Cargando…

Transforming a public university hospital and its area of influence into a comprehensive resource in response to the COVID-19 pandemic

INTRODUCTION AND OBJECTIVES: The outbreak of COVID-19 has overwhelmed healthcare systems all over the world. The aim of this article is to describe the process of transforming the Vall d’Hebron University Hospital, the second largest hospital in Spain, into a COVID-19 centre coordinating response to...

Descripción completa

Detalles Bibliográficos
Autores principales: Román, A., Cossio-Gil, Y., Aller, M.-B., Abadias, M.-J., Cebrián, R., Barba, M.-À., Rodríguez, I., Domínguez, J.-M., Campins, M., Almirante, B., Romea, M.-S., Martínez, J., Suárez, M., Romero, R., Aguileta, B.L.d., Cortés, S., Tomás, E., García, F., Civit, C., Pumarola, T., Bravo, I., Arranz, M., González, A., Genescà, J., Ferrer, J., Ferrer, R., Carbonell, M., Estany, J., Salazar, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: FECA. Published by Elsevier España, S.L.U. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907019/
https://www.ncbi.nlm.nih.gov/pubmed/35780057
http://dx.doi.org/10.1016/j.jhqr.2022.02.006
_version_ 1784665545719676928
author Román, A.
Cossio-Gil, Y.
Aller, M.-B.
Abadias, M.-J.
Cebrián, R.
Barba, M.-À.
Rodríguez, I.
Domínguez, J.-M.
Campins, M.
Almirante, B.
Romea, M.-S.
Martínez, J.
Suárez, M.
Romero, R.
Aguileta, B.L.d.
Cortés, S.
Tomás, E.
García, F.
Civit, C.
Pumarola, T.
Bravo, I.
Arranz, M.
González, A.
Genescà, J.
Ferrer, J.
Ferrer, R.
Carbonell, M.
Estany, J.
Salazar, A.
author_facet Román, A.
Cossio-Gil, Y.
Aller, M.-B.
Abadias, M.-J.
Cebrián, R.
Barba, M.-À.
Rodríguez, I.
Domínguez, J.-M.
Campins, M.
Almirante, B.
Romea, M.-S.
Martínez, J.
Suárez, M.
Romero, R.
Aguileta, B.L.d.
Cortés, S.
Tomás, E.
García, F.
Civit, C.
Pumarola, T.
Bravo, I.
Arranz, M.
González, A.
Genescà, J.
Ferrer, J.
Ferrer, R.
Carbonell, M.
Estany, J.
Salazar, A.
author_sort Román, A.
collection PubMed
description INTRODUCTION AND OBJECTIVES: The outbreak of COVID-19 has overwhelmed healthcare systems all over the world. The aim of this article is to describe the process of transforming the Vall d’Hebron University Hospital, the second largest hospital in Spain, into a COVID-19 centre coordinating response to the pandemic in its reference area. MATERIALS AND METHODS: The study draws on the experience of the authors in transforming the hospital into a comprehensive resource in response to the COVID-19 pandemic. The strategy is based on four central strategies: early planning, coordination of all healthcare agents in its reference area, definition of clear leadership roles, and the organisation of care based on multidisciplinary teams with minimal recruitment of new staff. RESULTS: The transformation strategy enabled the hospital to cope with the surge in patients without exceeding its capacity. During the response phases, which amounted to a period of 57 days, 3106 patients consulted the ER and 2054 were admitted, 346 of whom were treated at the ICU. To accommodate the number of adult COVID-19 patients, adult ICU availability was progressive increased by 371%, and ordinary beds increased by 240. A total of 671 staff members went on sick leave after testing positive for COVID-19. CONCLUSION: The transformation experience of the hospital provides insight into how effectively adapt the structures and functioning of large hospitals. The relevance of territorial coordination during the pandemic is stressed as an effective strategy that contributed coping the pandemic.
format Online
Article
Text
id pubmed-8907019
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher FECA. Published by Elsevier España, S.L.U.
record_format MEDLINE/PubMed
spelling pubmed-89070192022-03-10 Transforming a public university hospital and its area of influence into a comprehensive resource in response to the COVID-19 pandemic Román, A. Cossio-Gil, Y. Aller, M.-B. Abadias, M.-J. Cebrián, R. Barba, M.-À. Rodríguez, I. Domínguez, J.-M. Campins, M. Almirante, B. Romea, M.-S. Martínez, J. Suárez, M. Romero, R. Aguileta, B.L.d. Cortés, S. Tomás, E. García, F. Civit, C. Pumarola, T. Bravo, I. Arranz, M. González, A. Genescà, J. Ferrer, J. Ferrer, R. Carbonell, M. Estany, J. Salazar, A. J Healthc Qual Res Special Article INTRODUCTION AND OBJECTIVES: The outbreak of COVID-19 has overwhelmed healthcare systems all over the world. The aim of this article is to describe the process of transforming the Vall d’Hebron University Hospital, the second largest hospital in Spain, into a COVID-19 centre coordinating response to the pandemic in its reference area. MATERIALS AND METHODS: The study draws on the experience of the authors in transforming the hospital into a comprehensive resource in response to the COVID-19 pandemic. The strategy is based on four central strategies: early planning, coordination of all healthcare agents in its reference area, definition of clear leadership roles, and the organisation of care based on multidisciplinary teams with minimal recruitment of new staff. RESULTS: The transformation strategy enabled the hospital to cope with the surge in patients without exceeding its capacity. During the response phases, which amounted to a period of 57 days, 3106 patients consulted the ER and 2054 were admitted, 346 of whom were treated at the ICU. To accommodate the number of adult COVID-19 patients, adult ICU availability was progressive increased by 371%, and ordinary beds increased by 240. A total of 671 staff members went on sick leave after testing positive for COVID-19. CONCLUSION: The transformation experience of the hospital provides insight into how effectively adapt the structures and functioning of large hospitals. The relevance of territorial coordination during the pandemic is stressed as an effective strategy that contributed coping the pandemic. FECA. Published by Elsevier España, S.L.U. 2022 2022-03-10 /pmc/articles/PMC8907019/ /pubmed/35780057 http://dx.doi.org/10.1016/j.jhqr.2022.02.006 Text en © 2022 FECA. Published by Elsevier España, S.L.U. All rights reserved. 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 Special Article
Román, A.
Cossio-Gil, Y.
Aller, M.-B.
Abadias, M.-J.
Cebrián, R.
Barba, M.-À.
Rodríguez, I.
Domínguez, J.-M.
Campins, M.
Almirante, B.
Romea, M.-S.
Martínez, J.
Suárez, M.
Romero, R.
Aguileta, B.L.d.
Cortés, S.
Tomás, E.
García, F.
Civit, C.
Pumarola, T.
Bravo, I.
Arranz, M.
González, A.
Genescà, J.
Ferrer, J.
Ferrer, R.
Carbonell, M.
Estany, J.
Salazar, A.
Transforming a public university hospital and its area of influence into a comprehensive resource in response to the COVID-19 pandemic
title Transforming a public university hospital and its area of influence into a comprehensive resource in response to the COVID-19 pandemic
title_full Transforming a public university hospital and its area of influence into a comprehensive resource in response to the COVID-19 pandemic
title_fullStr Transforming a public university hospital and its area of influence into a comprehensive resource in response to the COVID-19 pandemic
title_full_unstemmed Transforming a public university hospital and its area of influence into a comprehensive resource in response to the COVID-19 pandemic
title_short Transforming a public university hospital and its area of influence into a comprehensive resource in response to the COVID-19 pandemic
title_sort transforming a public university hospital and its area of influence into a comprehensive resource in response to the covid-19 pandemic
topic Special Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907019/
https://www.ncbi.nlm.nih.gov/pubmed/35780057
http://dx.doi.org/10.1016/j.jhqr.2022.02.006
work_keys_str_mv AT romana transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT cossiogily transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT allermb transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT abadiasmj transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT cebrianr transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT barbama transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT rodriguezi transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT dominguezjm transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT campinsm transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT almiranteb transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT romeams transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT martinezj transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT suarezm transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT romeror transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT aguiletabld transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT cortess transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT tomase transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT garciaf transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT civitc transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT pumarolat transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT bravoi transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT arranzm transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT gonzaleza transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT genescaj transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT ferrerj transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT ferrerr transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT carbonellm transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT estanyj transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic
AT salazara transformingapublicuniversityhospitalanditsareaofinfluenceintoacomprehensiveresourceinresponsetothecovid19pandemic