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10.2196/20040

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32619184!7404008!32619184
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suck abstract from ncbi


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pmid32619184      JMIR+Public+Health+Surveill 2020 ; 6 (3): e20040
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  • Emergency Center Curbside Screening During the COVID-19 Pandemic: Retrospective Cohort Study #MMPMID32619184
  • Halalau A; Ditkoff J; Hamilton J; Sharrak A; Vanood A; Abbas A; Ziadeh J
  • JMIR Public Health Surveill 2020[Jul]; 6 (3): e20040 PMID32619184show ga
  • BACKGROUND: Coronavirus disease (COVID-19) is a global pandemic that has placed a significant burden on health care systems in the United States. Michigan has been one of the top states affected by COVID-19. OBJECTIVE: We describe the emergency center curbside testing procedure implemented at Beaumont Hospital, a large hospital in Royal Oak, MI, and aim to evaluate its safety and efficiency. METHODS: Anticipating a surge in patients requiring testing, Beaumont Health implemented curbside testing, operated by a multidisciplinary team of health care workers, including physicians, advanced practice providers, residents, nurses, technicians, and registration staff. We report on the following outcomes over a period of 26 days (March 12, 2020, to April 6, 2020): time to medical decision, time spent documenting electronic medical records, overall screening time, and emergency center return evaluations. RESULTS: In total, 2782 patients received curbside services. A nasopharyngeal swab was performed on 1176 patients (41%), out of whom 348 (29.6%) tested positive. The median time for the entire process (from registration to discharge) was 28 minutes (IQR 17-44). The median time to final medical decision was 15 minutes (IQR 8-27). The median time from medical decision to discharge was 9 minutes (IQR 5-16). Only 257 patients (9.2%) returned to the emergency center for an evaluation within 7 or more days, of whom 64 were admitted to the hospital, 11 remained admitted, and 4 expired. CONCLUSIONS: Our curbside testing model encourages the incorporation of this model at other high-volume facilities during an infectious disease pandemic.
  • |*Clinical Laboratory Techniques[MESH]
  • |*Emergency Service, Hospital[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Coronavirus Infections/diagnosis/epidemiology/*prevention & control[MESH]
  • |Humans[MESH]
  • |Mass Screening/*methods[MESH]
  • |Michigan/epidemiology[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Pneumonia, Viral/epidemiology/*prevention & control[MESH]


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