Processes for Trauma Care at Six Level I Trauma Centers During the COVID-19 Pandemic.
Journal
Journal for healthcare quality : official publication of the National Association for Healthcare Quality
ISSN: 1945-1474
Titre abrégé: J Healthc Qual
Pays: United States
ID NLM: 9202994
Informations de publication
Date de publication:
Historique:
pubmed:
5
1
2021
medline:
26
1
2021
entrez:
4
1
2021
Statut:
ppublish
Résumé
As the COVID-19 pandemic spread, patient care guidelines were published and elective surgeries postponed. However, trauma admissions are not scheduled and cannot be postponed. There is a paucity of information available on continuing trauma care during the pandemic. The study purpose was to describe multicenter trauma care process changes made during the COVID-19 pandemic. This descriptive survey summarized the response to the COVID-19 pandemic at six Level I trauma centers. The survey was completed in 05/2020. Questions were asked about personal protective equipment, ventilators, intensive care unit (ICU) beds, and negative pressure rooms. Data were summarized as proportions. The survey took an average of 5 days. Sixty-seven percent reused N-95 respirators; 50% sanitized them with 25% using ultraviolet light. One hospital (17%) had regional resources impacted. Thirty-three percent created ventilator allocation protocols. Most hospitals (83%) designated more beds to the ICU; 50% of hospitals designated an ICU for COVID-19 patients. COVID-19 patients were isolated in negative pressure rooms at all hospitals. In response to the COVID-19 pandemic, Level I trauma centers created processes to provide optimal trauma patient care and still protect providers. Other centers can use the processes described to continue care of trauma patients during the COVID-19 pandemic.
Identifiants
pubmed: 33394838
doi: 10.1097/JHQ.0000000000000285
pii: 01445442-202102000-00002
pmc: PMC7785512
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3-12Informations de copyright
Copyright © 2020 National Association for Healthcare Quality.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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