Article ; Online: Emergency Center Curbside Screening During the COVID-19 Pandemic: Retrospective Cohort Study.
JMIR public health and surveillance
2020 Volume 6, Issue 3, Page(s) e20040
Abstract: ... by COVID-19.: Objective: We describe the emergency center curbside testing procedure implemented ... electronic medical records, overall screening time, and emergency center return evaluations.: Results ... Background: Coronavirus disease (COVID-19) is a global pandemic that has placed a significant ...
| Abstract | Background: Coronavirus disease (COVID-19) is a global pandemic that has placed a significant burden on health care systems in the United States. Michigan has been one of the top states affected by COVID-19. Objective: We describe the emergency center curbside testing procedure implemented at Beaumont Hospital, a large hospital in Royal Oak, MI, and aim to evaluate its safety and efficiency. Methods: Anticipating a surge in patients requiring testing, Beaumont Health implemented curbside testing, operated by a multidisciplinary team of health care workers, including physicians, advanced practice providers, residents, nurses, technicians, and registration staff. We report on the following outcomes over a period of 26 days (March 12, 2020, to April 6, 2020): time to medical decision, time spent documenting electronic medical records, overall screening time, and emergency center return evaluations. Results: In total, 2782 patients received curbside services. A nasopharyngeal swab was performed on 1176 patients (41%), out of whom 348 (29.6%) tested positive. The median time for the entire process (from registration to discharge) was 28 minutes (IQR 17-44). The median time to final medical decision was 15 minutes (IQR 8-27). The median time from medical decision to discharge was 9 minutes (IQR 5-16). Only 257 patients (9.2%) returned to the emergency center for an evaluation within 7 or more days, of whom 64 were admitted to the hospital, 11 remained admitted, and 4 expired. Conclusions: Our curbside testing model encourages the incorporation of this model at other high-volume facilities during an infectious disease pandemic. |
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| MeSH term(s) | COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Emergency Service, Hospital ; Humans ; Mass Screening/methods ; Michigan/epidemiology ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Retrospective Studies |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-07-21 |
| Publishing country | Canada |
| Document type | Journal Article |
| ISSN | 2369-2960 |
| ISSN (online) | 2369-2960 |
| DOI | 10.2196/20040 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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