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  1. Article ; Online: Alternative Care Sites: An Option in Disasters.

    Iserson, Kenneth V

    The western journal of emergency medicine

    2020  Volume 21, Issue 3, Page(s) 484–489

    Abstract: ... regional disasters occur. In these situations, it becomes necessary to use one or more alternative care ... subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves ... sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute ...

    Abstract During the current COVID-19 pandemic, the limited surge capacity of the healthcare system is being quickly overwhelmed. Similar scenarios play out when an institution's systems fail, or when local or regional disasters occur. In these situations, it becomes necessary to use one or more alternative care sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute, subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves communities from talking to doing. This commitment pays real dividends if a disaster of any magnitude strikes. This paper discusses the basic criteria for selecting, establishing and ultimately closing an ACS, difficulties of administration, staffing, security, and providing basic supplies and equipment.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Delivery of Health Care ; Disaster Planning/organization & administration ; Disasters ; Health Facilities ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Surge Capacity
    Keywords covid19
    Language English
    Publishing date 2020-04-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2375700-0
    ISSN 1936-9018 ; 1936-900X
    ISSN (online) 1936-9018
    ISSN 1936-900X
    DOI 10.5811/westjem.2020.4.47552
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Alternative Care Sites: An Option in Disasters

    Iserson, Kenneth V

    West J Emerg Med

    Abstract: ... regional disasters occur. In these situations, it becomes necessary to use one or more alternative care ... subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves ... sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute ...

    Abstract During the current COVID-19 pandemic, the limited surge capacity of the healthcare system is being quickly overwhelmed. Similar scenarios play out when an institution's systems fail, or when local or regional disasters occur. In these situations, it becomes necessary to use one or more alternative care sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute, subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves communities from talking to doing. This commitment pays real dividends if a disaster of any magnitude strikes. This paper discusses the basic criteria for selecting, establishing and ultimately closing an ACS, difficulties of administration, staffing, security, and providing basic supplies and equipment.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #72835
    Database COVID19

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  3. Article ; Online: Alternative Care Sites

    Kenneth V. Iserson

    Western Journal of Emergency Medicine, Vol 21, Iss

    An Option in Disasters

    2020  Volume 3

    Abstract: ... regional disasters occur. In these situations, it becomes necessary to use one or more alternative care ... subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves ... sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute ...

    Abstract During the current COVID-19 pandemic, the limited surge capacity of the healthcare system is being quickly overwhelmed. Similar scenarios play out when an institution’s systems fail, or when local or regional disasters occur. In these situations, it becomes necessary to use one or more alternative care sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute, subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves communities from talking to doing. This commitment pays real dividends if a disaster of any magnitude strikes. This paper discusses the basic criteria for selecting, establishing and ultimately closing an ACS, difficulties of administration, staffing, security, and providing basic supplies and equipment.
    Keywords Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; covid19
    Language English
    Publishing date 2020-04-01T00:00:00Z
    Publisher eScholarship Publishing, University of California
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  4. Article ; Online: Alternative Care Sites

    Iserson, Kenneth V.

    Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, vol 21, iss 3

    An Option in Disasters

    2020  

    Abstract: ... regional disasters occur. In these situations, it becomes necessary to use one or more alternative care ... subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves ... sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute ...

    Abstract During the current COVID-19 pandemic, the limited surge capacity of the healthcare system is being quickly overwhelmed. Similar scenarios play out when an institution’s systems fail, or when local or regional disasters occur. In these situations, it becomes necessary to use one or more alternative care sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute, subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves communities from talking to doing. This commitment pays real dividends if a disaster of any magnitude strikes. This paper discusses the basic criteria for selecting, establishing and ultimately closing an ACS, difficulties of administration, staffing, security, and providing basic supplies and equipment.
    Keywords covid19
    Publishing date 2020-01-01
    Publisher eScholarship, University of California
    Publishing country us
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

    More links

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  5. Article ; Online: Alternative Care Sites

    Iserson, Kenneth

    WestJEM 21.3 May Issue ; Western Journal of Emergency Medicine ; 21 ; 3

    An Option in Disasters

    2020  

    Abstract: ... regional disasters occur. In these situations, it becomes necessary to use one or more alternative care ... subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves ... sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute ...

    Abstract During the current COVID-19 pandemic, the limited surge capacity of the healthcare system is being quickly overwhelmed. Similar scenarios play out when an institution’s systems fail, or when local or regional disasters occur. In these situations, it becomes necessary to use one or more alternative care sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute, subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves communities from talking to doing. This commitment pays real dividends if a disaster of any magnitude strikes. This paper discusses the basic criteria for selecting, establishing and ultimately closing an ACS, difficulties of administration, staffing, security, and providing basic supplies and equipment.

    Open access journal

    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Keywords covid19
    Language English
    Publishing date 2020-04-13
    Publisher WESTJEM
    Publishing country us
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  6. Article ; Online: Reduction in Hospital Transfers at a US COVID-19 Alternate Care Site: Maintaining Surge Capacity Support in Imperial County, California.

    Zhang, Frank W / Meghoo, Colin A / Staats, Katherine L / Hayes, Elizabeth Perkins / Metzner, Mitch / Sobel, Julia / Hultquist, Eric / Noste, Erin E / Wright, Charles E / Devereaux, Asha / Backer, Howard

    Disaster medicine and public health preparedness

    2022  Volume 17, Page(s) e231

    Abstract: Objective: The transfer rate for patients from an Alternate Care Site (ACS) back to a hospital ... to severely ill patients accepted from overwhelmed health-care systems. During the coronavirus infectious ... on admission. Numerous interventions were initiated during a 2-wk period to improve clinical care delivery ...

    Abstract Objective: The transfer rate for patients from an Alternate Care Site (ACS) back to a hospital may serve as a metric of appropriate patient selection and the ability of an ACS to treat moderate to severely ill patients accepted from overwhelmed health-care systems. During the coronavirus infectious disease 2019 (COVID-19) pandemic, hospitals worldwide experienced acute surges of patients presenting with acute respiratory failure.
    Methods: An ACS in Imperial County, California was re-established in November 2020 to help decompress 2 local hospitals experiencing surges of COVID-19 cases. The patients treated often had multiple comorbid illnesses and required a median supplemental oxygen of 3 L/min (LPM) on admission. Numerous interventions were initiated during a 2-wk period to improve clinical care delivery.
    Results: The objectives of this retrospective observational study are to evaluate the impact of these clinical and staff interventions at an ACS on the transfer rate and to provide issues to consider for future ACS sites managing COVID-19 patients.
    Conclusions: The data suggest that continuous, real-time process-improvement interventions helped reduce the transfer rate back to hospitals from 36.7% to 14.5% and that an ACS is a viable option for managing symptomatic COVID-19 positive patients requiring hospital-level care when hospitals are overburdened.
    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/therapy ; Surge Capacity ; Critical Care ; Hospitals ; Communicable Diseases
    Language English
    Publishing date 2022-07-04
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2022.166
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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