines the second volume on Building Energy Audits-Diagnosis and Retrofitting Towards Decarbonization and Sustainable Cities, as a Special Issue in Energies.

Clinical use of Convalescent Plasma in the COVID-19 pandemic: a transfusion-focussed gap analysis with recommendations for future research priorities.

BACKGROUND AND OBJECTIVES: Use of convalescent plasma for coronavirus disease 2019 (COVID-19) treatment has gained interest worldwide. However, there is lack of evidence on its dosing, safety and effectiveness. Until data from clinical studies are available to provide solid evidence for worldwide applicable guidelines, there is a need to provide guidance to the transfusion community and researchers on this emergent therapeutic option. This paper aims to identify existing key gaps in current knowledge in the clinical application of COVID-19 convalescent plasma (CCP). MATERIALS AND METHODS: The International Society of Blood Transfusion (ISBT) initiated a multidisciplinary working group with worldwide representation from all six continents with the aim of reviewing existing practices on CCP use from donor, product and patient perspectives. A subgroup of clinical transfusion professionals was formed to draft a document for CCP clinical application to identify the gaps in knowledge in existing literature. RESULTS: Gaps in knowledge were identified in the following main domains: study design, patient eligibility, CCP dose, frequency and timing of CCP administration, parameters to assess response to CCP treatment and long-term outcome, adverse events and CCP application in less-resourced countries as well as in paediatrics and neonates. CONCLUSION: This paper outlines a framework of gaps in the knowledge of clinical deployment of CPP that were identified as being most relevant. Studies to address the identified gaps are required to provide better evidence on the effectiveness and safety of CCP use.