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Published on: November 7, 2020
Utilizing an office based laboratory (OBL) during the COVID-19 pandemic for vascular surgical patients
Suzanna Fitzpatrick1, Eleanor Dunlap1, Shannon Hawkins2
1University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD, United States.
Insights
The Office-Based Laboratory (OBL) system effectively prioritized vascular patients during the COVID-19 pandemic. This approach prevented surgical backlogs and maintained essential care for chronically ill populations.
Area of Science:
- Vascular Surgery
- Healthcare Management
- Public Health
Background:
- The COVID-19 pandemic necessitated healthcare system adjustments, including patient prioritization and resource allocation.
- Urgent decision-making was required to balance immediate patient needs with the preservation of acute care resources.
Purpose of the Study:
- To report on a single center's Office-Based Laboratory (OBL) system for prioritizing vascular patients during the pandemic.
- To assess the OBL's effectiveness in preserving acute care resources and personnel.
- To evaluate the impact of continued OBL care on surgical procedure backlogs.
Main Methods:
- Review of three months of patient data from a single center's OBL.
- Implementation of a tiered system for vascular patient prioritization.
- Analysis of OBL patient care rates compared to pre-pandemic levels.
Main Results:
- The OBL system successfully continued providing urgent care to a large intercity population at pre-pandemic rates.
- Prioritizing vascular patients in the OBL prevented an insurmountable backup of surgical procedures.
- Acute care resources and personnel were preserved by managing non-urgent cases effectively.
Conclusions:
- The OBL model proved effective in managing vascular patient care during the COVID-19 pandemic.
- Continued OBL operations prevented surgical backlogs, facilitating the resumption of elective surgeries.
- This system highlights the importance of adaptable healthcare models for maintaining essential services during public health crises.
Abstract:
COVID-19 pandemic brought new challenges in healthcare including the need to create tiered class recommendations about which types patients to treat urgently and which surgical cases to defer. This is a report of a single center's Office Based Laboratory (OBL) system to prioritize vascular patients and preserve acute care resources and personnel. In reviewing three months of data, it appears that by continuing to provide the urgent care needed for this chronically ill population, the insurmountable backup of surgical procedures is prevented in the operating room once elective surgeries resumed. The OBL was able to continue providing care at the same pre-pandemic rate to a large intercity population.
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