Overcoming barriers to providing comprehensive inpatient care during the COVID-19 pandemic

Miethke-Morais, Anna; Perondi, Beatriz; Letaif, Leila Suemi Harima; Montal, Amanda Cardoso; Baldassare, Renato Madrid; Moraes, Danielle Pedroni; Pedroso, Fiona L.; Ramos, Marcelo C. A.; Fusco, Solange R. G.; Pereira, Antonio José Rodrigues; Barros-Filho, Tarci Prime Sio E. P.; Bonfá, Eloísa; Utiyama, Edivaldo Massazo; Segurado, Aluisio Cotrim

doi:10.6061/clinics/2020/e2100

Cited by 13 publications

(11 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our University Hospital is the largest public and teaching hospital complex in Latin America, with 2400 beds. Facing the spread of COVID-19 in Sao Paulo, the Crisis Management Committee designated the Central Institute as an unit for COVID-19 care ( 27 ). A medical staff was organized for pediatric and adult COVID-19 patients that required inpatient care.…”

Section: Discussionmentioning

confidence: 99%

Severe clinical spectrum with high mortality in pediatric patients with COVID-19 and multisystem inflammatory syndrome

Pereira

Litvinov

Farhat

et al. 2020

Clinics

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Severe clinical spectrum with high mortality in pediatric patients with COVID-19 and multisystem inflammatory syndrome

Pereira

Litvinov

Farhat

et al. 2020

Clinics

View full text Add to dashboard Cite

“…To support this exceptional demand for inpatient care, 700 medical residents, affiliated to 41 different specialty training programs, were also reallocated to COVID-19 wards and ICUs, under the supervision of skilled physicians (infectious disease, pneumology and internal medicine specialists), with additional technical support of anesthesiologists with airway and prone position management expertise. As reported by Miethke-Morais et al, 9 backing residents up to cope with stressful clinical situations they were not used to face in everyday practice contributed to increase their motivation to engage in the institutional effort to provide high-quality COVID-19 care. In order to bring medical students on board while maintaining them off the COVID-19 inpatient care frontline, we invited them to join a broad range of voluntary activities that addressed needs of patients and their families and supported the healthcare team in actions related to health education, clinical research or fund-raising initiatives.…”

mentioning

confidence: 90%

Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in São Paulo, Brazil

Perondi

Miethke-Morais

Montal

et al. 2020

The Brazilian Journal of Infectious Diseases

Self Cite

View full text Add to dashboard Cite

As of August 30, 2020, Brazil ranked second among countries with the highest number of COVID-19 cases, with the city of São Paulo as the national epidemic epicenter. Local public healthcare institutions were challenged to respond to a fast-growing hospital demand, reengineering care provision to optimize clinical outcomes and minimize intra-hospital coronavirus infection. In this paper we describe how the largest public hospital complex in Latin America faced this unprecedented burden, managing severe COVID-19 cases while sustaining specialized care to patients with other conditions. In our strategic plan a 900-bed hospital was exclusively designated for COVID-19 care and continuity of care to those not infected with coronavirus ensured in other inpatient facilities. After 152 days, 4241 patients with severe COVID-19 were hospitalized, 70% of whom have already been discharged, whereas the remaining Institutes of the complex successfully maintained high complexity inpatient and urgent/emergency care to non-COVID-19 patients.

show abstract

“…Infection prevention could be the primary focus during pandemic season, even if facing a shortage of resources. This could be alleviated by rational use and successful reuse of PPE; 31,32 improving the logistics of PPE distribution to wards; maintaining written PPE use protocols; and providing structured donning and doffing training with practical simulation; 11,33,34 improving knowledge; positive attitudes and practices 35 hopefully can control the spread of COVID-19. Therefore, this study was aimed to assess perceived barriers and preventive measures during the COVID-19 pandemic among healthcare professionals at South Gondar zone, North Central Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

<p>Perceived Barriers and Preventive Measures of COVID-19 Among Healthcare Providers in Debretabor, North Central Ethiopia, 2020</p>

Birhane¹,

Bayih²,

Alemu³

et al. 2020

RMHP

View full text Add to dashboard Cite

Background: Healthcare professionals are at the frontline facing the pandemic. Since the pandemic is new with sophisticated needs of resources, identifying perceived barriers of the healthcare institutions has an important input for the government in slowing the viral spread and prevents healthcare professionals from infection. Objective: The study was aimed to assessperceived barriers and preventive measures of corona virus disease among healthcare providers in Debretabor Town, north central Ethiopia. Methods: An institution-based cross-sectional survey was conducted among healthcare providers working in Debretabor town, north central Ethiopia from May 1 to 15, 2020. Data were collected using a self-administered questionnaire. Data were coded, entered, cleaned, and checked using Epi data statistical software version 4.2.0.0 and analysis using STATA Version 14 statistical software. Descriptive statistics of different variables were presented in figures, text, and tables. Chi-square (chi 2) test of independence was considered to examine the nonparametric association of factors with preventive practice, and association was considered at a P-value of less than 0.05. Results: A total of 183 healthcare providers participated in the survey, of which 67.76% were males, and 80.87% were in the age range of 25-35 years. About 45% of participants were nurses. In the current study, overall preventive practice was 68.3%. Despite recommendations by the World Health Organization, avoidance of outdoor, physical distancing, and avoiding meeting a person with a coughwere not implemented by 32.24%, 24.18%, and 13.11% of healthcare providers, respectively. Insufficient training, lack of policy, less commitment to infection control, and limitations of resources were perceived as major barriers for practicing preventive measures during the pandemic. Conclusion: Preventive measures taken by healthcare providers were poor. Multiple barriers, such as insufficient training related to the pandemic, limitation of resources, and less commitment of healthcare providers to infection prevention measures were reported. So, the government should work on reducing the pandemic propagation by fulfilling the barriers using different means or strategies.

show abstract

Overcoming barriers to providing comprehensive inpatient care during the COVID-19 pandemic

Cited by 13 publications

References 4 publications

Severe clinical spectrum with high mortality in pediatric patients with COVID-19 and multisystem inflammatory syndrome

Severe clinical spectrum with high mortality in pediatric patients with COVID-19 and multisystem inflammatory syndrome

Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in São Paulo, Brazil

<p>Perceived Barriers and Preventive Measures of COVID-19 Among Healthcare Providers in Debretabor, North Central Ethiopia, 2020</p>

Contact Info

Product

Resources

About