Article ; Online: Planning of surgical activity in the COVID-19 era: A proposal for a step toward a possible healthcare organization.
2020 Volume 87, Issue 4, Page(s) 175–177
Abstract: ... organization of a COVID-19 free hospital or hub, that include both patients' and workforce's preparation ... of a safe surgical activity in view of a possible restoration of non-urgent activity. ... Health-care systems worldwide are experiencing a decline in elective surgical activity during ...
| Abstract | Health-care systems worldwide are experiencing a decline in elective surgical activity during the current COVID-19 pandemics. The progression of morbid conditions-especially of cancer-and the uncontained increase of waiting list for scheduled interventions are the major drawbacks. We propose a possible organization of a COVID-19 free hospital or hub, that include both patients' and workforce's preparation before entering the facility. The addition of a planned pathway for the whole workforce (physicians, nurses, cleaning and transporting crews, etc.) represents the basis of the program, and involves COVID-19 testing and subsequent self-isolation before entering the hospital, avoidance of work in non-COVID free areas, a strategic fractioning with a multilayer coverage system of care, periodic re-testing. Based on these suggestions, the realization of a COVID-19 free hospital could be achieved, allowing the continuation of a safe surgical activity in view of a possible restoration of non-urgent activity. |
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| MeSH term(s) | Appointments and Schedules ; Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Cross Infection/prevention & control ; Delivery of Health Care ; Elective Surgical Procedures/statistics & numerical data ; Emergencies ; False Negative Reactions ; Humans ; Infection Control/methods ; Infection Control/standards ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Infectious Disease Transmission, Professional-to-Patient/prevention & control ; Italy/epidemiology ; Pandemics/prevention & control ; Patient Isolation ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Procedures and Techniques Utilization ; SARS-CoV-2 ; Surgical Procedures, Operative |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-07-15 |
| Publishing country | United States |
| Document type | Journal Article ; Review |
| ZDB-ID | 204043-8 |
| ISSN | 1724-6075 ; 0376-0057 ; 0391-5603 |
| ISSN (online) | 1724-6075 |
| ISSN | 0376-0057 ; 0391-5603 |
| DOI | 10.1177/0391560320938579 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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