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2020 ; 136
(ä): 110169
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Pediatric otolaryngology workflow changes in a community hospital setting to
decrease exposure to novel coronavirus
#MMPMID32526541
Mukerji SS
; Liu YC
; Musso MF
Int J Pediatr Otorhinolaryngol
2020[Sep]; 136
(ä): 110169
PMID32526541
show ga
OBJECTIVES: To develop a workflow algorithm for physicians and staff to decrease
cross contamination and minimize exposure to Coronavirus Disease -19 (COVID-19)
in pediatric otolaryngology at a community pediatric hospital. METHODS: PubMed
and Google Scholar searches were carried out using the keywords. Pertinent
clinical information related to pediatric otolaryngology was reviewed from
journals, Texas Medical Board guidelines as well as institutional guidelines.
Updated information from the Centers for Disease Control through social media was
identified via Google search. STUDY DESIGN: Safety measures and clinical
work-flow protocols were developed to protect patients, families, and staff.
Protocols included a rotation schedule for providers and ancillary staff,
guidelines for in-clinic visits and alteration to surgical block and surgical
case cadence to minimize exposure of providers and staff to COVID-19. Algorithms
and guidelines were reviewed and revisions made at each phase of the pandemic
related to in-clinic visits, telemedicine visits, and surgical cases. CONCLUSION:
In the era of the COVID-19 pandemic, otolaryngologists and pediatric
otolaryngologists are amongst sub-specialties with an increased risk of exposure.
It is imperative that a modification in clinical workflow is created to minimize
the risk of exposure to providers and staff while continuing to provide care to
patients. PRACTICE IMPLICATIONS: The COVID-19 pandemic continues to evolve and
change rapidly. The described guidelines and workflow algorithm serve as tools to
help pediatric otolaryngologists protect themselves and their staff and patients
during this global crisis.