Redesigning a Department of Surgery during the COVID-19 Pandemic
Identifieur interne : 000219 ( Main/Exploration ); précédent : 000218; suivant : 000220Redesigning a Department of Surgery during the COVID-19 Pandemic
Auteurs : Stacy A. Brethauer [États-Unis] ; Benjamin K. Poulose [États-Unis] ; Bradley J. Needleman [États-Unis] ; Carrie Sims [États-Unis] ; Mark Arnold [États-Unis] ; Kenneth Washburn [États-Unis] ; Allan Tsung [États-Unis] ; Nahush Mokadam [États-Unis] ; Timur Sarac [États-Unis] ; Robert Merritt [États-Unis] ; Timothy M. Pawlik [États-Unis]Source :
- Journal of Gastrointestinal Surgery [ 1091-255X ] ; 2020.
Abstract
COVID-19 has created an urgent need for reorganization and surge planning among departments of surgery across the USA.
Review of the COVID-19 planning process and work products in preparation for a patient surge. Organizational and process changes, workflow redesign, and communication plans are presented.
The planning process included widespread collaboration among leadership from many disciplines. The department of surgery played a leading role in establishing clinical protocols, guidelines, and policies in preparation for a surge of COVID-19 patients. A multidisciplinary approach with input from clinical and nonclinical stakeholders is critical to successful crisis planning. A clear communication plan should be implemented early and input from trainees, staff, and faculty should be solicited.
Major departmental and health system reorganization is required to adapt academic surgical practices to a widespread crisis. Surgical leadership, innovation, and flexibility are critical to successful planning and implementation.
Url:
DOI: 10.1007/s11605-020-04608-4
PubMed: 31621023
PubMed Central: 7187802
Affiliations:
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Oncology,</institution><institution>The Ohio State University,</institution></institution-wrap>Columbus, OH USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Sarac, Timur" sort="Sarac, Timur" uniqKey="Sarac T" first="Timur" last="Sarac">Timur Sarac</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.261331.4</institution-id><institution-id institution-id-type="ISNI">0000 0001 2285 7943</institution-id><institution>Department of Surgery, Divisions of General and Gastrointestinal Surgery and Surgical Oncology,</institution><institution>The Ohio State University,</institution></institution-wrap>Columbus, OH USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Merritt, Robert" sort="Merritt, Robert" uniqKey="Merritt R" first="Robert" last="Merritt">Robert Merritt</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.261331.4</institution-id><institution-id institution-id-type="ISNI">0000 0001 2285 7943</institution-id><institution>Department of Surgery, Divisions of General and Gastrointestinal Surgery and Surgical Oncology,</institution><institution>The Ohio State University,</institution></institution-wrap>Columbus, OH USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Pawlik, Timothy M" sort="Pawlik, Timothy M" uniqKey="Pawlik T" first="Timothy M." last="Pawlik">Timothy M. Pawlik</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.261331.4</institution-id><institution-id institution-id-type="ISNI">0000 0001 2285 7943</institution-id><institution>Department of Surgery, Divisions of General and Gastrointestinal Surgery and Surgical Oncology,</institution><institution>The Ohio State University,</institution></institution-wrap>Columbus, OH USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Columbus</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.412332.5</institution-id><institution-id institution-id-type="ISNI">0000 0001 1545 0811</institution-id><institution>The Ohio State University Wexner Medical Center,</institution></institution-wrap>395 W. 12th Avenue, Faculty Office Tower 6th Floor, Columbus, OH 43210-1267 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>395 W. 12th Avenue, Faculty Office Tower 6th Floor, Columbus</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of Gastrointestinal Surgery</title><idno type="ISSN">1091-255X</idno><idno type="eISSN">1873-4626</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">COVID-19 has created an urgent need for reorganization and surge planning among departments of surgery across the USA.</p></sec><sec><title>Methods</title><p id="Par2">Review of the COVID-19 planning process and work products in preparation for a patient surge. Organizational and process changes, workflow redesign, and communication plans are presented.</p></sec><sec><title>Results</title><p id="Par3">The planning process included widespread collaboration among leadership from many disciplines. The department of surgery played a leading role in establishing clinical protocols, guidelines, and policies in preparation for a surge of COVID-19 patients. A multidisciplinary approach with input from clinical and nonclinical stakeholders is critical to successful crisis planning. A clear communication plan should be implemented early and input from trainees, staff, and faculty should be solicited.</p></sec><sec><title>Conclusion</title><p id="Par4">Major departmental and health system reorganization is required to adapt academic surgical practices to a widespread crisis. Surgical leadership, innovation, and flexibility are critical to successful planning and implementation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Ohio"><name sortKey="Brethauer, Stacy A" sort="Brethauer, Stacy A" uniqKey="Brethauer S" first="Stacy A." last="Brethauer">Stacy A. Brethauer</name></region><name sortKey="Arnold, Mark" sort="Arnold, Mark" uniqKey="Arnold M" first="Mark" last="Arnold">Mark Arnold</name><name sortKey="Merritt, Robert" sort="Merritt, Robert" uniqKey="Merritt R" first="Robert" last="Merritt">Robert Merritt</name><name sortKey="Mokadam, Nahush" sort="Mokadam, Nahush" uniqKey="Mokadam N" first="Nahush" last="Mokadam">Nahush Mokadam</name><name sortKey="Needleman, Bradley J" sort="Needleman, Bradley J" uniqKey="Needleman B" first="Bradley J." last="Needleman">Bradley J. Needleman</name><name sortKey="Pawlik, Timothy M" sort="Pawlik, Timothy M" uniqKey="Pawlik T" first="Timothy M." last="Pawlik">Timothy M. Pawlik</name><name sortKey="Pawlik, Timothy M" sort="Pawlik, Timothy M" uniqKey="Pawlik T" first="Timothy M." last="Pawlik">Timothy M. Pawlik</name><name sortKey="Poulose, Benjamin K" sort="Poulose, Benjamin K" uniqKey="Poulose B" first="Benjamin K." last="Poulose">Benjamin K. Poulose</name><name sortKey="Sarac, Timur" sort="Sarac, Timur" uniqKey="Sarac T" first="Timur" last="Sarac">Timur Sarac</name><name sortKey="Sims, Carrie" sort="Sims, Carrie" uniqKey="Sims C" first="Carrie" last="Sims">Carrie Sims</name><name sortKey="Tsung, Allan" sort="Tsung, Allan" uniqKey="Tsung A" first="Allan" last="Tsung">Allan Tsung</name><name sortKey="Washburn, Kenneth" sort="Washburn, Kenneth" uniqKey="Washburn K" first="Kenneth" last="Washburn">Kenneth Washburn</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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