Pediatric Hospital Medicine Management, Staffing, and Well‐being in the Face of COVID‐19

Meier, Katie; Jerardi, Karen; Statile, Angela; Shah, Samir S.

doi:10.12788/jhm.3435

Cited by 23 publications

(25 citation statements)

References 4 publications

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“…One of the keys to a robust response to this pandemic is strong, thoughtful, and strategic leadership. 12 Institutional, regional, and national leaders are at the forefront of designing the solutions to the many problems the COVID-19 pandemic has created. The paucity of women at high-level leadership positions in institutions across the United States, including university-based, community, public, and private institutions, means that there is a lack of female representation when institutional policy is being discussed and decided.…”

Section: Exaggerating Leadership Gapmentioning

confidence: 99%

Collateral Damage: How COVID-19 Is Adversely Impacting Women Physicians

et al. 2020

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Section: Exaggerating Leadership Gapmentioning

confidence: 99%

Collateral Damage: How COVID-19 Is Adversely Impacting Women Physicians

et al. 2020

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“…Numerous pediatric hospitals in Europe, Asia and America discontinued elective inpatient and outpatient treatments similar to our approach during the first wave of the COVID-19 pandemic (Supplementary Tables 2, 3) (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). In a survey including 102 pediatric hospitals in Europe, >90% had canceled elective treatments (18).…”

Section: Discussionmentioning

confidence: 99%

“…First wave: As in other hospitals around the world, hospital structure and patient flows at BCH were reorganized (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). The Pediatric Emergency Department was restructured.…”

Section: Triage and Isolation Strategymentioning

confidence: 99%

Maintenance of Elective Patient Care at Berlin University Children's Hospital During the COVID-19 Pandemic

et al. 2021

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Background: In Germany, so far the COVID-19 pandemic evolved in two distinct waves, the first beginning in February and the second in July, 2020. The Berlin University Children's Hospital at Charité (BCH) had to ensure treatment for children not infected and infected with SARS-CoV-2. Prevention of nosocomial SARS-CoV-2 infection of patients and staff was a paramount goal. Pediatric hospitals worldwide discontinued elective treatments and established a centralized admission process.Methods: The response of BCH to the pandemic adapted to emerging evidence. This resulted in centralized admission via one ward exclusively dedicated to children with unclear SARS-CoV-2 status and discontinuation of elective treatment during the first wave, but maintenance of elective care and decentralized admissions during the second wave. We report numbers of patients treated and of nosocomial SARS-CoV-2 infections during the two waves of the pandemic.Results: During the first wave, weekly numbers of inpatient and outpatient cases declined by 37% (p < 0.001) and 29% (p = 0.003), respectively. During the second wave, however, inpatient case numbers were 7% higher (p = 0.06) and outpatient case numbers only 6% lower (p = 0.25), compared to the previous year. Only a minority of inpatients were tested positive for SARS-CoV-2 by RT-PCR (0.47% during the first, 0.63% during the second wave). No nosocomial infection of pediatric patients by SARS-CoV-2 occurred.Conclusion: In contrast to centralized admission via a ward exclusively dedicated to children with unclear SARS-CoV-2 status and discontinuation of elective treatments, maintenance of elective care and decentralized admission allowed the almost normal use of hospital resources, yet without increased risk of nosocomial infections with SARS-CoV-2. By this approach unwanted sequelae of withheld specialized pediatric non-emergency treatment to child and adolescent health may be avoided.

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“…Although prior literature has described general principles of hospitalist staffing in the time of COVID [2][3][4] , how to theoretically leverage specialists 5 , and adaptations to hospital wards 6 , little has been written on the experiences of the COVID Army, those physicians from multiple specialties who were mobilized to care for this first surge of patients.…”

Section: Orient New Teamsmentioning

confidence: 99%

The COVID-19 Army: Experiences From the Deployment of Non-Hospitalist Physician Volunteers During the COVID-19 Pandemic

Hauck

Hochman

Pochapin

et al. 2021

Disaster med. public health prep.

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Objective New York City was the epicenter of the outbreak of the 2020 COVID-19 pandemic in the United States. As a large, quaternary care medical center, NYU Langone Medical Center was one of many New York medical centers that experienced an unprecedented influx of patients during this time. Clinical leadership effectively identified, oriented, and rapidly deployed a “COVID Army”, consisting of non-hospitalist physicians, to meet the needs of this patient influx. We share feedback from our providers on our processes and offer specific recommendations for systems experiencing a similar influx in the current and future pandemics. Methods In order to assess the experiences and perceived readiness of these physicians (n=183), we distributed a 32-item survey between March and June of 2020. Thematic analyses and response rates were examined in order to develop results. Results Responses highlighted varying experiences and attitudes of our front-line physicians during an emerging pandemic. Thematic analyses revealed a series of lessons learned, including the need to: (1) provide orientations, (2) clarify roles/ workflow, (3) balance team workload, (4) keep teams updated on evolving policies, (5) make team members feel valued, and (6) ensure they have necessary tools available. Conclusions Lessons from our deployment and assessment are scalable at other institutions.

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Pediatric Hospital Medicine Management, Staffing, and Well‐being in the Face of COVID‐19

Cited by 23 publications

References 4 publications

Collateral Damage: How COVID-19 Is Adversely Impacting Women Physicians

Collateral Damage: How COVID-19 Is Adversely Impacting Women Physicians

Maintenance of Elective Patient Care at Berlin University Children's Hospital During the COVID-19 Pandemic

The COVID-19 Army: Experiences From the Deployment of Non-Hospitalist Physician Volunteers During the COVID-19 Pandemic

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