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Redesigning a Department of Surgery during the COVID-19 Pandemic

BACKGROUND: COVID-19 has created an urgent need for reorganization and surge planning among departments of surgery across the USA. METHODS: Review of the COVID-19 planning process and work products in preparation for a patient surge. Organizational and process changes, workflow redesign, and communi...

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Autores principales: Brethauer, Stacy A., Poulose, Benjamin K., Needleman, Bradley J., Sims, Carrie, Arnold, Mark, Washburn, Kenneth, Tsung, Allan, Mokadam, Nahush, Sarac, Timur, Merritt, Robert, Pawlik, Timothy M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187802/
https://www.ncbi.nlm.nih.gov/pubmed/32347453
http://dx.doi.org/10.1007/s11605-020-04608-4
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author Brethauer, Stacy A.
Poulose, Benjamin K.
Needleman, Bradley J.
Sims, Carrie
Arnold, Mark
Washburn, Kenneth
Tsung, Allan
Mokadam, Nahush
Sarac, Timur
Merritt, Robert
Pawlik, Timothy M.
author_facet Brethauer, Stacy A.
Poulose, Benjamin K.
Needleman, Bradley J.
Sims, Carrie
Arnold, Mark
Washburn, Kenneth
Tsung, Allan
Mokadam, Nahush
Sarac, Timur
Merritt, Robert
Pawlik, Timothy M.
author_sort Brethauer, Stacy A.
collection PubMed
description BACKGROUND: COVID-19 has created an urgent need for reorganization and surge planning among departments of surgery across the USA. METHODS: Review of the COVID-19 planning process and work products in preparation for a patient surge. Organizational and process changes, workflow redesign, and communication plans are presented. RESULTS: The planning process included widespread collaboration among leadership from many disciplines. The department of surgery played a leading role in establishing clinical protocols, guidelines, and policies in preparation for a surge of COVID-19 patients. A multidisciplinary approach with input from clinical and nonclinical stakeholders is critical to successful crisis planning. A clear communication plan should be implemented early and input from trainees, staff, and faculty should be solicited. CONCLUSION: Major departmental and health system reorganization is required to adapt academic surgical practices to a widespread crisis. Surgical leadership, innovation, and flexibility are critical to successful planning and implementation.
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spelling pubmed-71878022020-04-28 Redesigning a Department of Surgery during the COVID-19 Pandemic Brethauer, Stacy A. Poulose, Benjamin K. Needleman, Bradley J. Sims, Carrie Arnold, Mark Washburn, Kenneth Tsung, Allan Mokadam, Nahush Sarac, Timur Merritt, Robert Pawlik, Timothy M. J Gastrointest Surg Article BACKGROUND: COVID-19 has created an urgent need for reorganization and surge planning among departments of surgery across the USA. METHODS: Review of the COVID-19 planning process and work products in preparation for a patient surge. Organizational and process changes, workflow redesign, and communication plans are presented. RESULTS: The planning process included widespread collaboration among leadership from many disciplines. The department of surgery played a leading role in establishing clinical protocols, guidelines, and policies in preparation for a surge of COVID-19 patients. A multidisciplinary approach with input from clinical and nonclinical stakeholders is critical to successful crisis planning. A clear communication plan should be implemented early and input from trainees, staff, and faculty should be solicited. CONCLUSION: Major departmental and health system reorganization is required to adapt academic surgical practices to a widespread crisis. Surgical leadership, innovation, and flexibility are critical to successful planning and implementation. Springer US 2020-04-28 2020 /pmc/articles/PMC7187802/ /pubmed/32347453 http://dx.doi.org/10.1007/s11605-020-04608-4 Text en © The Society for Surgery of the Alimentary Tract 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Brethauer, Stacy A.
Poulose, Benjamin K.
Needleman, Bradley J.
Sims, Carrie
Arnold, Mark
Washburn, Kenneth
Tsung, Allan
Mokadam, Nahush
Sarac, Timur
Merritt, Robert
Pawlik, Timothy M.
Redesigning a Department of Surgery during the COVID-19 Pandemic
title Redesigning a Department of Surgery during the COVID-19 Pandemic
title_full Redesigning a Department of Surgery during the COVID-19 Pandemic
title_fullStr Redesigning a Department of Surgery during the COVID-19 Pandemic
title_full_unstemmed Redesigning a Department of Surgery during the COVID-19 Pandemic
title_short Redesigning a Department of Surgery during the COVID-19 Pandemic
title_sort redesigning a department of surgery during the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187802/
https://www.ncbi.nlm.nih.gov/pubmed/32347453
http://dx.doi.org/10.1007/s11605-020-04608-4
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