Assuntos
Anticoagulantes/uso terapêutico , COVID-19/sangue , Enoxaparina/uso terapêutico , Produtos de Degradação da Fibrina e do Fibrinogênio/análise , Rim/fisiopatologia , SARS-CoV-2 , Trombofilia/tratamento farmacológico , Trombose/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Anticoagulantes/administração & dosagem , Peso Corporal , Proteína C-Reativa/análise , COVID-19/complicações , Relação Dose-Resposta a Droga , Enoxaparina/administração & dosagem , Feminino , Fidelidade a Diretrizes , Humanos , Incidência , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Volume Plaquetário Médio , Pessoa de Meia-Idade , Oxigênio/sangue , Guias de Prática Clínica como Assunto , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Fatores de Risco , Trombofilia/etiologia , Trombose/epidemiologia , Trombose/etiologiaRESUMO
Appropriate dissemination of information to the general public is a key component of the pandemic response. In 2018, recorded infection control advice messages were affixed to 30% of England's automated hospital switchboards during the seasonal influenza and norovirus outbreaks. As the majority of messages were mandatory for all callers, healthcare professionals using the hospital switchboard - including during time-critical emergencies - had their enquiries significantly delayed by these measures. Importantly, published analyses did not demonstrate an association between these messages and patient outcomes. As of May 2020, 85% of NHS trusts made use of infection control messages; on average, these delayed healthcare professionals by 59.4 seconds per call, but had no clear association with patient outcomes from COVID-19. An ongoing national switchboard quality improvement project seeks to establish a gold standard whereby healthcare professionals with urgent enquiries can press 'X' to skip past infection control messages and have their calls triaged immediately.