Augmenting Critical Care Capacity in a Disaster

Seda, Gilbert; Parrish, John S.

doi:10.1016/j.ccc.2019.06.007

Cited by 31 publications

(32 citation statements)

References 26 publications

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“…Development of a practice question used the PICO format (P: population, patient, or problem; I: intervention; C: comparison; and O: outcomes): How does a nonacademic hospital ICU apply pandemic and COVID-19 management guidelines to optimize readiness, maximize resources, and treat patients during the peak surge of the COVID-19 pandemic? The CNS conducted an evidence search and reviewed relevant sources of literature [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] on managing the COVID-19 process and pandemic. As new information was published, sources were added to the grid.…”

Section: Review Of Evidencementioning

confidence: 99%

“…controlled trials); II (quasi-experimental study, systematic review of a combination of randomized controlled trials); III (nonexperimental study, qualitative, metasynthesis); IV (opinion of respected authorities, nationally recognized expert committees, clinical practice or consensus guidelines); and V (integrated literature reviews, quality improvement, case reports, opinion of nationally recognized experts based on experimental evidence). All the sources of evidence [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] were compiled (Table 1) and used by the CCS team when developing and managing the plan for the influx of patients with COVID-19. The sources of evidence were related to pandemic principles and specific disease-related issues.…”

Section: Review Of Evidencementioning

confidence: 99%

“…4,10,13,[15][16][17][19][20][21] Key to managing a pandemic is preplanning. 4,6,10,12,13,16,17,20 Intensive care unit practitioners are identified as key contributors to planning for and managing pandemics, especially the COVID-19 outbreak. 4,17,20,21 Hick et al 4 provided a framework for managing an ICU surge during a pandemic or disaster.…”

Section: Review Of Evidencementioning

confidence: 99%

“…4 The key components identified in the CHEST guidelines 4 were identified repeatedly in many articles, with the 4 S's emerging as a universal model to frame the ICU response. 13,16,20,21 Space involved identifying usual areas for ICU care but expanded the concept to delivering ICU level of care in units not traditionally used as an ICU, including postanesthesia care units, step-down units, and endoscopy areas. Triaging patients into the ICU space was emphasized and detailed.…”

Section: Review Of Evidencementioning

confidence: 99%

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A California Hospital’s Response to COVID-19: From a Ripple to a Tsunami Warning

Bader

Braun

Fox

et al. 2020

Critical Care Nurse

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Background The outbreak of coronavirus disease 2019 (COVID-19) rippled across the world from Wuhan, China, to the shores of the United States within a few months. Hospitals and intensive care units were suddenly faced with a “tsunami” warning requiring instantaneous implementation and escalation of disaster plans. Evidence Review An evidence-based question was developed and an extensive review of the literature was completed, resulting in a structured plan for the intensive care units to manage a surge of patients critically ill with COVID-19 in March 2020. Twenty-five sources of evidence focusing on pandemic intensive care unit and COVID-19 management laid the foundation for the team to navigate the crisis. Implementation The Critical Care Services task force adopted recommendations from the CHEST consensus statement on surge capacity principles and other sources, which served as the framework for the organized response. The 4 S’s became the focus: space, staff, supplies, and systems. Development of algorithms, workflows, and new processes related to treating patients, staffing shortages, and limited supplies. New intensive care unit staffing solutions were adopted. Evaluation Using a framework based on the literature reviewed, the Critical Care Services task force controlled the surge of patients with COVID-19 in March through May 2020. Patients received excellent care, and the mortality rate was 0.008%. The intensive care unit team had the needed respiratory and general supplies but had to continually adapt to shortages of personal protective equipment, cleaning products, and some medications. Sustainability The intensive care unit pandemic response plan has been established and the team is prepared for the next wave of COVID-19.

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Section: Review Of Evidencementioning

confidence: 99%

Section: Review Of Evidencementioning

confidence: 99%

Section: Review Of Evidencementioning

confidence: 99%

Section: Review Of Evidencementioning

confidence: 99%

See 2 more Smart Citations

A California Hospital’s Response to COVID-19: From a Ripple to a Tsunami Warning

Bader

Braun

Fox

et al. 2020

Critical Care Nurse

View full text Add to dashboard Cite

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“…In the upcoming phase 2 all indications for endoscopic procedures should be maintained, not knowing how long this phase will last [16,17]. Particular attention should be addressed for all oncologic indications (e.g., screening and surveillance) to avoid diagnostic delay and the risk of missed cancers among the postponed procedures.…”

Section: Endoscopy Indications Patients' Selection and Triagementioning

confidence: 99%

Reopening Endoscopy after the COVID-19 Outbreak: Indications from a High Incidence Scenario

Elli

Tontini

Scaramella

et al. 2020

JGLD

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Health workforce surge capacity during the COVID‐19 pandemic and other global respiratory disease outbreaks: A systematic review of health system requirements and responses

Gupta

Balcom

Gulliver

et al. 2021

Health Planning & Management

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Health system decision‐makers need comprehensive evidence to mitigate surges in the demand for human resources for health (HRH) during infectious disease outbreaks. This study aimed to assess the state of the evidence on policy and planning responses to HRH surge capacity during the coronavirus disease (COVID‐19) pandemic and other viral respiratory disease outbreaks of global significance in the 21st century. We systematically searched eight bibliographic databases to extract primary research articles published between January 2000 and June 2020 capturing temporal changes in health workforce requirements and responses surrounding respiratory virus pandemics. Following the Preferred Reporting Items for Systematic Reviews and Meta‐analyses standard, 16 studies met our inclusion criteria. Five focused on COVID‐19, three on H1N1, and eight modelled a hypothetical pandemic. Investigations of different training, mobilization, and redeployment options to address pandemic‐time health system capacity were reviewed; however, few scenarios drew on observational HRH data, and heterogeneity of study approaches and outcomes generally precluded comparability across contexts. Notable evidence gaps included occupational and psychosocial factors affecting healthcare workers' absenteeism and risk of burnout, gendered considerations of HRH capacity, evaluations in low‐ and lower‐middle income countries, and policy‐actionable assessments to inform post‐pandemic recovery and sustainability of services for noncommunicable disease management.

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Augmenting Critical Care Capacity in a Disaster

Cited by 31 publications

References 26 publications

A California Hospital’s Response to COVID-19: From a Ripple to a Tsunami Warning

A California Hospital’s Response to COVID-19: From a Ripple to a Tsunami Warning

Reopening Endoscopy after the COVID-19 Outbreak: Indications from a High Incidence Scenario

Health workforce surge capacity during the COVID‐19 pandemic and other global respiratory disease outbreaks: A systematic review of health system requirements and responses

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