Development of Rapid Response Capabilities in a Large COVID-19 Alternate Care Site Using Failure Modes and Effect Analysis with In Situ Simulation.
Betacoronavirus
Boston
/ epidemiology
COVID-19
Computer Simulation
/ standards
Coronavirus Infections
/ epidemiology
Critical Care
/ methods
Healthcare Failure Mode and Effect Analysis
/ methods
Hospital Rapid Response Team
/ standards
Humans
Intensive Care Units
/ standards
Pandemics
Pneumonia, Viral
/ epidemiology
Program Development
/ methods
Quality Improvement
/ standards
SARS-CoV-2
Journal
Anesthesiology
ISSN: 1528-1175
Titre abrégé: Anesthesiology
Pays: United States
ID NLM: 1300217
Informations de publication
Date de publication:
01 11 2020
01 11 2020
Historique:
pubmed:
11
8
2020
medline:
28
10
2020
entrez:
11
8
2020
Statut:
ppublish
Résumé
Preparedness measures for the anticipated surge of coronavirus disease 2019 (COVID-19) cases within eastern Massachusetts included the establishment of alternate care sites (field hospitals). Boston Hope hospital was set up within the Boston Convention and Exhibition Center to provide low-acuity care for COVID-19 patients and to support local healthcare systems. However, early recognition of the need to provide higher levels of care, or critical care for the potential deterioration of patients recovering from COVID-19, prompted the development of a hybrid acute care-intensive care unit. We describe our experience of implementing rapid response capabilities of this innovative ad hoc unit. Combining quality improvement tools for hazards detection and testing through in situ simulation successfully identified several operational hurdles. Through rapid continuous analysis and iterative change, we implemented appropriate mitigation strategies and established rapid response and rescue capabilities. This study provides a framework for future planning of high-acuity services within a unique field hospital setting.
Identifiants
pubmed: 32773686
pii: 110313
doi: 10.1097/ALN.0000000000003521
pmc: PMC7434018
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
985-996Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020, the American Society of Anesthesiologists, Inc. All Rights Reserved.
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