Management of COVID‐19 patients in Fangcang shelter hospital: clinical practice and effectiveness analysis

Liu, Pei; Zhang, Hongmei; Long, Xiang; Wang, Wei; Zhan, Danting; Meng, Xin-ke; Li, Duoyun; Wang, Lingwei; Chen, RongChang

doi:10.1111/crj.13293

Cited by 21 publications

(19 citation statements)

References 10 publications

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“…Field data of interior designs of two Wuhan (Fangcang/Renmin) hospitals were adapted from published literature (Liu et al 2020 ). Specifically, the floor plan of Fangcang shelter hospital including three zones (A, B, and C) and a mobile toilet (portable toilet that can be moved around) near the rear gate are schematized based on Liu et al ( 2021 ) (Fig. 2 ).…”

Section: Methodsmentioning

confidence: 99%

Control measure implications of COVID-19 infection in healthcare facilities reconsidered from human physiological and engineering aspects

Yang

Lin

You

et al. 2022

Environ Sci Pollut Res

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The Wells-Riley model invokes human physiological and engineering parameters to successfully treat airborne transmission of infectious diseases. Applications of this model would have high potentiality on evaluating policy actions and interventions intended to improve public safety efforts on preventing the spread of COVID-19 in an enclosed space. Here, we constructed the interaction relationships among basic reproduction number ( R 0 ) − exposure time − indoor population number by using the Wells-Riley model to provide a robust means to assist in planning containment efforts. We quantified SARS-CoV-2 changes in a case study of two Wuhan (Fangcang and Renmin) hospitals. We conducted similar approach to develop control measures in various hospital functional units by taking all accountable factors. We showed that inhalation rates of individuals proved crucial for influencing the transmissibility of SARS-CoV-2, followed by air supply rate and exposure time. We suggest a minimum air change per hour (ACH) of 7 h −1 would be at least appropriate with current room volume requirements in healthcare buildings when indoor population number is < 10 and exposure time is < 1 h with one infector and low activity levels being considered. However, higher ACH (> 16 h −1 ) with optimal arranged-exposure time/people and high-efficiency air filters would be suggested if more infectors or higher activity levels are presented. Our models lay out a practical metric for evaluating the efficacy of control measures on COVID-19 infection in built environments. Our case studies further indicate that the Wells-Riley model provides a predictive and mechanistic basis for empirical COVID-19 impact reduction planning and gives a framework to treat highly transmissible but mechanically heterogeneous airborne SARS-CoV-2. Supplementary Information The online version contains supplementary material available at 10.1007/s11356-022-24815-7.

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Section: Methodsmentioning

confidence: 99%

Control measure implications of COVID-19 infection in healthcare facilities reconsidered from human physiological and engineering aspects

Yang

Lin

You

et al. 2022

Environ Sci Pollut Res

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“…The information technology support not only improves the work efficiency of the medical staff, but also reduces the risk of cross-infection in hospitals ( 46 ). In the case of a pandemic, several aspects can be improved by using state-of-the-art technology ( 47 , 48 ).…”

Section: Management Of Mobile Cabin Hospitalsmentioning

confidence: 99%

Emergency Preparedness and Management of Mobile Cabin Hospitals in China During the COVID-19 Pandemic

Shi

Liu

et al. 2022

Front. Public Health

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The healthcare systems in China and globally have faced serious challenges during the coronavirus disease (COVID-19) pandemic. The shortage of beds in traditional hospitals has exacerbated the threat of COVID-19. To increase the number of available beds, China implemented a special public health measure of opening mobile cabin hospitals. Mobile cabin hospitals, also called Fangcang shelter hospitals, refer to large-scale public venues such as indoor stadiums and exhibition centers converted to temporary hospitals. This study is a mini review of the practice of mobile cabin hospitals in China. The first part is regarding emergency preparedness, including site selection, conversion, layout, and zoning before opening the hospital, and the second is on hospital management, including organization management, management of nosocomial infections, information technology support, and material supply. This review provides some practical recommendations for countries that need mobile cabin hospitals to relieve the pressure of the pandemic on the healthcare systems.

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“…This current report summarizes the relevant experience and analyzed the key issues so as to assist in further constructing and perfecting the medical emergency management system under crisis conditions (2)(3)(4).…”

Section: Brief Reportmentioning

confidence: 99%

Practice and experience of regional medical center entrance linkage and closed-loop management under the wartime situation of the COVID-19 in China

Bai¹,

Geng²,

Wang³

et al. 2022

Ann Transl Med

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On 28 July 2021, the first indigenous case of novel coronavirus pneumonia emerged in Yangzhou, marking the beginning of a public health crisis caused by the new coronavirus pneumonia. It is a significant challenge for hospitals to carry out prevention and control measures to ensure the safety of medical professionals and patients when facing the changes in an epidemic situation. Subei People's Hospital, as one of the first group of "Grade III-class A" hospitals in Jiangsu Province and the Yangzhou Regional Medical Centre, responded quickly and scientifically to prevent and control the disease.A closed-loop management system was implemented at the hospital entrance (consisting of the outpatient clinic, emergency clinic, fever clinic, and buffer ward) and an epidemic prevention and control group was established with the assistance of multiple departments. This group optimized the pre-screening and triage system, standardized the fever clinic consultation process, and improved the construction of an informationbased prevention and control network so that patients were detected, diagnosed, isolated, and treated early.The emergency management capability was improved to achieve zero missed consultations of patients attending for COVID-19 and to effectively maintain medical order during this critical period. This current report systematically summarizes the operational practices and the effectiveness achieved by implementation of the entrance closed-loop management in the hospital and analyzed the key operational issues for future reference by medical institutions and management departments.

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Management of COVID‐19 patients in Fangcang shelter hospital: clinical practice and effectiveness analysis

Cited by 21 publications

References 10 publications

Control measure implications of COVID-19 infection in healthcare facilities reconsidered from human physiological and engineering aspects

Control measure implications of COVID-19 infection in healthcare facilities reconsidered from human physiological and engineering aspects

Emergency Preparedness and Management of Mobile Cabin Hospitals in China During the COVID-19 Pandemic

Practice and experience of regional medical center entrance linkage and closed-loop management under the wartime situation of the COVID-19 in China

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