Cargando…

Redeployment of specialist surgeons in the COVID-19 pandemic in a general hospital: critical issues and suggestions

BACKGROUND AND AIM: to gain experience and highlight any margins for improvement, we outlined the role played by specialist surgeons (with particular reference to orthopedic surgeons), redeployed in treating COVID-19 patients in the Emergency Department of a general hospital, with severe overcrowdin...

Descripción completa

Detalles Bibliográficos
Autores principales: Ferrara, Fabrizio, Galmarini, Valter, Tosco, Piermario, Molinari, Giampaolo, Capelli, Roberto Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182580/
https://www.ncbi.nlm.nih.gov/pubmed/33988153
http://dx.doi.org/10.23750/abm.v92i2.10921
_version_ 1783704237483491328
author Ferrara, Fabrizio
Galmarini, Valter
Tosco, Piermario
Molinari, Giampaolo
Capelli, Roberto Maria
author_facet Ferrara, Fabrizio
Galmarini, Valter
Tosco, Piermario
Molinari, Giampaolo
Capelli, Roberto Maria
author_sort Ferrara, Fabrizio
collection PubMed
description BACKGROUND AND AIM: to gain experience and highlight any margins for improvement, we outlined the role played by specialist surgeons (with particular reference to orthopedic surgeons), redeployed in treating COVID-19 patients in the Emergency Department of a general hospital, with severe overcrowding due to the massive and continuous arrival of patients. METHODS: “on the field” experience of the Authors is reported, followed by a narrative review of the literature, mainly on the topic of health-personnel redeployment during an emergency. RESULTS: a brief chronological discussion of the progressive reorganization of the hospital, in relation to the progress of the epidemic in the area, is reported, with specific reference to the experience of orthopedic and other branches specialist surgeons, that was characterized by a high degree of uncertainty about what to do, worsened by organizational difficulties due to the incessant arrival of patients and subsequent overcrowding. Observations relating to the critical aspects that have emerged and the various solutions proposed or implemented, if they have been identified, as well as the problems still open, are then made and compared to current literature. CONCLUSIONS: the most significant aspect that we have tried to outline is the organizational difficulty, due to the rapid and unpredictable change in the situation: greater efficiency and flexibility, seen as the ability to overcome bureaucratic, logistical, regulatory or budgetary obstacles that prevent the rapid changes made necessary by the epidemic, could perhaps help to face better any subsequent pandemic wave, like the fierce one ongoing at the present moment (www.actabiomedica.it)
format Online
Article
Text
id pubmed-8182580
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Mattioli 1885
record_format MEDLINE/PubMed
spelling pubmed-81825802021-06-16 Redeployment of specialist surgeons in the COVID-19 pandemic in a general hospital: critical issues and suggestions Ferrara, Fabrizio Galmarini, Valter Tosco, Piermario Molinari, Giampaolo Capelli, Roberto Maria Acta Biomed Original Investigations/Commentaries BACKGROUND AND AIM: to gain experience and highlight any margins for improvement, we outlined the role played by specialist surgeons (with particular reference to orthopedic surgeons), redeployed in treating COVID-19 patients in the Emergency Department of a general hospital, with severe overcrowding due to the massive and continuous arrival of patients. METHODS: “on the field” experience of the Authors is reported, followed by a narrative review of the literature, mainly on the topic of health-personnel redeployment during an emergency. RESULTS: a brief chronological discussion of the progressive reorganization of the hospital, in relation to the progress of the epidemic in the area, is reported, with specific reference to the experience of orthopedic and other branches specialist surgeons, that was characterized by a high degree of uncertainty about what to do, worsened by organizational difficulties due to the incessant arrival of patients and subsequent overcrowding. Observations relating to the critical aspects that have emerged and the various solutions proposed or implemented, if they have been identified, as well as the problems still open, are then made and compared to current literature. CONCLUSIONS: the most significant aspect that we have tried to outline is the organizational difficulty, due to the rapid and unpredictable change in the situation: greater efficiency and flexibility, seen as the ability to overcome bureaucratic, logistical, regulatory or budgetary obstacles that prevent the rapid changes made necessary by the epidemic, could perhaps help to face better any subsequent pandemic wave, like the fierce one ongoing at the present moment (www.actabiomedica.it) Mattioli 1885 2021 2021-05-12 /pmc/articles/PMC8182580/ /pubmed/33988153 http://dx.doi.org/10.23750/abm.v92i2.10921 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Investigations/Commentaries
Ferrara, Fabrizio
Galmarini, Valter
Tosco, Piermario
Molinari, Giampaolo
Capelli, Roberto Maria
Redeployment of specialist surgeons in the COVID-19 pandemic in a general hospital: critical issues and suggestions
title Redeployment of specialist surgeons in the COVID-19 pandemic in a general hospital: critical issues and suggestions
title_full Redeployment of specialist surgeons in the COVID-19 pandemic in a general hospital: critical issues and suggestions
title_fullStr Redeployment of specialist surgeons in the COVID-19 pandemic in a general hospital: critical issues and suggestions
title_full_unstemmed Redeployment of specialist surgeons in the COVID-19 pandemic in a general hospital: critical issues and suggestions
title_short Redeployment of specialist surgeons in the COVID-19 pandemic in a general hospital: critical issues and suggestions
title_sort redeployment of specialist surgeons in the covid-19 pandemic in a general hospital: critical issues and suggestions
topic Original Investigations/Commentaries
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182580/
https://www.ncbi.nlm.nih.gov/pubmed/33988153
http://dx.doi.org/10.23750/abm.v92i2.10921
work_keys_str_mv AT ferrarafabrizio redeploymentofspecialistsurgeonsinthecovid19pandemicinageneralhospitalcriticalissuesandsuggestions
AT galmarinivalter redeploymentofspecialistsurgeonsinthecovid19pandemicinageneralhospitalcriticalissuesandsuggestions
AT toscopiermario redeploymentofspecialistsurgeonsinthecovid19pandemicinageneralhospitalcriticalissuesandsuggestions
AT molinarigiampaolo redeploymentofspecialistsurgeonsinthecovid19pandemicinageneralhospitalcriticalissuesandsuggestions
AT capellirobertomaria redeploymentofspecialistsurgeonsinthecovid19pandemicinageneralhospitalcriticalissuesandsuggestions