紧急情况部门对COVID-19流行病的环境反应:一种定性研究
Xiaobo Quan1, Joshua Adam Gentges2, Brandon James Koenigsknecht2
1School of Architecture & Design, The University of Kansas, Lawrence, KS, USA.
在COVID-19大流行期间,紧急部门 (ED) 调整了他们的物理环境,实施了患者隔离和空气质量控制等策略. 建议侧重于灵活的建筑设计和针对未来危机的包容性决策.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 环境设计环境设计
背景情况:
- 在COVID-19大流行期间,紧急部门 (ED) 经历了重大环境修改.
- 决策过程和这些修改的有效性没有得到充分的研究.
研究的目的:
- 记录和评估ED在COVID-19大流行期间使用的物理环境策略.
- 为管理未来的公共卫生危机制定建议.
主要方法:
- 通过对11名ED专业人士进行半结构面试,进行了深入的定性案例研究.
- 采访数据的定性内容分析,并补充了设计文件和照片证据.
- 专注于美国大型城市ED中的环境响应.
主要成果:
- 关键策略包括物理障碍,空气过,空气流控制和替代护理空间.
- 患者的身体分离是最有效的,其次是空气质量控制.
- 挑战包括在有限的信息和资源下快速变革.
结论:
- 物理环境对于ED流行病应对和危机准备至关重要.
- 建议包括灵活的建筑设计 (例如负压,可适应的通风) 和自下而上的决策.
- 医院在ED流行病规划中应优先考虑通风,安全和人员人体工程学.
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