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1.
Hosp Top ; 100(2): 69-76, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34470597

RESUMO

The 2019 SARS-CoV2 virus presented a capacity demand scenario for Yale New Haven Hospital. The response was created with a focus on clinical needs, but was also driven by the unique characteristics of the buildings within our institution. These physical characteristics were considered in the response as a safety measure as little was known about the transmissibility risk in the acute hospital setting of SARS-CoV2 at the time of response. The lessons learned in capacity expansion to meet the potentially catastrophic demand for acute care services due to a novel, poorly understood pathogen are discussed here.


Assuntos
COVID-19 , Hospitais , Humanos , Pacientes Internados , Pandemias/prevenção & controle , RNA Viral , SARS-CoV-2
2.
Jt Comm J Qual Patient Saf ; 45(7): 524-529, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31164262

RESUMO

The 2017-2018 influenza season was associated with high demand for both emergency department (ED) care and inpatient acute care for influenza-like illness (ILI). This high demand resulted in increased numbers of inpatients and ED patients, including prolonged ED length of stay. A large, urban, academic medical center in a cold-weather region was limited in its ability to expand its footprint to create de novo locations of care, such as temporary outbuildings or tents. As such, a large conference room was rapidly converted and placed in service as a temporary inpatient unit for adults requiring inpatient admission. LOGISTICS AND IMPLEMENTATION: The logistical, infection prevention, safety, information technology, staffing, and other concerns of creating a clinical environment during a high demand scenario is challenging. However, the lessons learned in this study are reproducible despite the complexity of this issue. CONCLUSION: This is believed to be the first published account of successful conversion of a nonclinical area to an operational clinical unit in response to a surge in demand for hospital care and admission. This may be a valid option for hospitals of all sizes as part of a surge or disaster plan.


Assuntos
Planejamento em Desastres/organização & administração , Administração Hospitalar , Arquitetura Hospitalar/métodos , Influenza Humana/epidemiologia , Influenza Humana/terapia , Humanos , Sistemas de Informação/organização & administração , Admissão e Escalonamento de Pessoal/organização & administração , Gestão da Segurança
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