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Transformation of a large multi-speciality hospital into a dedicated COVID-19 centre during the coronavirus pandemic.
Król, Zbigniew; Szymanski, Piotr; Bochnia, Adrian; Abramowicz, Emilia; Plachta, Agnieszka; Rzeplinski, Radoslaw; Slugocki, Mikolaj; Nowak, Blazej; Zaczynski, Artur; Kozlowski, Krzysztof; Posobkiewicz, Marek; Wierzba, Waldemar.
  • Król Z; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Szymanski P; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Bochnia A; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Abramowicz E; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Plachta A; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Rzeplinski R; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Slugocki M; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Nowak B; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Zaczynski A; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Kozlowski K; Department of Constitutional Law, Jagiellonian University, Kraków, Poland.
  • Posobkiewicz M; MSWiA Central Clinical Hospital, Warsaw, Poland.
  • Wierzba W; University of Humanities and Economics, Lódz, Poland.
Ann Agric Environ Med ; 27(2): 201-206, 2020 Jun 19.
Article in English | MEDLINE | ID: covidwho-614681
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Distal intermedial ridge of tibia LOCATION_OF Diastasis
Subject
Distal intermedial ridge of tibia
Predicate
LOCATION_OF
Object
Diastasis
3. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
4. Distal intermedial ridge of tibia LOCATION_OF Diastasis
Subject
Distal intermedial ridge of tibia
Predicate
LOCATION_OF
Object
Diastasis
ABSTRACT

INTRODUCTION:

The article describes the process of converting a large multi-specialized hospital into one dedicated to COVID-19 patients, and present established standards of work organization in all the wards and training system of the medical and supporting staff. The several weeks pandemic of the COVID-19 disease has forced the healthcare systems of numerous countries to adjust their resources to the care of the growing number of COVID-19 patients. Managers were presented with the challenge of protecting the healthcare workers from transmission of the disease within medical institutions, and issues concerning the physical and psychological depletion of personnel. MATERIAL AND

METHODS:

Based on analyses of the structure and work processes in Central Clinical Hospital (CCH) reconstructive strategic plan was developed. It included division of existing wards into observation and isolation wards; installing locks; weekly plan for supplying personal protection equipment (PPE); designating new access to the hospital and communication routes; training of medical and supporting staff. The plan was implemented from the first days of conversion of the hospital.

RESULTS:

The wards of the CCH were converted for observation and isolation, and each one was fitted with sanitary locks. There was a big improvement in the supply of PPE for the medical staff. Separation of the 'dirty' and 'clean' parts of the CCH were attained, and widespread intensive training not only protected personnel against infections, but also diminished unrest which was discernable at the beginning of conversion.

CONCLUSIONS:

The transformation efforts will ultimately be appraised at the end of the epidemic, but the data looks encouraging. Two weeks after conversion, the testing of hospital Staff was started and by the end of April, 459 tests were had been conducted, of which only 11 were positive.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Betacoronavirus / Hospital Administration / Hospitals, Special Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Ann Agric Environ Med Journal subject: Environmental Health Year: 2020 Document Type: Article Affiliation country: Aaem

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Betacoronavirus / Hospital Administration / Hospitals, Special Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Ann Agric Environ Med Journal subject: Environmental Health Year: 2020 Document Type: Article Affiliation country: Aaem