COVID-19 Level-Loading

Lee, Andy Hung-Yi; Dunn, Peter F.; Cooper, Stephanie; Seger, Robert; Raja, Ali S.; Safavi, Kyan; Yun, Brian J.

doi:10.1097/01.jmq.0000743384.54212.e7

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Communication strategies towards the public and between healthcare facilities will continue to pose challenges ( Table 3 ). Based on the analyses of time-sensitive data from the pandemic, surge situation protocols for transferring critically ill patients should be redesigned [ 52 ] especially with consideration to ethical aspects of the care for patients. There are undoubtedly many other examples of how the thorough review of COVID-19 pandemic response can enhance and improve crisis preparedness efforts.…”

Section: Discussionmentioning

confidence: 99%

Hospital-Level COVID-19 Preparedness and Crisis Management in Czechia

Michenka,

Marx

2023

Int J Public Health

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Objectives: The COVID-19 pandemic exposed the inadequacy of pandemic preparedness mechanisms worldwide. This study gathered comprehensive data from Czech hospitals, identified possible weaknesses in important areas of crisis preparedness, and quantified changes performed to enhance crisis resilience of healthcare facilities.Methods: Drawing on literature review on pandemic preparedness and hospital crisis management and detailed interviews with hospital representatives, a questionnaire was designed and distributed by email among quality managers of all Czech hospitals. Statistical analysis of their responses was conducted using EZR software. Fisher’s exact test and Kruskal-Wallis test, with post hoc testing, were used to assess statistical significance.Results: Achieving response rate of 31.9%, responses from 65 hospitals were analysed. New crisis management policies were necessary in 72.3% of responding hospitals. Furthermore, a majority of the respondents changes indicated the need for changes in policies on general pandemic, human resources and infrastructure and material preparedness.Conclusion: The COVID-19 crisis required significant alterations to previously established hospital crisis management protocols and establishment of new ones. The absence of a unified system for crisis preparedness was noted at hospital and national levels.

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Section: Discussionmentioning

confidence: 99%

Hospital-Level COVID-19 Preparedness and Crisis Management in Czechia

Michenka,

Marx

2023

Int J Public Health

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“…However, this optimisation method places significant demands on manpower and material resources, making it challenging to replicate in general areas 19 22. Consequently, many countries’ healthcare systems primarily adopt more convenient and expedient mitigation strategies, such as the transfer of patients, utilisation of idle facilities, establishment of specialised wards and conversion of regular beds 18 23–28. These measures provide a certain degree of relief to the bed shortage problem.…”

Section: Introductionmentioning

confidence: 99%

Impact of an ICU bed capacity optimisation method on the average length of stay and average cost of hospitalisation following implementation of China’s open policy with respect to COVID-19: a difference-in-differences analysis based on information management system data from a tertiary hospital in southwest China

Zheng,

Zeng,

Tang

et al. 2024

BMJ Open

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ObjectivesFollowing the implementation of China’s open policy with respect to COVID-19 on 7 December 2022, the influx of patients with infectious diseases has surged rapidly, necessitating hospitals to adopt temporary requisition and modification of ward beds to optimise hospital bed capacity and alleviate the burden of overcrowded patients. This study aims to investigate the effect of an intensive care unit (ICU) bed capacity optimisation method on the average length of stay (ALS) and average cost of hospitalisation (ACH) after the open policy of COVID-19 in China.Design and settingA difference-in-differences (DID) approach is employed to analyse and compare the ALS and ACH of patients in four modified ICUs and eight non-modified ICUs within a tertiary hospital located in southwest China. The analysis spans 2 months before and after the open policy, specifically from 5 October 2022 to 6 December 2022, and 7 December 2022 to 6 February 2023.ParticipantsWe used the daily data extracted from the hospital’s information management system for a total of 5944 patients admitted by the outpatient and emergency access during the 2-month periods before and after the release of the open policy in China.ResultsThe findings indicate that the ICU bed optimisation method implemented by the tertiary hospital led to a significant reduction in ALS (HR −0.6764, 95% CI −1.0328 to −0.3201, p=0.000) and ACH (HR −0.2336, 95% CI −0.4741 to −0.0068, p=0.057) among ICU patients after implementation of the open policy. These results were robust across various sensitivity analyses. However, the effect of the optimisation method exhibits heterogeneity among patients admitted through the outpatient and emergency channels.ConclusionsThis study corroborates a significant positive impact of ICU bed optimisation in mitigating the shortage of medical resources following an epidemic outbreak. The findings hold theoretical and practical implications for identifying effective emergency coordination strategies in managing hospital bed resources during sudden public health emergency events. These insights contribute to the advancement of resource management practices and the promotion of experiences in dealing with public health emergencies.

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COVID-19 Level-Loading

Cited by 2 publications

References 4 publications

Hospital-Level COVID-19 Preparedness and Crisis Management in Czechia

Hospital-Level COVID-19 Preparedness and Crisis Management in Czechia

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