Article ; Online: Coronavirus disease 2019 pandemic: staged management of surgical services for gynecology and obstetrics.
American journal of obstetrics and gynecology
2020 Volume 223, Issue 1, Page(s) 85.e1–85.e19
Abstract: ... of management of surgical services during a health emergency and provide specific guidance to help ... the specific risks of coronavirus disease 2019. Successful strategies for tiered reduction of surgical cases ... The coronavirus disease 2019 pandemic warrants an unprecedented global healthcare response ...
| Abstract | The coronavirus disease 2019 pandemic warrants an unprecedented global healthcare response requiring maintenance of existing hospital-based services while simultaneously preparing for high-acuity care for infected and sick individuals. Hospitals must protect patients and the diverse healthcare workforce by conserving personal protective equipment and redeployment of facility resources. While each hospital or health system must evaluate their own capabilities and surge capacity, we present principles of management of surgical services during a health emergency and provide specific guidance to help with decision making. We review the limited evidence from past hospital and community responses to various health emergencies and focus on systematic methods for adjusting surgical services to create capacity, addressing the specific risks of coronavirus disease 2019. Successful strategies for tiered reduction of surgical cases involve multidisciplinary engagement of the entire healthcare system and use of a structured risk-assessment categorization scheme that can be applied across the institution. Our institution developed and operationalized this approach over 3 working days, indicating that immediate implementation is feasible in response to an unforeseen healthcare emergency. |
|---|---|
| MeSH term(s) | Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Female ; Gynecologic Surgical Procedures ; Gynecology/organization & administration ; Humans ; Obstetrics/organization & administration ; Pandemics ; Pneumonia, Viral/epidemiology ; Pregnancy ; Risk Assessment ; SARS-CoV-2 ; Surgery Department, Hospital/organization & administration |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-04-03 |
| Publishing country | United States |
| Document type | Letter |
| ZDB-ID | 80016-8 |
| ISSN | 1097-6868 ; 0002-9378 |
| ISSN (online) | 1097-6868 |
| ISSN | 0002-9378 |
| DOI | 10.1016/j.ajog.2020.03.038 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Um I Zs.152: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
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.