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Remote Laboratory Management: Respiratory Virus Diagnostics
Published on: April 6, 2019
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Managing COVID-19 in a Novel, Rapidly Deployable Community Isolation Quarantine Facility
Ming Li Chia1, Dickson Hong Him Chau2, Kheng Sit Lim2
1Ministry of Health Holdings, Singapore (M.L.C.).
Annals of Internal Medicine
|September 17, 2020
Summary
Singapore rapidly established Community Care Facilities (CCFs) to manage low-risk COVID-19 patients, successfully isolating thousands with minimal adverse events and zero healthcare worker infections.
Area of Science:
- Public Health
- Infectious Disease Management
- Healthcare Operations
Background:
- Singapore, a densely populated island, faced the challenge of managing the COVID-19 pandemic.
- Large-scale isolation facilities were necessary to contain community transmission.
Purpose of the Study:
- To describe the operational experience of Community Care Facilities (CCFs) in Singapore during the COVID-19 pandemic.
- To evaluate the safety and effectiveness of CCFs in managing low-risk patients.
Main Methods:
- Rapid conversion of public spaces into CCFs.
- Implementation of a protocolized system with telemedicine support.
- Maintaining a low healthcare worker-to-patient ratio (98:3200).
Main Results:
- CCFs admitted 3758 patients in the first month across 4 halls.
- 4929 in-house medical consults were conducted.
- 136 patients required hospital transfer, with one late mortality post-discharge; no healthcare workers were infected.
Conclusions:
- Large-scale CCFs can be effectively operated during public health crises.
- Protocolized care and telemedicine enable efficient patient management with limited resources.
- CCFs successfully provided safe and holistic care for low-risk COVID-19 patients.
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