Assuntos
Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Equipamento de Proteção Individual/provisão & distribuição , Pneumonia Viral/prevenção & controle , Serviço Hospitalar de Compras/estatística & dados numéricos , Betacoronavirus/isolamento & purificação , COVID-19 , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/mortalidade , Infecções por Coronavirus/virologia , Inglaterra/epidemiologia , Equipamentos e Provisões Hospitalares/estatística & dados numéricos , Equipamentos e Provisões Hospitalares/provisão & distribuição , Empregados do Governo/legislação & jurisprudência , Humanos , Equipamento de Proteção Individual/tendências , Pneumonia Viral/epidemiologia , Pneumonia Viral/mortalidade , Pneumonia Viral/virologia , SARS-CoV-2 , Medicina Estatal/organização & administraçãoAssuntos
Infecções por Coronavirus/prevenção & controle , Revelação , Pessoal de Saúde , Pandemias/prevenção & controle , Equipamento de Proteção Individual/provisão & distribuição , Pneumonia Viral/prevenção & controle , Betacoronavirus , COVID-19 , Infecções por Coronavirus/transmissão , Recursos em Saúde , Humanos , Pneumonia Viral/transmissão , Guias de Prática Clínica como Assunto , SARS-CoV-2RESUMO
Students involved in the COVID-19 response reported a similar proportion of COVID-19 symptoms or confirmed diagnoses, but lower levels of anxiety, depression and burnout compared with their non-involved peers.
Assuntos
Ansiedade/psicologia , Esgotamento Profissional/psicologia , COVID-19/terapia , Depressão/psicologia , Corpo Clínico Hospitalar/psicologia , Estudantes de Medicina/psicologia , Acesso à Informação , Adulto , Ansiedade/epidemiologia , Esgotamento Profissional/epidemiologia , COVID-19/epidemiologia , Depressão/epidemiologia , Feminino , Nível de Saúde , Humanos , Internato e Residência , Masculino , Corpo Clínico Hospitalar/estatística & dados numéricos , Saúde Mental , Questionário de Saúde do Paciente , Equipamento de Proteção Individual/provisão & distribuição , SARS-CoV-2 , Autorrelato , Estudantes de Medicina/estatística & dados numéricos , Suíça/epidemiologia , Adulto JovemAssuntos
COVID-19/prevenção & controle , Serviço Hospitalar de Emergência/normas , Capacidade de Resposta ante Emergências , Ventilação , COVID-19/transmissão , Serviço Hospitalar de Emergência/organização & administração , Arquitetura Hospitalar , Humanos , Equipamento de Proteção Individual/provisão & distribuição , SingapuraRESUMO
BACKGROUND: SARS-CoV-2 has been implicated in the largest recorded coronavirus outbreak to date. Initially, most COVID-19 cases were in China, but the virus has spread to more than 184 countries worldwide, and the United States currently has more cases than any other country. OBJECTIVE: With person-to-person spread expanding in the United States, we describe hospital preparedness for managing suspected and confirmed COVID-19 patients. DESIGN: Cross-sectional survey focused on various elements of respiratory disease preparedness. SETTING: Critical access hospitals (CAHs) and acute-care hospitals (ACHs) in Idaho. METHODS: The electronic survey was sent to infection preventionists (IPs) and nurse administrators in 44 hospitals in Idaho. RESULTS: Overall, 32 (73%) hospitals responded to the survey. Participating facilities reported their preparedness with respect to existing, formalized structures for managing infectious disease incidents-specifically COVID-19-as well as availability of resources, such as isolation rooms and personal protective equipment, for safely managing suspected and confirmed COVID-19 cases. CONCLUSIONS: Hospitals covered by the survey had varying levels of preparedness for managing COVID-19 cases, with differences across the various categories of interest in this study. Although the study reveals strengths, including in application of emergency management and infection control frameworks, it also suggests that other areas, such as consistent implementation of federal guidelines and requirements for infection prevention, are potential areas for strengthening preparedness for SARS-CoV-2 and other respiratory pathogens with pandemic potential.
Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Recursos em Saúde/provisão & distribuição , Hospitais/estatística & dados numéricos , Controle de Infecções/estatística & dados numéricos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , COVID-19 , Estudos Transversais , Pesquisas sobre Atenção à Saúde , Humanos , Idaho , Controle de Infecções/instrumentação , Controle de Infecções/métodos , Equipamento de Proteção Individual/provisão & distribuição , Quarentena/métodos , Quarentena/estatística & dados numéricos , SARS-CoV-2Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Transmissão de Doença Infecciosa/prevenção & controle , Guias como Assunto , Pandemias/prevenção & controle , Equipamento de Proteção Individual/provisão & distribuição , Pneumonia Viral/epidemiologia , COVID-19 , Infecções por Coronavirus/transmissão , Humanos , Pneumonia Viral/transmissão , SARS-CoV-2Assuntos
Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde , Exposição Ocupacional/prevenção & controle , Pandemias/prevenção & controle , Equipamento de Proteção Individual/provisão & distribuição , Pneumonia Viral/prevenção & controle , Betacoronavirus , COVID-19 , Humanos , SARS-CoV-2Assuntos
Infecções por Coronavirus/economia , Infecções por Coronavirus/epidemiologia , Planejamento em Desastres/métodos , Emergências/economia , Emergências/epidemiologia , Pandemias/economia , Equipamento de Proteção Individual/economia , Equipamento de Proteção Individual/provisão & distribuição , Pneumonia Viral/economia , Pneumonia Viral/epidemiologia , COVID-19 , Comércio/ética , Comércio/estatística & dados numéricos , Planejamento em Desastres/economia , Eletricidade , Abastecimento de Alimentos/economia , Abastecimento de Alimentos/ética , Humanos , Modelos Econômicos , Equipamento de Proteção Individual/ética , Organização Mundial da SaúdeAssuntos
Infecções por Coronavirus/epidemiologia , Casas de Saúde , Pneumonia Viral/epidemiologia , Betacoronavirus , COVID-19 , Teste para COVID-19 , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Pessoal de Saúde , Recursos em Saúde/provisão & distribuição , Humanos , Pandemias , Equipamento de Proteção Individual/provisão & distribuição , SARS-CoV-2RESUMO
The number of COVID-19 (Coronavirus Disease of 2019) cases in Jordan is rising rapidly. A serious threat to the healthcare system appears on the horizon. Our study aims to evaluate preparedness of Jordanian frontline doctors to the worsening scenario. It has a questionnaire-based cross-sectional structure. The questionnaire was designed to evaluate preparedness according to knowledge about virus transmission and protective measures, adherence to protection guidelines, and psychological impacts affecting doctors. Institutional factors affecting doctors' readiness like adopting approach protocols and making protection equipment available were investigated; 308 doctors from different healthcare facilities participated (response rate: 53.9%). Approximately 25% of doctors (n = 77) previously took care of COVID-19 patients, and 173 (56.2%) have institutional COVID-19 approach protocols. Only 57 doctors (18.5%) reported all PPE (Personal Protective Equipment) available. The self-reported score of preparedness to deal with COVID-19 patients was 4.9 ± 2.4. Doctors having institutional protocols for dealing with COVID-19 cases and those with sustained availability of PPE reported higher scores of preparedness (5.5 ± 2.3 and 6.2 ± 2.1 with p < 0.001, respectively). Correlations with knowledge score, adherence to PPE score, and psychological impacts were investigated. The study revealed multiple challenges and insufficiencies that can affect frontline doctors' preparedness. Policy makers are urged to take these findings into consideration and to act promptly.
Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Surtos de Doenças , Conhecimentos, Atitudes e Prática em Saúde , Médicos/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Adulto , COVID-19 , Estudos Transversais , Feminino , Instalações de Saúde , Humanos , Jordânia/epidemiologia , Masculino , Pandemias , Equipamento de Proteção Individual/provisão & distribuição , Médicos/estatística & dados numéricos , Inquéritos e QuestionáriosRESUMO
At the outset of the COVID-19 pandemic, many medical students were removed from clinical duties and had their education put on hold. Some found novel ways to join efforts to respond to the pandemic. Georgetown University School of Medicine medical students created Medical Supply Drive (MSD or MedSupplyDrive), a 501(c)(3), on March 17, 2020, in response to the national shortage of personal protective equipment (PPE). This article reviews the formation of a national response to the pandemic, the methods employed to distribute PPE, and the results of MSD's work from March 17, 2020, through June 20, 2020. A focus was placed on equitable distribution, both within local regions and on the national scale, by distinguishing COVID-19 hotspots, including Native American reservations. As of June 20, 2020, over half a million items were donated, with 1,001 deliveries made to 423 hospitals, 182 clinics, 175 long-term care facilities, 25 homeless shelters, 32 public health departments, and 164 other facilities. From 46 states and the District of Columbia, 1,514 individuals volunteered, and 202 signed up as regional coordinators. MSD formed 2 international organizations, MedSupplyDrive UK and MedSupplyDrive Scotland, and established U.S.-based partnerships with 19 different PPE and aid organizations. MSD gained local, national, and international media attention with over 45 interviews conducted about the organization. While the pandemic temporarily disrupted formal medical education, MSD empowered medical students to actively learn about the needs of their communities and organize ways to address them while incorporating these values into their professional identities. The framework that this organization employed also provides a potential model for future disaster relief efforts in times of crisis. MSD hopes to motivate budding physicians to collaborate and play an active role in tackling public health inequities beyond hospitals and within the communities students will one day serve.
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COVID-19/prevenção & controle , Educação Médica/métodos , Alocação de Recursos para a Atenção à Saúde/organização & administração , Equipamento de Proteção Individual/provisão & distribuição , Estudantes de Medicina , Humanos , SARS-CoV-2RESUMO
Beginning in 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) rapidly resulted in a worldwide pandemic. Many patients with coronavirus disease-19 (COVID-19) require invasive ventilation due to severe respiratory failure. However, many medical hospitals experienced shortages of personal protective equipment, increasing the risk of healthcare workers contracting an infection. However, we report a case of acute respiratory distress syndrome during the early stage of COVID-19 treated at a university hospital outside of Wuhan, China. We described the optimization of healthcare worker personal protection and a procedure for airway management in the context of insufficient personal protective equipment. This report may provide a reference for resource-limited settings in low- and middle-income countries, even countries where healthcare systems have been overwhelmed by the pandemic.
Assuntos
COVID-19/transmissão , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Equipamento de Proteção Individual/provisão & distribuição , COVID-19/epidemiologia , China/epidemiologia , Evolução Fatal , Humanos , Intubação Intratraqueal/efeitos adversos , Masculino , Pessoa de Meia-Idade , Pandemias , Aerossóis e Gotículas Respiratórios , SARS-CoV-2RESUMO
ABSTRACT: The COVID-19 pandemic has created unique challenges for health care workers, who have demonstrated dedication, collaboration, and innovation in response. In this article, the authors describe an important nursing innovation they employed at Montefiore Medical Center in the Bronx, New York, during the spring 2020 COVID-19 surge: the relocation of smart IV infusion pumps outside of patient rooms. The goals of this innovation were to improve delivery of care, conserve personal protective equipment, limit the spread of the virus, and protect staff from exposure. The authors discuss the initial concerns that arose regarding the safety and efficacy of this practice; the research they conducted with other colleagues in nursing, pharmacy, infection control, and patient safety in the face of scant clinical literature relevant to the difficult circumstances the pandemic created; and the strategies they ultimately employed to ensure that this practice maintained safety and efficacy.
Assuntos
COVID-19/transmissão , Bombas de Infusão , Isolamento de Pacientes/métodos , Quartos de Pacientes/organização & administração , COVID-19/terapia , Humanos , Pandemias , Equipamento de Proteção Individual/provisão & distribuição , SARS-CoV-2Assuntos
COVID-19 , Crianças com Deficiência , Ventilação não Invasiva/métodos , Retorno à Escola , Traqueostomia/métodos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Criança , Saúde da Criança , Controle de Doenças Transmissíveis , Crianças com Deficiência/educação , Crianças com Deficiência/psicologia , Educação a Distância , Humanos , Comunicação Interdisciplinar , Equipamento de Proteção Individual/provisão & distribuição , Serviços Preventivos de Saúde/métodos , Retorno à Escola/métodos , Retorno à Escola/organização & administração , Medição de Risco , SARS-CoV-2 , Reino Unido/epidemiologiaRESUMO
The COVID-19 pandemic created unprecedented strain on the personal protective equipment (PPE) supply chain. Given the dearth of PPE and consequences for transmission, GetMePPE Chicago (GMPC) developed a PPE allocation framework and system, distributing 886 900 units to 274 institutions from March 2020 to July 2021 to address PPE needs. As the pandemic evolved, GMPC made difficult decisions about (1) building reserve inventory (to balance present and future, potentially higher clinical acuity, needs), (2) donating to other states/out-of-state organizations, and (3) receiving donations from other states. In this case study, we detail both GMPC's experience in making these decisions and the ethical frameworks that guided these decisions. We also reflect on lessons learned and suggest which values may have been in conflict (eg, maximizing benefits vs duty to mission, defined in the context of PPE allocation) in each circumstance, which values were prioritized, and when that prioritization would change. Such guidance can promote a values-based approach to key issues concerning distribution of PPE and other scarce medical resources in response to the COVID-19 pandemic and related future pandemics.
Assuntos
COVID-19 , Estudos de Casos Organizacionais , Equipamento de Proteção Individual/provisão & distribuição , Alocação de Recursos/ética , Chicago , Tomada de Decisões Gerenciais , Humanos , SARS-CoV-2 , Estudantes de Medicina , VoluntáriosRESUMO
Endoscopists are at high risk of exposure and nosocomial transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 virus) when performing endoscopic procedures due to the highly aerosol generating nature of these procedures. At present, there is still no consensus among endoscopists with regards to the type of protective equipment to be worn by healthcare workers, when performing endoscopy during the coronavirus 2019 (COVID-19) pandemic. This review encompasses a summary of currently published guidelines related to the use of personal protective equipment (PPE) when performing endoscopic procedures during the COVID-19 pandemic. With increasing calls to rationalize the use of PPE due to shortages in global supply chains, the review offers a concise summary on the most appropriate and adequate use of PPE when performing endoscopy during the pandemic. It is expected that these adaptations in the use of PPE during the pandemic will help to improve standards of care and safety of healthcare workers.
Assuntos
COVID-19/prevenção & controle , Endoscopia Gastrointestinal , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Equipamento de Proteção Individual/provisão & distribuição , Equipamento de Proteção Individual/normas , COVID-19/epidemiologia , Humanos , Pandemias , SARS-CoV-2RESUMO
BACKGROUND: In the COVID-19 pandemic context, a massive shortage of personal protective equipment occurred. To increase the available stocks, several countries appealed for donations from individuals or industries. While national and international standards to evaluate personal protective equipment exist, none of the previous research studied how to evaluate personal protective equipment coming from donations to healthcare establishments. Our aim was to evaluate the quality and possible use of the personal protective equipment donations delivered to our health care establishment in order to avoid a shortage and to protect health care workers throughout the COVID-19 crisis. METHODS: Our intervention focused on evaluation of the quality of donations for medical use through creation of a set of assessment criteria and analysis of the economic impact of these donations. RESULTS: Between 20th March 2020 and 11th May 2020, we received 239 donations including respirators, gloves, coveralls, face masks, gowns, hats, overshoes, alcohol-based hand rubs, face shields, goggles and aprons. A total of 448,666 (86.3%) products out of the 519,618 initially received were validated and distributed in health care units, equivalent to 126 (52.7%) donations out of the 239 received. The budgetary value of the validated donations was 32,872 euros according to the pre COVID-19 prices and 122,178 euros according to the current COVID-19 prices, representing an increase of 371.7%. CONCLUSIONS: By ensuring a constant influx of personal protective equipment and proper stock management, shortages were avoided. Procurement and distribution of controlled and validated personal protective equipment is the key to providing quality care while guaranteeing health care worker safety.