Expanding access for COVID-19 patients by transforming a burn unit into a closed-circuit unit for surgical patients: experience from an academic medical center in Jordan

Hani, Diab Bani; Altal, Omar F.; Aleshawi, Abdelwahab; Alhowary, Ala”a; Obeidat, Basil

doi:10.1186/s13037-020-00251-9

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…Due to this feature, burn center has become an alternative place for the increasing intensive care demands during the Covid-19 epidemic. There are few studies in the literature that transform the burn center into a Covid-19 ICU (Bani Hani et al , 2020; Altal et al , 2020). The strategy of the research hospital mentioned in this study also underwent changes based on the changing dynamics of COVID-19 and changes in government and institutional policies.…”

Section: Literature Reviewmentioning

confidence: 99%

Spatial infection control in burn center organization: a burn center design experience for evidence-based architecture

Şahin

Yavuz

Kesiktaş

2023

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Purpose This study discusses that the necessary criteria and the solution approach taken to resolve the main spatial infection problems with a burn center design should be evaluated holistically to achieve spatial infection control in a burn center. The burn center design plays an important role in protecting severely burned patients from infection because the microbial flora of the hospital can affect the infection risk. In hospitals, sterilization and disinfection are the basic components of infection prevention; however, the prevention and control of infection for burn patients also requires the design of burn centers that adhere to a specific set of criteria that considers spatial infection control in addition to appropriate burn treatment methods and treatments. In this study, a burn facility converted from a burn unit into a burn center is introduced and the necessary design inputs for the transformation are discussed because there is no holistic study in the literature that delas with all the spaces that should be in a burn center and relations between spaces. This study aims to define the functional relations between each of the units and the spaces that change according to different sterilization demands in the burn center for ensuring spatial infection control. Furthermore, it aims to propose a method for ensuring continuity in the control of spatial infections. Design/methodology/approach The burn care and health facilities guidelines are examined within the framework of spatial standards, together with a comprehensive literature review. The design method was based on the spread of microorganisms and the effect of human movement on space and spatial transitions in the burn center, according to all relevant literature reviews. To determine the extent to which the differences in treatment protocols of burn care guidelines were reflected in the space, interviews were conducted with burn facility officials. The plan–do–check–act (PDCA) method is also modeled to ensure the continuity of infection control in the burn center. Findings The burn center design findings are classified under three main headings, namely, location of the burn center in the hospital, spatial organization and physical features of the burn center and the air flowing system. The importance of the interactions among the criteria for spatial infection control has been revealed. Due to the physical space characteristics and air flow characteristics that change according to human movement and the way microorganisms spread, it has been seen that designing the air flow and architectural aspects together has an effective role in providing spatial infection control. Accordingly, a functional relation scheme for the center has been suggested. It is also proposed as a model to ensure the continuity of infection control in the burn center. Practical implications This research presents spatial measures for infection control in burn centers for practitioners in health-care settings such as designers, engineers, doctors and nurses. The PDCA method also leads to continuity of infection control for hospital management. Originality/value This is the first study, to the best of the authors’ knowledge, to focus on developing the criteria for spatial infection control in burn center. Moreover, the aim is to create a function chart that encompasses the relationships between the units within the burn center design so that infection control can be coordinated spatially.

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Section: Literature Reviewmentioning

confidence: 99%

Spatial infection control in burn center organization: a burn center design experience for evidence-based architecture

Şahin

Yavuz

Kesiktaş

2023

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“…Accordingly, at King Abdullah University Hospital in Jordan, we have prepared a ''closed circuit'' model for pregnant women and all surgical patients diagnosed with COVID-19. The model was discussed for all surgical patients by authors from our institution [6]. This ''closed circuit'' unit is the burns unit at our center.…”

Section: Preparing the Burns Unit To Accommodate The Deliverymentioning

confidence: 99%

Preparing the Burns Unit to Accommodate Vaginal Delivery and Cesarean Section for Pregnant Women with COVID-19: A Successful Experience from Jordan

et al. 2020

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COVID-19 is a highly infectious contagious virus. One of the major concerns is crossinfection of healthcare staff and other patients without COVID-19 in the hospitals. This is a major problem for patients with COVID-19 who require a surgical or interventional procedure, especially pregnant women. In our successful experience, we have adopted a ''closed circuit'' model for those patients by the proper utilization of the burns unit at our center. Accordingly, no cases of cross-infection were reported.

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“…The scope of postgraduation in anaesthesiology is so abundant that the residents can use their wild minds and disciplined eyes to create life-saving yet cost-effective devices. Some of the new ideas designed to minimise aerosol generation during the corona virus disease-19 (COVID-19) era included aerosol boxes,[ 1 2 ] corona curtains,[ 3 ] railway coaches transformed into COVID-19 care centres,[ 4 ] face shields made out of transparent over-head projector display foil, bacterial/viral filters attached to an anaesthesia face mask and many more. [ 5 ]…”

mentioning

confidence: 99%

Lockdown Innovation –SAMBU – Through the wild eyes and by the disciplined mind of an anaesthesia resident

Narayanan

Ganesan²,

Bhandari

et al. 2022

Indian Journal of Anaesthesia

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Expanding access for COVID-19 patients by transforming a burn unit into a closed-circuit unit for surgical patients: experience from an academic medical center in Jordan

Cited by 5 publications

References 10 publications

Spatial infection control in burn center organization: a burn center design experience for evidence-based architecture

Spatial infection control in burn center organization: a burn center design experience for evidence-based architecture

Preparing the Burns Unit to Accommodate Vaginal Delivery and Cesarean Section for Pregnant Women with COVID-19: A Successful Experience from Jordan

Lockdown Innovation –SAMBU – Through the wild eyes and by the disciplined mind of an anaesthesia resident

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