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10.1136/postgradmedj-2020-137735

http://scihub22266oqcxt.onion/10.1136/postgradmedj-2020-137735
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32522845!7316107!32522845
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suck abstract from ncbi


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pmid32522845      Postgrad+Med+J 2020 ; 96 (1137): 379-383
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  • Managing hand and reconstructive microsurgery service during COVID-19 pandemic: Singapore experience #MMPMID32522845
  • Omar UF; Pei Yein T; Rajaratnam V
  • Postgrad Med J 2020[Jul]; 96 (1137): 379-383 PMID32522845show ga
  • INTRODUCTION: Managing healthcare service during pandemics and outbreaks is a challenging process. The aim is to keep patient safety as the priority, besides, continuing to provide essential healthcare services. METHODS: Situational audit was performed for the services rendered before and during COVID-19 pandemic and the elevation of the disease alert status, and a retrospective analysis of the attendance and procedures performed in the service. RESULTS: We present a methodology for performing a situational audit and generating service modification for hand and reconstructive microsurgery unit in a pandemic. There was no significant difference between the number of patients seen at outpatient clinics. However, there was a reduction in the numbers of total surgeries performed, with a 40% drop in the number of elective surgeries performed. There was also a reduction of cases seen in the emergency department hand clinic. DISCUSSION: COVID-19 pandemic is currently affecting not only the health service but also, other vital services all over the world. The pandemic puts significant challenges to acute surgical services in a hospital system involved in the management of the pandemic. Surgeons need to take proactive and a systematic approach in managing the available resources while maintaining essential surgical services. This paper provides the tools and methodology for doctors to plan their services in a pandemic situation. CONCLUSIONS: It is possible to maintain essential surgical services in a pandemic situation through rapid situational audits and generating localised strategies while considering the constraints imposed during the pandemics while maintaining patient and staff safety.
  • |Betacoronavirus/*pathogenicity[MESH]
  • |COVID-19[MESH]
  • |Clinical Audit[MESH]
  • |Coronavirus Infections/*epidemiology/*prevention & control[MESH]
  • |Elective Surgical Procedures/*methods[MESH]
  • |Hand Injuries/*surgery[MESH]
  • |Humans[MESH]
  • |Infection Control/*organization & administration[MESH]
  • |Microsurgery[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Patient Safety[MESH]
  • |Plastic Surgery Procedures/*methods[MESH]
  • |Pneumonia, Viral/*epidemiology/*prevention & control[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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