Falling through the cracks: Evaluating the role of nonacute surgical liaison personnel during COVID-19-A narrative review.
Surgery
; 171(2): 437-446, 2022 02.
Article
in English
| MEDLINE | ID: covidwho-1500272
ABSTRACT
BACKGROUND:
In March 2020, in response to the COVID-19 pandemic, the New Zealand government instituted a 4-level alert system, which resulted in the rapid dissolution of nonurgent surgical services to minimize occupational exposure to both patients and staff, with the primary health sector bearing most of the diverted caseload. Consequently, the study authors sought to collate information around the establishment of a supportive nonacute surgical liaison role in a public hospital surgical department, with an interest in establishing this role in New Zealand.METHODS:
The narrative review conducted systematically in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Databases searched included Pubmed, MEDLINE, Embase, and Cochrane Controlled Register of Trials. A deductive analysis was applied using a demand management model developed by the Institute for Innovation and Improvement at Waitemata District Health Board. All included studies were rated using the Oxford Centre for Evidence-Based Medicine Levels of Evidence tool.RESULTS:
Collation of 19 studies resulted in 3 keyfindings:
first, that a surgical liaison could be utilized at the primary care to specialist interface to improve communication and workflow between services. Second, a liaison could be utilized directly communicating with patients as a means of increasing engagement and self-management. Finally, this service can be offered through multiple modalities including a noncontact telehealth service.CONCLUSION:
Evidence of nonacute surgical liaisons both internationally and specifically within New Zealand has been collated to provide evidence for its application.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Physician's Role
/
Primary Health Care
/
Referral and Consultation
/
Secondary Care
/
Elective Surgical Procedures
/
Nurse's Role
/
COVID-19
Type of study:
Experimental Studies
/
Prognostic study
/
Reviews
/
Systematic review/Meta Analysis
Limits:
Humans
Language:
English
Journal:
Surgery
Year:
2022
Document Type:
Article
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