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Rapid response system adaptations at 40 US hospitals during the COVID-19 pandemic.
Mitchell, Oscar J L; Doran, Olivia; Yuriditsky, Eugene; Root, Christopher; Teran, Felipe; Ma, Kevin; Shashaty, Michael; Moskowitz, Ari; Horowitz, James; Abella, Benjamin S.
  • Mitchell OJL; Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, United States.
  • Doran O; Center for Resuscitation Science, University of Pennsylvania, United States.
  • Yuriditsky E; Center for Resuscitation Science, University of Pennsylvania, United States.
  • Root C; Department of Emergency Medicine, University of Pennsylvania, United States.
  • Teran F; Division of Pulmonary and Critical Care Medicine, NYU Langone School of Medicine, United States.
  • Ma K; Department of Emergency Medicine, University of New Mexico Health Sciences Center, United States.
  • Shashaty M; Center for Resuscitation Science, University of Pennsylvania, United States.
  • Moskowitz A; Department of Emergency Medicine, University of Pennsylvania, United States.
  • Horowitz J; Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, United States.
  • Abella BS; Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, United States.
Resusc Plus ; 6: 100121, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1179992
ABSTRACT

BACKGROUND:

Management of patients with acute deterioration from novel coronavirus disease of 2019 (COVID-19) has posed a particular challenge for rapid response systems (RRSs) due to increased hospital strain and direct risk of infection to RRS team members.

OBJECTIVE:

We sought to characterize RRS structure and protocols adaptions during the COVID-19 pandemic. DESIGN SETTING AND

PARTICIPANTS:

Internet-based cross-sectional survey of RRS leaders, physicians, and researchers across the United States.

RESULTS:

Clinicians from 46 hospitals were surveyed, 40 completed a baseline survey (87%), and 19 also completed a follow-up qualitative survey. Most reported an increase in emergency team resources during the COVID-19 pandemic. The number of sites performing simulation training sessions decreased from 88% before COVID-19 to 53% during the pandemic.

CONCLUSIONS:

Most RRSs reported pandemic-related adjustments, most commonly through increasing resources and implementation of protocol changes. There was a reduction in the number of sites that performed simulation training.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Language: English Journal: Resusc Plus Year: 2021 Document Type: Article Affiliation country: J.resplu.2021.100121

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Language: English Journal: Resusc Plus Year: 2021 Document Type: Article Affiliation country: J.resplu.2021.100121