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Reinstating Elective Surgeries in MedStar Health: A Roadmap for Healthcare Organizations
INTRODUCTION: Coronavirus disease 2019 (COVID-19) infections have strained hospital resources worldwide. As a result, many facilities have suspended elective operations and ambulatory procedures. As the incidence of new cases of COVID-19 decreases, hospitals will need policies and algorithms to faci...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health, Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455301/ https://www.ncbi.nlm.nih.gov/pubmed/37637247 http://dx.doi.org/10.1097/AS9.0000000000000002 |
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author | Stein, David E. Chia, Stanley H. Breakey, Thomas H. Song, David H. Woo, Edward Y. Fairbanks, Rollin J. Jordan, David Curl, Leigh Ann Boucher, Henry R. Boyle, Lisa Edwards, Karol Friedrich, Hanna Gilbert, Robert J. Matton, Jeffrey Mucci, Kathy Chambers, Bradley Sachtleben, Michael Watson, Thomas J. |
author_facet | Stein, David E. Chia, Stanley H. Breakey, Thomas H. Song, David H. Woo, Edward Y. Fairbanks, Rollin J. Jordan, David Curl, Leigh Ann Boucher, Henry R. Boyle, Lisa Edwards, Karol Friedrich, Hanna Gilbert, Robert J. Matton, Jeffrey Mucci, Kathy Chambers, Bradley Sachtleben, Michael Watson, Thomas J. |
author_sort | Stein, David E. |
collection | PubMed |
description | INTRODUCTION: Coronavirus disease 2019 (COVID-19) infections have strained hospital resources worldwide. As a result, many facilities have suspended elective operations and ambulatory procedures. As the incidence of new cases of COVID-19 decreases, hospitals will need policies and algorithms to facilitate safe and orderly return of normal activities. We describe the recommendations of a task force established in a multi-institutional healthcare system for resumption of elective operative and ambulatory procedures applicable to all hospitals and service lines. METHODS: MedStar Health created a multidisciplinary task force to develop guidelines for resumption of elective surgeries/procedures. The primary focus areas included the establishment of a governance structure at each healthcare facility, prioritization of elective cases, preoperative severe acute respiratory syndrome coronavirus 2 testing, and an assessment of the needs and availability of staff, personal protective equipment, and other essential resources. RESULTS: Each hospital president was tasked with establishing a local perioperative leadership team answering directly to them and granted the authority to prioritize elective surgery and ambulatory procedures. An elective surgery algorithm was established using a simplified Medically Necessary Time Sensitive score, with multiple steps requiring a “go/no-go” assessment based on local resources. In addition, mandatory preoperative COVID testing policies were developed and operationalized. CONCLUSIONS: Even when the COVID pandemic has passed, hospitals and surgical centers will require COVID screening and testing, case prioritization, and supply chain management to provide care essential to the surgical patient while protecting their safety and that of staff. Our guidelines consider these factors and are applicable to both tertiary academic medical centers and smaller community facilities. |
format | Online Article Text |
id | pubmed-10455301 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer Health, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104553012023-08-26 Reinstating Elective Surgeries in MedStar Health: A Roadmap for Healthcare Organizations Stein, David E. Chia, Stanley H. Breakey, Thomas H. Song, David H. Woo, Edward Y. Fairbanks, Rollin J. Jordan, David Curl, Leigh Ann Boucher, Henry R. Boyle, Lisa Edwards, Karol Friedrich, Hanna Gilbert, Robert J. Matton, Jeffrey Mucci, Kathy Chambers, Bradley Sachtleben, Michael Watson, Thomas J. Ann Surg Open Original Article INTRODUCTION: Coronavirus disease 2019 (COVID-19) infections have strained hospital resources worldwide. As a result, many facilities have suspended elective operations and ambulatory procedures. As the incidence of new cases of COVID-19 decreases, hospitals will need policies and algorithms to facilitate safe and orderly return of normal activities. We describe the recommendations of a task force established in a multi-institutional healthcare system for resumption of elective operative and ambulatory procedures applicable to all hospitals and service lines. METHODS: MedStar Health created a multidisciplinary task force to develop guidelines for resumption of elective surgeries/procedures. The primary focus areas included the establishment of a governance structure at each healthcare facility, prioritization of elective cases, preoperative severe acute respiratory syndrome coronavirus 2 testing, and an assessment of the needs and availability of staff, personal protective equipment, and other essential resources. RESULTS: Each hospital president was tasked with establishing a local perioperative leadership team answering directly to them and granted the authority to prioritize elective surgery and ambulatory procedures. An elective surgery algorithm was established using a simplified Medically Necessary Time Sensitive score, with multiple steps requiring a “go/no-go” assessment based on local resources. In addition, mandatory preoperative COVID testing policies were developed and operationalized. CONCLUSIONS: Even when the COVID pandemic has passed, hospitals and surgical centers will require COVID screening and testing, case prioritization, and supply chain management to provide care essential to the surgical patient while protecting their safety and that of staff. Our guidelines consider these factors and are applicable to both tertiary academic medical centers and smaller community facilities. Wolters Kluwer Health, Inc. 2020-08-11 /pmc/articles/PMC10455301/ /pubmed/37637247 http://dx.doi.org/10.1097/AS9.0000000000000002 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Original Article Stein, David E. Chia, Stanley H. Breakey, Thomas H. Song, David H. Woo, Edward Y. Fairbanks, Rollin J. Jordan, David Curl, Leigh Ann Boucher, Henry R. Boyle, Lisa Edwards, Karol Friedrich, Hanna Gilbert, Robert J. Matton, Jeffrey Mucci, Kathy Chambers, Bradley Sachtleben, Michael Watson, Thomas J. Reinstating Elective Surgeries in MedStar Health: A Roadmap for Healthcare Organizations |
title | Reinstating Elective Surgeries in MedStar Health: A Roadmap for Healthcare Organizations |
title_full | Reinstating Elective Surgeries in MedStar Health: A Roadmap for Healthcare Organizations |
title_fullStr | Reinstating Elective Surgeries in MedStar Health: A Roadmap for Healthcare Organizations |
title_full_unstemmed | Reinstating Elective Surgeries in MedStar Health: A Roadmap for Healthcare Organizations |
title_short | Reinstating Elective Surgeries in MedStar Health: A Roadmap for Healthcare Organizations |
title_sort | reinstating elective surgeries in medstar health: a roadmap for healthcare organizations |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455301/ https://www.ncbi.nlm.nih.gov/pubmed/37637247 http://dx.doi.org/10.1097/AS9.0000000000000002 |
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