Preparing an orthopedic department for COVID-19

Area of Science:

• Healthcare Management
• Trauma Care
• Infectious Disease Preparedness

Background:

• The COVID-19 pandemic significantly disrupted global healthcare services.
• Level 1 trauma centers faced unprecedented challenges in service delivery and organization.
• Need for adaptive strategies in orthopedic departments during health crises.

Purpose of the Study:

• To document organizational restructuring within an orthopedic department at a level 1 trauma center.
• To assess orthopedic healthcare professionals' perceptions of information and educational activities.
• To provide recommendations for organizational preparedness during future disruptive events.

Main Methods:

• Retrospective survey analyzing departmental reorganization and a needs-driven educational program.
• Evaluation of educational activities using a 7-item questionnaire.
• Analysis of staff learning outcomes and confidence levels.

Main Results:

• Establishment of 5 sequential COVID-19 clusters, with orthopedic staff integrated into cluster 4.
• Redistribution of orthopedic teams to the emergency department (ED) for injury management.
• High mean learning outcomes (5.4/7) reported, enhancing staff confidence in patient care and self-protection.

Conclusions:

• Leveraging core clinical competencies through staff redistribution (orthopedics to ED) is a viable strategy.
• In-situ simulation effectively enhances technical and non-technical skills.
• Organizational learning and adaptability are crucial for managing unforeseen healthcare disruptions.