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Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center

The coronavirus disease 2019 (COVID‐19) pandemic created new emergency physician staffing challenges. Emergency physicians may be taken out of the workforce because of respiratory symptoms or pending severe acute respiratory syndrome coronavirus 2 test results. Vulnerable emergency physician populat...

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Autores principales: Lee, Moon O., Ribeira, Ryan, Fang, Andrea, Cantwell, Lauren, Khanna, Kajal, Smith, Cherrelle, Gharahbaghian, Laleh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872207/
https://www.ncbi.nlm.nih.gov/pubmed/33615307
http://dx.doi.org/10.1002/emp2.12221
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author Lee, Moon O.
Ribeira, Ryan
Fang, Andrea
Cantwell, Lauren
Khanna, Kajal
Smith, Cherrelle
Gharahbaghian, Laleh
author_facet Lee, Moon O.
Ribeira, Ryan
Fang, Andrea
Cantwell, Lauren
Khanna, Kajal
Smith, Cherrelle
Gharahbaghian, Laleh
author_sort Lee, Moon O.
collection PubMed
description The coronavirus disease 2019 (COVID‐19) pandemic created new emergency physician staffing challenges. Emergency physicians may be taken out of the workforce because of respiratory symptoms or pending severe acute respiratory syndrome coronavirus 2 test results. Vulnerable emergency physician populations with increased risk of serious disease and death from COVID‐19 include physicians at older ages; those with chronic medical conditions, including cardiac and pulmonary diseases and immunosuppression; and potentially pregnancy. We present our approach to planning for staffing issues through precision scheduling. We describe the actions taken to protect our vulnerable physicians and maximize our physician coverage. Measures include optimizing workforce; increasing backup call system; adjusting shifts based on patient arrival times, volume, and surge predictions; minimizing exposure to COVID‐19 and reduce personal protective equipment use through telemedicine, huddles, and, creating lower risk emergency department care areas; and standardizing intubations to limit exposure.
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spelling pubmed-78722072021-02-19 Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center Lee, Moon O. Ribeira, Ryan Fang, Andrea Cantwell, Lauren Khanna, Kajal Smith, Cherrelle Gharahbaghian, Laleh J Am Coll Emerg Physicians Open The Practice of Emergency Medicine The coronavirus disease 2019 (COVID‐19) pandemic created new emergency physician staffing challenges. Emergency physicians may be taken out of the workforce because of respiratory symptoms or pending severe acute respiratory syndrome coronavirus 2 test results. Vulnerable emergency physician populations with increased risk of serious disease and death from COVID‐19 include physicians at older ages; those with chronic medical conditions, including cardiac and pulmonary diseases and immunosuppression; and potentially pregnancy. We present our approach to planning for staffing issues through precision scheduling. We describe the actions taken to protect our vulnerable physicians and maximize our physician coverage. Measures include optimizing workforce; increasing backup call system; adjusting shifts based on patient arrival times, volume, and surge predictions; minimizing exposure to COVID‐19 and reduce personal protective equipment use through telemedicine, huddles, and, creating lower risk emergency department care areas; and standardizing intubations to limit exposure. John Wiley and Sons Inc. 2021-02-09 /pmc/articles/PMC7872207/ /pubmed/33615307 http://dx.doi.org/10.1002/emp2.12221 Text en © 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle The Practice of Emergency Medicine
Lee, Moon O.
Ribeira, Ryan
Fang, Andrea
Cantwell, Lauren
Khanna, Kajal
Smith, Cherrelle
Gharahbaghian, Laleh
Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center
title Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center
title_full Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center
title_fullStr Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center
title_full_unstemmed Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center
title_short Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center
title_sort protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center
topic The Practice of Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872207/
https://www.ncbi.nlm.nih.gov/pubmed/33615307
http://dx.doi.org/10.1002/emp2.12221
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