Revisiting safe airway management and patient care by anaesthetists during the COVID-19 pandemic

Zundert, Tom C. R. V. Van; Barach, Paul; Zundert, André van

doi:10.1016/j.bja.2020.09.004

Cited by 12 publications

(9 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nine months into the pandemic, health care workers are still becoming infected and dying despite wearing PPE, raising indignation about inadequate PPE, poor understanding of the dangers of reusing PPE, and a need for a deeper understanding of practical infection control practices in hospitals and clinics. 31 A robust health care worker protection and risk stratification plan is needed; ongoing self-and system monitoring of health care worker health conditions is essential. 26…”

Section: Lessons Learnedmentioning

confidence: 99%

Population Health Strategies to Support Hospital and Intensive Care Unit Resiliency During the COVID-19 Pandemic: The Italian Experience

Romani

Mas

Massaro

et al. 2021

Population Health Management

Self Cite

View full text Add to dashboard Cite

Italy was one of the countries most affected by the number of people infected and dead during the first COVID-19 wave. The authors describe the rapid rollout of a population health clinical and organizational response in preparedness and capabilities to support the first wave of the COVID-19 pandemic in the Italian province of Modena. The authors review the processes, the challenges faced, and describe how excess demand for hospital services was successfully mitigated and thus overwhelming the healthcare services avoided the collapse of the local health care system. An analysis of bed occupancy in the region predicted during the first weeks of the epidemic. The SEIR model estimated the number of infected people under different containment measures. Community resources were mobilized to reduce provincial hospitals' burden of care. A population health approach, based on a radical reorganization of the workflow and emergency patient management, was implemented. The bed saturation of the Modena Healthcare Agency was measured by an ad hoc, newly implemented intensive care unit (ICU) bed occupancy and COVID-19 centralized governance dashboard. ICU bed occupancy increased by 114%, avoiding saturation of the Modena Healthcare Agency system. The Emilia-Romagna region achieved a higher rate of ICU bed availability at 2.15 ICU beds per 10,000 inhabitants as compared with community 1 ICU bed availability prior to the pandemic. Rapid and radical local reorganization of regional efforts helped inform the successful development and implementation of strategic choices within the hospital and the community to prevent the saturation of key facilities.

show abstract

Section: Lessons Learnedmentioning

confidence: 99%

Population Health Strategies to Support Hospital and Intensive Care Unit Resiliency During the COVID-19 Pandemic: The Italian Experience

Romani

Mas

Massaro

et al. 2021

Population Health Management

Self Cite

View full text Add to dashboard Cite

show abstract

“…A functioning, assured, and engaged workforce is needed to improve the quadruple aim of patient safety, population health, and cost reduction. 3 36 …”

Section: Aim 4: Improving Work and Wellness Of Health Care Workersmentioning

confidence: 99%

Supporting the Quadruple Aim Using Simulation and Human Factors During COVID-19 Care

Wong

Ahmed

Ray

et al. 2021

American Journal of Medical Quality

Self Cite

View full text Add to dashboard Cite

The health care sector has made radical changes to hospital operations and care delivery in response to the coronavirus disease (COVID-19) pandemic. This article examines pragmatic applications of simulation and human factors to support the Quadruple Aim of health system performance during the COVID-19 era. First, patient safety is enhanced through development and testing of new technologies, equipment, and protocols using laboratory-based and in situ simulation. Second, population health is strengthened through virtual platforms that deliver telehealth and remote simulation that ensure readiness for personnel to deploy to new clinical units. Third, prevention of lost revenue occurs through usability testing of equipment and computer-based simulations to predict system performance and resilience. Finally, simulation supports health worker wellness and satisfaction by identifying optimal work conditions that maximize productivity while protecting staff through preparedness training. Leveraging simulation and human factors will support a resilient and sustainable response to the pandemic in a transformed health care landscape.

show abstract

“…When treating patients with highly infectious diseases, HCWs must wear adequate respiratory, cutaneous and eye protection [ 14 , 15 ]. Moreover, aerosol-generating procedures (AGPs) during airway management require specific infection prevention strategies [ 16 , 17 , 18 ]. Urgent airway management can be difficult even without respiratory protective equipment (RPE).…”

Section: Introductionmentioning

confidence: 99%

Influence of respiratory protective equipment on simulated advanced airway skills by specialist tracheal intubation teams during the COVID-19 pandemic

Schumacher

Carvalho

Greig

et al. 2021

Trends in Anaesthesia and Critical Care

View full text Add to dashboard Cite

Revisiting safe airway management and patient care by anaesthetists during the COVID-19 pandemic

Cited by 12 publications

References 23 publications

Population Health Strategies to Support Hospital and Intensive Care Unit Resiliency During the COVID-19 Pandemic: The Italian Experience

Population Health Strategies to Support Hospital and Intensive Care Unit Resiliency During the COVID-19 Pandemic: The Italian Experience

Supporting the Quadruple Aim Using Simulation and Human Factors During COVID-19 Care

Influence of respiratory protective equipment on simulated advanced airway skills by specialist tracheal intubation teams during the COVID-19 pandemic

Contact Info

Product

Resources

About