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Adaptation of ED design layout during the COVID-19 pandemic: a national cross-sectional survey.
Douillet, Delphine; Saloux, Thomas; Ravon, Pauline; Morin, François; Moumneh, Thomas; Carneiro, Bruno; Roy, Pierre Marie; Savary, Dominique.
  • Douillet D; Emergency Department, University Hospital of Angers, 49100, Angers, France delphinedouillet@gmail.com.
  • Saloux T; Univ. Angers, INSERM, CNRS, MITOVASC, Equipe CARME, SFR ICAT, 49100 Angers, France.
  • Ravon P; Emergency Department, University Hospital of Angers, 49100, Angers, France.
  • Morin F; Emergency Department, University Hospital of Angers, 49100, Angers, France.
  • Moumneh T; Emergency Department, University Hospital of Angers, 49100, Angers, France.
  • Carneiro B; Emergency Department, University Hospital of Angers, 49100, Angers, France.
  • Roy PM; Univ. Angers, INSERM, CNRS, MITOVASC, Equipe CARME, SFR ICAT, 49100 Angers, France.
  • Savary D; Emergency Department, University Hospital of Angers, 49100, Angers, France.
Emerg Med J ; 38(10): 789-793, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1371897
ABSTRACT

BACKGROUND:

The aim was to describe the organisational changes in French EDs in response to the COVID-19 pandemic with regard to architectural constraints and compare with the recommendations of the various bodies concerning the structural adjustments to be made in this context.

METHODS:

As part of this cross-sectional study, all heads of emergency services or their deputies were contacted to complete an electronic survey. This was a standardised online questionnaire consisting of four parts characteristics of the responding centre, creation of the COVID-19 zone and activation of the hospital's emergency operations plan, flow and circulation of patients and, finally, staff management. Each centre was classified according to its workload related to COVID-19 and its size (university hospital centre, high-capacity hospital centre and low-capacity hospital centre). The main endpoint was the frequency of implementation of international guidelines for ED organisation.

RESULTS:

Between 11 May and 20 June 2020, 57 French EDs completed the online questionnaire and were included in the analysis. Twenty-eight EDs were able to separate patient flows into two zones high and low viral density (n=28/57, 49.1%). Of the centres included, 52.6% set up a specific triage area for patients with suspected COVID-19 (n=30/57). Whereas, in 15 of the EDs (26.3%), the architecture made it impossible to increase the surface area of the ED.

CONCLUSION:

All EDs have adapted, but many of the changes recommended for the organisation of ED could not be implemented. ED architecture constrains adaptive capacities in the context of COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Emergency Service, Hospital / Pandemics / SARS-CoV-2 / COVID-19 / Health Services Needs and Demand Type of study: Observational study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Emerg Med J Journal subject: Emergency Medicine Year: 2021 Document Type: Article Affiliation country: Emermed-2020-211012

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Emergency Service, Hospital / Pandemics / SARS-CoV-2 / COVID-19 / Health Services Needs and Demand Type of study: Observational study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Emerg Med J Journal subject: Emergency Medicine Year: 2021 Document Type: Article Affiliation country: Emermed-2020-211012