Covid-19 pandemic: A frontline hospital reorganization to cope with therapeutic and diagnostic emergency

Filippis, Giuseppe De; Cavazzana, Laura; Gimigliano, Alessandra; Piacenza, M; Vimercati, Stefania

doi:10.1016/j.phrs.2020.105160

Cited by 14 publications

(13 citation statements)

References 3 publications

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“…In order to cope with all the changes this pandemic has brought, a complete reorganization of the healthcare system took place, and shifted its focus to management and triage of COVID-19 patients [ 9 , 10 ]. Specialized COVID-19 centers rapidly emerged throughout the country, and one of the main carriers of the logistical and adaptive burden that emerged were family physicians (FPs).…”

Section: Introductionmentioning

confidence: 99%

Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

Vilovic

Božić

Vilović

et al. 2021

IJERPH

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During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

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Section: Introductionmentioning

confidence: 99%

Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

Vilovic

Božić

Vilović

et al. 2021

IJERPH

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“…Since the first cases of COVID-19, several organizational changes have been implemented to respond adequately and effectively to the emergency and to the needs of citizenship [ 19 , 20 ]. A crisis management plan was fundamental to face the pressure caused by the pandemic on the entire healthcare system [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…A crisis management plan was fundamental to face the pressure caused by the pandemic on the entire healthcare system [ 21 ]. A lot of space and resources were dedicated to assisting COVID-19 affected patients; this hospital reorganization required the suspension of most deferrable activities that led to a consequent decrease in the number of admissions [ 19 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Incident Reporting Reduction during the Covid-19 Pandemic in a Tertiary Italian Hospital. A Retrospective Analysis

Pauletti

Girotto

Luca

et al. 2021

International Journal for Quality in Health Care

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Background Incident reporting (IR) is one of the most used systems to gain knowledge of AEs and to identify sources of risk. During COVID-19 pandemic, several organizational changes have been implemented to respond adequately and effectively to the emergency; this required the suspension of most deferrable activities. The aim of this study is to investigate whether incident reporting attitude of health workers has been reduced during the pandemic event. Method A retrospective analysis was conducted at the Azienda Ospedale – Università di Padova (Italy), considering IR of years 2019 and 2020. To standardize the effects of the decrease in admissions, we considered the number of incidents per 1,000 admissions. Results Data shows that during the first (March-May 2020) and second waves (October-December 2020) of the COVID-19 pandemic there was a statistically significant reduction in the rate of incident reporting for every 1,000 admissions (p=0.001 – Wilcoxon test), especially for adverse events and in COVID-19 units. Conclusion This study shows a reduction in incident reporting especially during the first and second pandemic waves of COVID-19 in year 2020. Education and training interventions could be fundamental to raise awareness of the importance of incident reporting in health workers, as this could provide opportunities to understand what is impacting on safety in a particular healthcare context and enable continuous improvement.

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“…Birthing practices, in particular, have changed markedly during the pandemic; for example, one facility in Italy contracted its maternal-infant ward non-COVID-19 inpatient activities by 30% ( 8 ). In a pragmatic, crowd sourced survey from the Infant Microbiome COVID-19 Project involving 328 healthcare professionals in 47 countries worldwide ( 9 ), only 6.5% of respondents reported no change in their institution's birthing practice.…”

Section: Introductionmentioning

confidence: 99%

Promoting and Protecting Human Milk and Breastfeeding in a COVID-19 World

Spatz

Davanzo

Müller³

et al. 2021

Front. Pediatr.

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The global COVID-19 pandemic has put enormous stress on healthcare systems and hospital staffing. However, through all this, families will continue to become pregnant, give birth, and breastfeed. Unfortunately, care of the childbearing family has been de-prioritized during the pandemic. Additionally, many healthcare practices during the pandemic have not been positive for the childbearing family or breastfeeding. Despite recommendations from the World Health Organization to promote early, direct breastfeeding and skin to skin contact, these and other recommendations are not being followed in the clinical setting. For example, some mothers have been forced to go through labor and birth alone in some institutions whilst some hospitals have limited or no parental visitation to infants in the NICU. Furthermore, hospitals are discharging mothers and their newborns early, limiting the amount of time that families receive expert lactation care, education, and technical assistance. In addition, some hospitals have furloughed staff or transferred them to COVID-19 wards, further negatively impacting direct care for families and their newborns. We are concerned that these massive changes in the care of childbearing families will be permanently adopted. Instead, we must use the pandemic to underscore the importance of human milk and breastfeeding as lifesaving medical interventions. We challenge healthcare professionals to change the current prenatal and post-birth practice paradigms to protect lactation physiology and to ensure that all families in need receive equal access to evidence-based lactation education, care and technical assistance.

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Covid-19 pandemic: A frontline hospital reorganization to cope with therapeutic and diagnostic emergency

Cited by 14 publications

References 3 publications

Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

Incident Reporting Reduction during the Covid-19 Pandemic in a Tertiary Italian Hospital. A Retrospective Analysis

Promoting and Protecting Human Milk and Breastfeeding in a COVID-19 World

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