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10.1093/intqhc/mzaa091 http://scihub22266oqcxt.onion/10.1093/intqhc/mzaa091 32780867!7454682!32780867     free     free     free Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Int+J+Qual+Health+Care 2021 ; 33 (1): ä Nephropedia Template TP {{tp|p=32780867|t=2021. From intensive care to step-down units: Managing patients throughput in response to COVID-19 |pdf=|usr=}}{{32780867}} gab.com Text From intensive care to step-down units: Managing patients throughput in response to COVID-19 JO: Int J Qual Health Care http://www.kidney.de/pget.php?&tw=1&pmid=32780867 #FOAvip QUALITY PROBLEM OR ISSUE: The on-going COVID-19 pandemic may cause the collapse of healthcare systems because of unprecedented hospitalization rates. INITIAL ASSESSMENT: A total of 8.2 individuals per 1000 inhabitants have been diagnosed with COVID-19 in our province. The hospital predisposed 110 beds for COVID-19 patients: on the day of the local peak, 90% of them were occupied and intensive care unit (ICU) faced unprecedented admission rates, fearing system collapse. CHOICE OF SOLUTION: Instead of increasing the number of ICU beds, the creation of a step-down unit (SDU) close to the ICU was preferred: the aim was to safely improve the transfer of patients and to relieve ICU from the risk of overload. IMPLEMENTATION: A nine-bed SDU was created next to the ICU, led by intensivists and ICU nurses, with adequate personal protective equipment, monitoring systems and ventilators for respiratory support when needed. A second six-bed SDU was also created. EVALUATION: Patients were clinically comparable to those of most reports from Western Countries now available in the literature. ICU never needed supernumerary beds, no patient died in the SDU, and there was no waiting time for ICU admission of critical patients. SDU has been affordable from human resources, safety and economic points of view. LESSONS LEARNED: COVID-19 is like an enduring mass casualty incident. Solutions tailored on local epidemiology and available resources should be implemented to preserve the efficiency and adaptability of our institutions and provide the adequate sanitary response. Twit Text FOAVip From intensive care to step-down units: Managing patients throughput in response to COVID-19 ????Int J Qual Health Care http://www.kidney.de/pget.php?&tw=1&pmid=32780867 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32780867 #FOAvip English Wikipedia <ref>{{Cite pmid|32780867}}</ref> From intensive care to step-down units: Managing patients throughput in response to COVID-19 #MMPMID32780867 Agnoletti V; Russo E; Circelli A; Benni M; Bolondi G; Martino C; Santonastaso DP; Brogi E; PraticO B; Coccolini F; Fugazzola P; Ansaloni L; Gamberini E Int J Qual Health Care 2021[Feb]; 33 (1): ä PMID32780867show ga QUALITY PROBLEM OR ISSUE: The on-going COVID-19 pandemic may cause the collapse of healthcare systems because of unprecedented hospitalization rates. INITIAL ASSESSMENT: A total of 8.2 individuals per 1000 inhabitants have been diagnosed with COVID-19 in our province. The hospital predisposed 110 beds for COVID-19 patients: on the day of the local peak, 90% of them were occupied and intensive care unit (ICU) faced unprecedented admission rates, fearing system collapse. CHOICE OF SOLUTION: Instead of increasing the number of ICU beds, the creation of a step-down unit (SDU) close to the ICU was preferred: the aim was to safely improve the transfer of patients and to relieve ICU from the risk of overload. IMPLEMENTATION: A nine-bed SDU was created next to the ICU, led by intensivists and ICU nurses, with adequate personal protective equipment, monitoring systems and ventilators for respiratory support when needed. A second six-bed SDU was also created. EVALUATION: Patients were clinically comparable to those of most reports from Western Countries now available in the literature. ICU never needed supernumerary beds, no patient died in the SDU, and there was no waiting time for ICU admission of critical patients. SDU has been affordable from human resources, safety and economic points of view. LESSONS LEARNED: COVID-19 is like an enduring mass casualty incident. Solutions tailored on local epidemiology and available resources should be implemented to preserve the efficiency and adaptability of our institutions and provide the adequate sanitary response. |*Critical Illness[MESH] |Bed Occupancy/statistics & numerical data[MESH] |COVID-19/epidemiology/*therapy[MESH] |Humans[MESH] |Intensive Care Units/*organization & administration[MESH] |Intermediate Care Facilities/*organization & administration[MESH] |Italy/epidemiology[MESH] |Pandemics[MESH]From intensive care to step-down units: Managing patients throughput i(epmc).pdf DeepDyve Pubget Overpricing