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10.1016/j.ajog.2020.03.038

http://scihub22266oqcxt.onion/10.1016/j.ajog.2020.03.038
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32251649!7194667!32251649
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suck abstract from ncbi


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pmid32251649      Am+J+Obstet+Gynecol 2020 ; 223 (1): 85.e1-85.e19
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  • Coronavirus disease 2019 pandemic: staged management of surgical services for gynecology and obstetrics #MMPMID32251649
  • Weber LeBrun EE; Moawad NS; Rosenberg EI; Morey TE; Davies L; Collins WO; Smulian JC
  • Am J Obstet Gynecol 2020[Jul]; 223 (1): 85.e1-85.e19 PMID32251649show ga
  • The coronavirus disease 2019 pandemic warrants an unprecedented global healthcare response requiring maintenance of existing hospital-based services while simultaneously preparing for high-acuity care for infected and sick individuals. Hospitals must protect patients and the diverse healthcare workforce by conserving personal protective equipment and redeployment of facility resources. While each hospital or health system must evaluate their own capabilities and surge capacity, we present principles of management of surgical services during a health emergency and provide specific guidance to help with decision making. We review the limited evidence from past hospital and community responses to various health emergencies and focus on systematic methods for adjusting surgical services to create capacity, addressing the specific risks of coronavirus disease 2019. Successful strategies for tiered reduction of surgical cases involve multidisciplinary engagement of the entire healthcare system and use of a structured risk-assessment categorization scheme that can be applied across the institution. Our institution developed and operationalized this approach over 3 working days, indicating that immediate implementation is feasible in response to an unforeseen healthcare emergency.
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*epidemiology[MESH]
  • |Female[MESH]
  • |Gynecologic Surgical Procedures[MESH]
  • |Gynecology/*organization & administration[MESH]
  • |Humans[MESH]
  • |Obstetrics/*organization & administration[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*epidemiology[MESH]
  • |Pregnancy[MESH]
  • |Risk Assessment[MESH]
  • |SARS-CoV-2[MESH]


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