Rapid deployment of an emergency department-intensive care unit for the COVID-19 pandemic

Hickey, Sean; Mathews, Kusum S.; Siller, Jennifer; Sueker, Judah; Thakore, Mitali; Ravikumar, Deepa; Olmedo, Ruben; McGreevy, John; Kohli‐Seth, Roopa; Carr, Brendan G.; Leibner, Evan

doi:10.15441/ceem.20.102

Cited by 16 publications

(14 citation statements)

References 18 publications

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“…Another 51% of the articles specified the name and/or the type of health organisations they were focussed on. 17 , 18 , 19 , 20 , 21 , 23 , 26 , 27 , 28 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 43 , 45 , 46 , 47 , 48 , 49 , 53 , 54 , 55 , 56 , 57 , 59 , 60 , 61 , 62 , 63 , 64 , 66 All of the remaining studies did not specify a health organization of focus or concentrated on groups of respondents within health organisations.…”

Section: Resultsmentioning

confidence: 99%

Strengthening the ICUs' human resource‐related responses to Covid‐19: A rapid review of the experience during the first year of public health emergency

Tursunbayeva

Lauro

2022

Health Planning & Management

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By drawing on macro‐categories of key human resource (HR) management interventions recommended by the Organization for Economic Co‐operation and Development (OECD) during the Covid‐19 pandemic, this study aimed to explore whether and how Intensive Care Units (ICU) have strengthened their HRs during the first year of Covid‐19 emergency. A rapid review was conducted to provide a quick synthesis of the literature in English identified in the Web of Science Core Collection (WoS), PubMed, and Scopus databases. A total of 68 articles qualified for the final analysis. The findings illustrated that health organisations were often guided by staffing ratios to estimate capacity to care, aimed to modify the scope of practice of providers, redeployed both internal and external staff to ICUs, created and adapted the Covid‐19‐specific staffing models, and implemented technological innovations to provide services to the unprecedented number of patients while protecting the physical and mental health of their staff. The insights of this research should be helpful for health leaders, HR Managers, and policymakers who have faced unprecedented challenges and tough decisions during this emergency. The findings could also inform beyond‐Covid‐19 ICU policies and guide future research.

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Section: Resultsmentioning

confidence: 99%

Strengthening the ICUs' human resource‐related responses to Covid‐19: A rapid review of the experience during the first year of public health emergency

Tursunbayeva

Lauro

2022

Health Planning & Management

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“…At the same time, they advocated the deployment of nursing staff from other specialties to general wards, HDUs or non‐direct care positions in ICUs to fill the staff shortages caused by the transfer (Lee et al, 2020 ). This procedure is also the most common practice in many other hospitals during the epidemic (Hemingway & Silvestri, 2021 ; Hickey et al, 2020 ; Lee et al, 2020 ; Wells et al, 2021 ). By closing outpatient clinics and cancelling elective surgeries, the overall human resources are tilted towards the front line of the epidemic with high nursing needs.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of nursing directors on emergency nurse deployment during the pandemic of COVID‐19: A nationwide cross‐sectional survey in mainland China

Ren

Chen

et al. 2022

J Nursing Management

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Aims The aim of this study is to investigate the situation and perceptions of nursing directors about emergency nursing staff deployment in designated hospitals during the pandemic of COVID‐19 in mainland China. Background The pandemic of COVID‐19 has significantly depleted health care resources, leading to increased burden of nursing care and staffing and exacerbating the crisis in health care facilities. Currently, how to effectively plan and schedule nursing staffing in the pandemic still remains unknown. Methods From 14 July 2020 to 8 September 2020, 62 nursing directors of designated hospitals in mainland China were invited to participate in a cross‐sectional online survey for their perceptions of nursing human‐resource allocation during the pandemic of COVID‐19. Results A total of 55 valid questionnaires were collected, showing that 96.36% of the hospitals had emergency nursing organizations and management systems during the pandemic, 96.36% had well‐established scheduling principles for nursing human resources and 54.55% of hospitals had human‐resource scheduling platforms. All the hospitals had trained emergency nursing staff in infection control (55, 100%), work process (51, 92.73%) and emergency skills (50, 90.91%). Most of the participants were satisfied with the nursing staffing deployments at their institutions (52, 94.55%). However, more than two thirds of them believed that their human‐resource deployment plans need further improvements (39, 70.91%). Conclusions Most of the designated hospitals investigated had established emergency nursing organizations, and management systems, and related regulations for the epidemic. However, the contents mentioned above still need to be further standardized. Implications for nursing management The surge of patients in the epidemic was considerable challenge for the emergency capacity of hospitals. In the future, we should pay more attention to the following aspects: building emergency nursing staffing platforms, increasing emergency human‐resource reserves, establishing reliable communication channels for emergency response teams, improving the rules and regulations of emergency human‐resource management, offering more training and drills for emergency‐related knowledge and skills and giving more focus on bio‐psycho‐social wellbeing of nurses.

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“…With the spread of COVID-19, the work routine in the ED has changed remarkably. [6][7][8][9][10][11][12][13][14] The COV-ID-19 pandemic affected not only quality of care, safety, patientcenteredness, timeliness, efficiency, effectiveness, and equity, but also objective clinical endpoints such as mortality in the ED. The ED process for patients with fever or suspected infection that need to be differentiated from COVID-19 or quarantined may be further affected.…”

Section: Introductionmentioning

confidence: 99%

“…As the safety net of the healthcare system, the emergency department (ED) is responsible for managing the large influx of patients affected by the pandemic. With the spread of COVID-19, the work routine in the ED has changed remarkably [ 6 - 14 ]. The COVID-19 pandemic affected not only quality of care, safety, patient-centeredness, timeliness, efficiency, effectiveness, and equity, but also objective clinical endpoints such as mortality in the ED.…”

Section: Introductionmentioning

confidence: 99%

The effect of COVID-19 pandemic on the length of stay and outcomes in the emergency department

Chun

Kim

2022

Clin Exp Emerg Med

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Objective This study aimed to evaluate the change in length of stay (LOS) in the emergency department (ED) and outcomes during the coronavirus disease 2019 (COVID-19) pandemic.Methods This is a single-center, retrospective observational study. We compared ED LOS and outcomes in patients aged ≥19 years who presented to the ED of Soonchunhyang University Bucheon Hospital, a single tertiary university hospital, between January and December in 2018, 2019, and 2020. We included patients who were diagnosed with fever, pneumonia, and sepsis in the ED, based on the International Statistical Classification of Diseases and Related Health Problems 10th Revision. We also compared the LOS and outcomes of overall ED patients in 2019 (before COVID-19) and in 2020 (after COVID-19).Results A total of 5,061 patients with fever, pneumonia, and sepsis were analyzed. The LOS in the ED in 2020 significantly increased compared with 2018 and 2019 (177.0±115.0 minutes in 2018, 154.0±85.0 minutes in 2019, and 208.0±239.0 minutes in 2020). The proportion of patients who were transferred to other hospitals in 2020 (2.1%) increased compared with 2018 (0.8%) and 2019 (0.7%). Intensive care unit admission significantly increased in 2020 (13.7%) compared with 2019 (10.3%). Among all ED patients, ED LOS in 2020 was longer than in 2019, particularly in patients who were admitted and then transferred to another hospital. Intensive care unit admission (4.4% vs. 5.0%), transfer rate (0.7% vs. 0.9%), and ED mortality (0.6% vs. 0.7%) also significantly increased.Conclusion The ED LOS, time to intensive care unit admissions, time to transfer to other hospitals, and ED mortality significantly increased during the COVID-19 pandemic.

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Rapid deployment of an emergency department-intensive care unit for the COVID-19 pandemic

Cited by 16 publications

References 18 publications

Strengthening the ICUs' human resource‐related responses to Covid‐19: A rapid review of the experience during the first year of public health emergency

Strengthening the ICUs' human resource‐related responses to Covid‐19: A rapid review of the experience during the first year of public health emergency

Perspectives of nursing directors on emergency nurse deployment during the pandemic of COVID‐19: A nationwide cross‐sectional survey in mainland China

The effect of COVID-19 pandemic on the length of stay and outcomes in the emergency department

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