医院COVID-19准备:我们已经准备好了吗?
Mei Zhao1, Hanadi Y Hamadi2, D Rob Haley3
1Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida. ORCID: https://orcid.org/0000-0003-4218-463X.
American journal of disaster medicine
|August 8, 2023
概括
医院对灾难的承受能力有限,尤其是在政府和营利机构. 大型,教学型和农村型医院在卫生危机期间更好地为患者激增做好准备.
科学领域:
- 医疗保健管理的管理
- 公共卫生准备情况 公共卫生准备情况
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于风卡特里娜和哈维等事件,灾害准备计划得到加强.
- 许多美国医院对长期的灾难和患者数量激增的情况做好准备不足.
研究的目的:
- 分析和检查COVID-19患者的医院容量.
- 评估了急诊室 (ED) 床位,重症监护室 (ICU) 床位,临时空间和呼吸机的可用性.
主要方法:
- 使用2020年美国医院协会 (AHA) 年度调查数据进行的横截面回顾性研究.
- 多变量后勤分析研究了医院特征与病床容量,临时空间和呼吸机可用性的变化之间的关联.
主要成果:
- 政府和营利性医院与非营利性医院相比,ED床位更换的几率较低.
- 与教学和大型医院相比,非教学和较小的医院对ED床位更换的几率明显较低.
- 在城市医院,临时空间设置的可能性较小,而在城市环境中,ED床位更换的可能性更大.
结论:
- 政策制定者必须解决供应链中断导致的资源限制问题.
- 对资金,保险,医院资金和人口需求进行全面评估对于灾难准备至关重要.
相关概念视频
Standard Precaution
2.0K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.0K
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Transmission-based Precautions I: Contact, Enteric, and Droplets
3.7K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.7K
Transmission-based Precautions II: Airborne and Protective Environment
1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
Steps in Outbreak Investigation
152
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
152
Pneumonia V: Nursing management and Prevention
2.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.2K


