&lt;p&gt;Safety Pathway Design for Patients Not Affected by COVID-19 During the SARS-CoV-2 Pandemic in an Italian University Hospital&lt;/p&gt;

Montella, Emma; Caputi, Emanuele; Core, Mariapia Del; Guida, Antonella; Triassi, Maria

doi:10.2147/rmhp.s265942

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Having strong COVID-19 measures in place allowed for a prompt recovery post-pandemic, as both safety and services were ensured. Montella et al ( 14 ) had already highlighted the importance of the safety pathway design for healthcare facilities for patients not affected by COVID-19 ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on outpatient visit volume in cancer patients: Results of COMETA multicenter retrospective observational study

Frisardi

Brunetti

Abbinante

et al. 2023

Front. Public Health

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ObjectiveTo evaluate the impact of the COVID-19 pandemic on first and follow-up visits for cancer outpatients.MethodsThis is a multicenter retrospective observational study involving three Comprehensive Cancer Care Centers (CCCCs): IFO, including IRE and ISG in Rome, AUSL-IRCCS of Reggio Emilia, and IRCCS Giovanni Paolo II in Bari) and one oncology department in a Community Hospital (Saint'Andrea Hospital, Rome). From 1 January 2020 and 31 December 2021, we evaluated the volume of outpatient consultations (first visits and follow-up), comparing them with the pre-pandemic year (2019). Results were analyzed by quarter according to the Rt (real-time indicator used to assess the evolution of the pandemic). IFO and IRCCS Giovanni Paolo II were “COVID-free” while AUSL-IRCCS RE was a “COVID-mixed” Institute. Depending on the Rt, Sain't Andrea Hospital experienced a “swinging” organizational pathway (COVID-free/ COVID-mixed).ResultsRegarding the “first appointments”, in 2020 the healthcare facilities operating in the North and Center of Italy showed a downward trend. In 2021, only AUSL-IRCCS RE showed an upward trend. Regarding the “follow-up”, only AUSL IRCCS RE showed a slight up-trend in 2020. In 2021, IFO showed an increasing trend, while S. Andrea Hospital showed a negative plateau. Surprisingly, IRCCS Giovanni Paolo II in Bari showed an uptrend for both first appointment and follow-ups during pandemic and late pandemic except for the fourth quarter of 2021.ConclusionsDuring the first pandemic wave, no significant difference was observed amongst COVID-free and COVID-mixed Institutes and between CCCCs and a Community Hospital. In 2021 (“late pandemic year”), it has been more convenient to organize COVID-mixed pathway in the CCCCs rather than to keep the Institutions COVID-free. A swinging modality in the Community Hospital did not offer positive results in term of visit volumes. Our study about the impact of COVID-19 pandemic on visit volume in cancer outpatients may help health systems to optimize the post-pandemic use of resources and improve healthcare policies.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on outpatient visit volume in cancer patients: Results of COMETA multicenter retrospective observational study

Frisardi

Brunetti

Abbinante

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

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“…In response to the COVID-19 emergency, the hospital guaranteed 1-Healthcare assistance to pregnant patients as a regional referral center for maternal and child care 8 ; 2-Assistance to paediatric patients as a regional referral center for paediatric infectious diseases; 3-Creation of a triage zone before entering the hospital for all non-deferrable emergency services 9 ; 4-Separate pathways for infected and noninfected patients 10 ; 5-Conversion of hospital areas into COVID-19 wards to meet the growing demand for hospital beds with the addition of 77 beds fully dedicated to Covid-19 positive patients 7 . (Figure 1)…”

Section: Context Analysismentioning

confidence: 99%

Protecting Healthcare Workers on the Frontline of the COVID-19 Pandemic: interventions and observations from a Prospective Study

Emma

Sabrina

Alessandro

et al. 2023

MRAJ

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Background: Healthcare workers were at high risk of contracting COVID-19 during the pandemic due to their frontline commitment. This risk was higher than in the general population because they were exposed to the virus both at work and outside the hospital. Healthcare workers suffered from physical and psychological stress, which could lead to mental health problems. Aims: The aim of the study was to evaluate the effectiveness of four proactive interventions implemented to protect workers' health during the COVID-19 pandemic at the “Federico II” University Hospital in Naples, Italy. The study aimed to prevent both clinical and non-clinical risks, such as infections contagion and work-related stress. Methods: A prospective observational study was conducted between April 9 and May 21, 2020, at the “Federico II” University Hospital. Healthcare personnel, who worked during the study period, were subject to four proactive interventions: (I) Classification based on the risk of exposure to SARS-Cov-2; (II) Healthcare surveillance: diagnostic surveillance (nasopharyngeal swabs for SARS-Cov-2, rapid antigen tests and serological for the detection of IgM/IgG antibodies against SARS-Cov-2), clinical and epidemiological surveillance (physical examination and contact tracing), individual psychological support; (III) Contacts-tracing;(IV) Constant training and information. The study analysed the number of positive swabs in healthcare workers and hospitalised patients during the same period, comparing the incidence of cases with international data. Feedback from psychologists and occupational doctors was also collected to evaluate the impact on non-clinical risks. Results: The study found a low correlation between positive swabs in healthcare workers and patients, suggesting that the preventive measures in place were effective. Furthermore, feedback from psychologists and occupational doctors did not report an increase in stress-related sick leaves, thanks to the proactive actions. Conclusions: The considered proactive interventions proved to be useful to protect healthcare workers during the pandemic. The study highlights the importance of a proactive approach instead of a reactive one, and the necessity to contemplate both the protection from biological risks and the psychological support.

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<p>Safety Pathway Design for Patients Not Affected by COVID-19 During the SARS-CoV-2 Pandemic in an Italian University Hospital</p>

Cited by 2 publications

References 5 publications

Impact of COVID-19 pandemic on outpatient visit volume in cancer patients: Results of COMETA multicenter retrospective observational study

Impact of COVID-19 pandemic on outpatient visit volume in cancer patients: Results of COMETA multicenter retrospective observational study

Protecting Healthcare Workers on the Frontline of the COVID-19 Pandemic: interventions and observations from a Prospective Study

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