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Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic

BACKGROUND: As the coronavirus 2019 pandemic continues, healthcare services need to adapt to continue providing optimal and safe services for patients. We detail our adaptive framework as a large Developmental and Behavioral Pediatrics service in a tertiary academic institution in Singapore. METHODS...

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Autores principales: Mulay, Kalyani Vijaykumar, Aishworiya, Ramkumar, Lim, Tammy S.H., Tan, Mae Yue, Kiing, Jennifer S.H., Chong, Shang Chee, Kang, Ying Qi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7475770/
https://www.ncbi.nlm.nih.gov/pubmed/33028511
http://dx.doi.org/10.1016/j.pedneo.2020.09.003
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author Mulay, Kalyani Vijaykumar
Aishworiya, Ramkumar
Lim, Tammy S.H.
Tan, Mae Yue
Kiing, Jennifer S.H.
Chong, Shang Chee
Kang, Ying Qi
author_facet Mulay, Kalyani Vijaykumar
Aishworiya, Ramkumar
Lim, Tammy S.H.
Tan, Mae Yue
Kiing, Jennifer S.H.
Chong, Shang Chee
Kang, Ying Qi
author_sort Mulay, Kalyani Vijaykumar
collection PubMed
description BACKGROUND: As the coronavirus 2019 pandemic continues, healthcare services need to adapt to continue providing optimal and safe services for patients. We detail our adaptive framework as a large Developmental and Behavioral Pediatrics service in a tertiary academic institution in Singapore. METHODS: The multidisciplinary team at our unit implemented various adaptations and workflow processes during this evolving pandemic in providing continued clinical care tailored to the challenges specific to our patient population. Services were continued via teleconsultation mode during the ‘Circuit Breaker’ (enhanced movement restriction) period. Specific workflow processes, IT infrastructure, and staff training were put in place to support smooth running of this service. Segregation of services into two teams based at two separate sites and implementation of stringent infection control measures surrounding the clinic visit by providers, patients and their families were incorporated to ensure safety. Measures were also taken to ensure providers' mental wellbeing. RESULTS: The clinical service was continued for the majority of our patients with a lowest reduction in patient consultations to half of baseline during the ‘Circuit Breaker’ period. We received positive feedback from families for teleconsultation services provided. CONCLUSION: We have been able to continue services in our DBP clinics due to our dynamic reassessment of workflow processes and their prompt implementation in conjunction with the hospital and national public health response to the pandemic. Given that this pandemic is likely to be long drawn, our unit remains ready to constantly adjust these workflows and make adaptations as we go along, together with the support for mental health of patients, parents and staff. Continual improvements in workflows will be helpful even beyond the pandemic to ensure good continuity of care for our patients and families.
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spelling pubmed-74757702020-09-08 Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic Mulay, Kalyani Vijaykumar Aishworiya, Ramkumar Lim, Tammy S.H. Tan, Mae Yue Kiing, Jennifer S.H. Chong, Shang Chee Kang, Ying Qi Pediatr Neonatol Original Article BACKGROUND: As the coronavirus 2019 pandemic continues, healthcare services need to adapt to continue providing optimal and safe services for patients. We detail our adaptive framework as a large Developmental and Behavioral Pediatrics service in a tertiary academic institution in Singapore. METHODS: The multidisciplinary team at our unit implemented various adaptations and workflow processes during this evolving pandemic in providing continued clinical care tailored to the challenges specific to our patient population. Services were continued via teleconsultation mode during the ‘Circuit Breaker’ (enhanced movement restriction) period. Specific workflow processes, IT infrastructure, and staff training were put in place to support smooth running of this service. Segregation of services into two teams based at two separate sites and implementation of stringent infection control measures surrounding the clinic visit by providers, patients and their families were incorporated to ensure safety. Measures were also taken to ensure providers' mental wellbeing. RESULTS: The clinical service was continued for the majority of our patients with a lowest reduction in patient consultations to half of baseline during the ‘Circuit Breaker’ period. We received positive feedback from families for teleconsultation services provided. CONCLUSION: We have been able to continue services in our DBP clinics due to our dynamic reassessment of workflow processes and their prompt implementation in conjunction with the hospital and national public health response to the pandemic. Given that this pandemic is likely to be long drawn, our unit remains ready to constantly adjust these workflows and make adaptations as we go along, together with the support for mental health of patients, parents and staff. Continual improvements in workflows will be helpful even beyond the pandemic to ensure good continuity of care for our patients and families. Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. 2021-01 2020-09-07 /pmc/articles/PMC7475770/ /pubmed/33028511 http://dx.doi.org/10.1016/j.pedneo.2020.09.003 Text en © 2020 Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Article
Mulay, Kalyani Vijaykumar
Aishworiya, Ramkumar
Lim, Tammy S.H.
Tan, Mae Yue
Kiing, Jennifer S.H.
Chong, Shang Chee
Kang, Ying Qi
Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic
title Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic
title_full Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic
title_fullStr Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic
title_full_unstemmed Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic
title_short Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic
title_sort innovations in practice: adaptation of developmental and behavioral pediatric service in a tertiary center in singapore during the covid-19 pandemic
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7475770/
https://www.ncbi.nlm.nih.gov/pubmed/33028511
http://dx.doi.org/10.1016/j.pedneo.2020.09.003
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