Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore
Identifieur interne : 000140 ( Pmc/Curation ); précédent : 000139; suivant : 000141Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore
Auteurs : Jolin Wong ; Qing Yuan Goh ; Zihui Tan ; Sui An Lie ; Yoong Chuan Tay ; Shin Yi Ng ; Chai Rick SohSource :
- Canadian Journal of Anaesthesia [ 0832-610X ] ; 2020.
Abstract
The coronavirus disease 2019 (COVID-19) outbreak has been designated a public health emergency of international concern. To prepare for a pandemic, hospitals need a strategy to manage their space, staff, and supplies so that optimum care is provided to patients. In addition, infection prevention measures need to be implemented to reduce in-hospital transmission. In the operating room, these preparations involve multiple stakeholders and can present a significant challenge. Here, we describe the outbreak response measures of the anesthetic department staffing the largest (1,700-bed) academic tertiary level acute care hospital in Singapore (Singapore General Hospital) and a smaller regional hospital (Sengkang General Hospital). These include engineering controls such as identification and preparation of an isolation operating room, administrative measures such as modification of workflow and processes, introduction of personal protective equipment for staff, and formulation of clinical guidelines for anesthetic management. Simulation was valuable in evaluating the feasibility of new operating room set-ups or workflow. We also discuss how the hierarchy of controls can be used as a framework to plan the necessary measures during each phase of a pandemic, and review the evidence for the measures taken. These containment measures are necessary to optimize the quality of care provided to COVID-19 patients and to reduce the risk of viral transmission to other patients or healthcare workers.
Url:
DOI: 10.1007/s12630-020-01620-9
PubMed: 32162212
PubMed Central: 7090449
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000140
Links to Exploration step
PMC:7090449Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore</title><author><name sortKey="Wong, Jolin" sort="Wong, Jolin" uniqKey="Wong J" first="Jolin" last="Wong">Jolin Wong</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Goh, Qing Yuan" sort="Goh, Qing Yuan" uniqKey="Goh Q" first="Qing Yuan" last="Goh">Qing Yuan Goh</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Tan, Zihui" sort="Tan, Zihui" uniqKey="Tan Z" first="Zihui" last="Tan">Zihui Tan</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Lie, Sui An" sort="Lie, Sui An" uniqKey="Lie S" first="Sui An" last="Lie">Sui An Lie</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Tay, Yoong Chuan" sort="Tay, Yoong Chuan" uniqKey="Tay Y" first="Yoong Chuan" last="Tay">Yoong Chuan Tay</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ng, Shin Yi" sort="Ng, Shin Yi" uniqKey="Ng S" first="Shin Yi" last="Ng">Shin Yi Ng</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Soh, Chai Rick" sort="Soh, Chai Rick" uniqKey="Soh C" first="Chai Rick" last="Soh">Chai Rick Soh</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32162212</idno><idno type="pmc">7090449</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090449</idno><idno type="RBID">PMC:7090449</idno><idno type="doi">10.1007/s12630-020-01620-9</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000140</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000140</idno><idno type="wicri:Area/Pmc/Curation">000140</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000140</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore</title><author><name sortKey="Wong, Jolin" sort="Wong, Jolin" uniqKey="Wong J" first="Jolin" last="Wong">Jolin Wong</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Goh, Qing Yuan" sort="Goh, Qing Yuan" uniqKey="Goh Q" first="Qing Yuan" last="Goh">Qing Yuan Goh</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Tan, Zihui" sort="Tan, Zihui" uniqKey="Tan Z" first="Zihui" last="Tan">Zihui Tan</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Lie, Sui An" sort="Lie, Sui An" uniqKey="Lie S" first="Sui An" last="Lie">Sui An Lie</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Tay, Yoong Chuan" sort="Tay, Yoong Chuan" uniqKey="Tay Y" first="Yoong Chuan" last="Tay">Yoong Chuan Tay</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ng, Shin Yi" sort="Ng, Shin Yi" uniqKey="Ng S" first="Shin Yi" last="Ng">Shin Yi Ng</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Soh, Chai Rick" sort="Soh, Chai Rick" uniqKey="Soh C" first="Chai Rick" last="Soh">Chai Rick Soh</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Canadian Journal of Anaesthesia</title><idno type="ISSN">0832-610X</idno><idno type="eISSN">1496-8975</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="Par1">The coronavirus disease 2019 (COVID-19) outbreak has been designated a public health emergency of international concern. To prepare for a pandemic, hospitals need a strategy to manage their space, staff, and supplies so that optimum care is provided to patients. In addition, infection prevention measures need to be implemented to reduce in-hospital transmission. In the operating room, these preparations involve multiple stakeholders and can present a significant challenge. Here, we describe the outbreak response measures of the anesthetic department staffing the largest (1,700-bed) academic tertiary level acute care hospital in Singapore (Singapore General Hospital) and a smaller regional hospital (Sengkang General Hospital). These include engineering controls such as identification and preparation of an isolation operating room, administrative measures such as modification of workflow and processes, introduction of personal protective equipment for staff, and formulation of clinical guidelines for anesthetic management. Simulation was valuable in evaluating the feasibility of new operating room set-ups or workflow. We also discuss how the hierarchy of controls can be used as a framework to plan the necessary measures during each phase of a pandemic, and review the evidence for the measures taken. These containment measures are necessary to optimize the quality of care provided to COVID-19 patients and to reduce the risk of viral transmission to other patients or healthcare workers.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Huang, C" uniqKey="Huang C">C Huang</name></author><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y Wang</name></author><author><name sortKey="Li, X" uniqKey="Li X">X Li</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, D" uniqKey="Wang D">D Wang</name></author><author><name sortKey="Hu, B" uniqKey="Hu B">B Hu</name></author><author><name sortKey="Hu, C" uniqKey="Hu C">C Hu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, N" uniqKey="Chen N">N Chen</name></author><author><name sortKey="Zhou, M" uniqKey="Zhou M">M Zhou</name></author><author><name sortKey="Dong, X" uniqKey="Dong X">X Dong</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Z" uniqKey="Wu Z">Z Wu</name></author><author><name sortKey="Mcgoogan, Jm" uniqKey="Mcgoogan J">JM McGoogan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Young, Be" uniqKey="Young B">BE Young</name></author><author><name sortKey="Ong, Sw" uniqKey="Ong S">SW Ong</name></author><author><name sortKey="Kalimuddin, S" uniqKey="Kalimuddin S">S Kalimuddin</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Je" uniqKey="Wong J">JE Wong</name></author><author><name sortKey="Leo, Ys" uniqKey="Leo Y">YS Leo</name></author><author><name sortKey="Tan, Cc" uniqKey="Tan C">CC Tan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Poutanen, Sm" uniqKey="Poutanen S">SM Poutanen</name></author><author><name sortKey="Mcgeer, Aj" uniqKey="Mcgeer A">AJ McGeer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yeo, C" uniqKey="Yeo C">C Yeo</name></author><author><name sortKey="Kaushal, S" uniqKey="Kaushal S">S Kaushal</name></author><author><name sortKey="Yeo, D" uniqKey="Yeo D">D Yeo</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Scales, Dc" uniqKey="Scales D">DC Scales</name></author><author><name sortKey="Green, K" uniqKey="Green K">K Green</name></author><author><name sortKey="Chan, Ak" uniqKey="Chan A">AK Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Loeb, M" uniqKey="Loeb M">M Loeb</name></author><author><name sortKey="Mcgeer, A" uniqKey="Mcgeer A">A McGeer</name></author><author><name sortKey="Henry, B" uniqKey="Henry B">B Henry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rothe, C" uniqKey="Rothe C">C Rothe</name></author><author><name sortKey="Schunk, M" uniqKey="Schunk M">M Schunk</name></author><author><name sortKey="Sothmann, P" uniqKey="Sothmann P">P Sothmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Riou, J" uniqKey="Riou J">J Riou</name></author><author><name sortKey="Althaus, Cl" uniqKey="Althaus C">CL Althaus</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kamming, D" uniqKey="Kamming D">D Kamming</name></author><author><name sortKey="Gardam, M" uniqKey="Gardam M">M Gardam</name></author><author><name sortKey="Chung, F" uniqKey="Chung F">F Chung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tan, Tk" uniqKey="Tan T">TK Tan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ter Chee, Vw" uniqKey="Ter Chee V">VW Ter Chee</name></author><author><name sortKey="Khoo, Ml" uniqKey="Khoo M">ML Khoo</name></author><author><name sortKey="Lee, Sf" uniqKey="Lee S">SF Lee</name></author><author><name sortKey="Lai, Yc" uniqKey="Lai Y">YC Lai</name></author><author><name sortKey="Chin, Nm" uniqKey="Chin N">NM Chin</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Peng, Pw" uniqKey="Peng P">PW Peng</name></author><author><name sortKey="Wong, Dt" uniqKey="Wong D">DT Wong</name></author><author><name sortKey="Bevan, D" uniqKey="Bevan D">D Bevan</name></author><author><name sortKey="Gardam, M" uniqKey="Gardam M">M Gardam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Christian, Md" uniqKey="Christian M">MD Christian</name></author><author><name sortKey="Loutfy, M" uniqKey="Loutfy M">M Loutfy</name></author><author><name sortKey="Mcdonald, Lc" uniqKey="Mcdonald L">LC McDonald</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tompkins, Bm" uniqKey="Tompkins B">BM Tompkins</name></author><author><name sortKey="Kerchberger, Jp" uniqKey="Kerchberger J">JP Kerchberger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wilkes, Ar" uniqKey="Wilkes A">AR Wilkes</name></author><author><name sortKey="Benbough, Je" uniqKey="Benbough J">JE Benbough</name></author><author><name sortKey="Speight, Se" uniqKey="Speight S">SE Speight</name></author><author><name sortKey="Harmer, M" uniqKey="Harmer M">M Harmer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guan, Wj" uniqKey="Guan W">WJ Guan</name></author><author><name sortKey="Ni, Zy" uniqKey="Ni Z">ZY Ni</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y Hu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wax, Rs" uniqKey="Wax R">RS Wax</name></author><author><name sortKey="Christian, Md" uniqKey="Christian M">MD Christian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, H" uniqKey="Chen H">H Chen</name></author><author><name sortKey="Guo, J" uniqKey="Guo J">J Guo</name></author><author><name sortKey="Wang, C" uniqKey="Wang C">C Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Favre, G" uniqKey="Favre G">G Favre</name></author><author><name sortKey="Pomar, L" uniqKey="Pomar L">L Pomar</name></author><author><name sortKey="Qi, X" uniqKey="Qi X">X Qi</name></author><author><name sortKey="Nielsen Saines, K" uniqKey="Nielsen Saines K">K Nielsen-Saines</name></author><author><name sortKey="Musso, D" uniqKey="Musso D">D Musso</name></author><author><name sortKey="Baud, D" uniqKey="Baud D">D Baud</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kurup, V" uniqKey="Kurup V">V Kurup</name></author><author><name sortKey="Matei, V" uniqKey="Matei V">V Matei</name></author><author><name sortKey="Ray, J" uniqKey="Ray J">J Ray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patterson, Md" uniqKey="Patterson M">MD Patterson</name></author><author><name sortKey="Geis, Gl" uniqKey="Geis G">GL Geis</name></author><author><name sortKey="Falcone, Ra" uniqKey="Falcone R">RA Falcone</name></author><author><name sortKey="Lemaster, T" uniqKey="Lemaster T">T LeMaster</name></author><author><name sortKey="Wears, Rl" uniqKey="Wears R">RL Wears</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mastoras, G" uniqKey="Mastoras G">G Mastoras</name></author><author><name sortKey="Poulin, C" uniqKey="Poulin C">C Poulin</name></author><author><name sortKey="Norman, L" uniqKey="Norman L">L Norman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fent, G" uniqKey="Fent G">G Fent</name></author><author><name sortKey="Blythe, J" uniqKey="Blythe J">J Blythe</name></author><author><name sortKey="Farooq, O" uniqKey="Farooq O">O Farooq</name></author><author><name sortKey="Purva, M" uniqKey="Purva M">M Purva</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chen, S" uniqKey="Chen S">S Chen</name></author><author><name sortKey="Yang, J" uniqKey="Yang J">J Yang</name></author><author><name sortKey="Yang, W" uniqKey="Yang W">W Yang</name></author><author><name sortKey="Wang, C" uniqKey="Wang C">C Wang</name></author><author><name sortKey="B Rnighausen, T" uniqKey="B Rnighausen T">T Bärnighausen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bogoch, Ii" uniqKey="Bogoch I">II Bogoch</name></author><author><name sortKey="Watts, A" uniqKey="Watts A">A Watts</name></author><author><name sortKey="Thomas Bachli, A" uniqKey="Thomas Bachli A">A Thomas-Bachli</name></author><author><name sortKey="Huber, C" uniqKey="Huber C">C Huber</name></author><author><name sortKey="Kraemer, Mu" uniqKey="Kraemer M">MU Kraemer</name></author><author><name sortKey="Khan, K" uniqKey="Khan K">K Khan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Abualenain, Jt" uniqKey="Abualenain J">JT Abualenain</name></author><author><name sortKey="Al Alawi, Mm" uniqKey="Al Alawi M">MM Al-Alawi</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lee, K" uniqKey="Lee K">K Lee</name></author><author><name sortKey="Slavcev, A" uniqKey="Slavcev A">A Slavcev</name></author><author><name sortKey="Nicas, M" uniqKey="Nicas M">M Nicas</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chang, D" uniqKey="Chang D">D Chang</name></author><author><name sortKey="Xu, H" uniqKey="Xu H">H Xu</name></author><author><name sortKey="Rebaza, A" uniqKey="Rebaza A">A Rebaza</name></author><author><name sortKey="Sharma, L" uniqKey="Sharma L">L Sharma</name></author><author><name sortKey="Dela Cruz, Cs" uniqKey="Dela Cruz C">CS Dela Cruz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, Jp" uniqKey="Li J">JP Li</name></author><author><name sortKey="Lam, Ds" uniqKey="Lam D">DS Lam</name></author><author><name sortKey="Chen, Y" uniqKey="Chen Y">Y Chen</name></author><author><name sortKey="Ting, Ds" uniqKey="Ting D">DS Ting</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Radonovich, Lj" uniqKey="Radonovich L">LJ Radonovich</name></author><author><name sortKey="Cheng, J" uniqKey="Cheng J">J Cheng</name></author><author><name sortKey="Shenal, Bv" uniqKey="Shenal B">BV Shenal</name></author><author><name sortKey="Hodgson, M" uniqKey="Hodgson M">M Hodgson</name></author><author><name sortKey="Bender, Bs" uniqKey="Bender B">BS Bender</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rebmann, T" uniqKey="Rebmann T">T Rebmann</name></author><author><name sortKey="Carrico, R" uniqKey="Carrico R">R Carrico</name></author><author><name sortKey="Wang, J" uniqKey="Wang J">J Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fisher, Em" uniqKey="Fisher E">EM Fisher</name></author><author><name sortKey="Shaffer, Re" uniqKey="Shaffer R">RE Shaffer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rebmann, T" uniqKey="Rebmann T">T Rebmann</name></author><author><name sortKey="Alexander, S" uniqKey="Alexander S">S Alexander</name></author><author><name sortKey="Bartley, J" uniqKey="Bartley J">J Bartley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Phan, Lt" uniqKey="Phan L">LT Phan</name></author><author><name sortKey="Maita, D" uniqKey="Maita D">D Maita</name></author><author><name sortKey="Mortiz, Dc" uniqKey="Mortiz D">DC Mortiz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="John, A" uniqKey="John A">A John</name></author><author><name sortKey="Tomas, Me" uniqKey="Tomas M">ME Tomas</name></author><author><name sortKey="Cadnum, Jl" uniqKey="Cadnum J">JL Cadnum</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Roberge, Rj" uniqKey="Roberge R">RJ Roberge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coates, Mj" uniqKey="Coates M">MJ Coates</name></author><author><name sortKey="Jundi, As" uniqKey="Jundi A">AS Jundi</name></author><author><name sortKey="James, Mr" uniqKey="James M">MR James</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Laird, Is" uniqKey="Laird I">IS Laird</name></author><author><name sortKey="Goldsmith, R" uniqKey="Goldsmith R">R Goldsmith</name></author><author><name sortKey="Pack, Rj" uniqKey="Pack R">RJ Pack</name></author><author><name sortKey="Vitalis, A" uniqKey="Vitalis A">A Vitalis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nicolle, L" uniqKey="Nicolle L">L Nicolle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kampf, G" uniqKey="Kampf G">G Kampf</name></author><author><name sortKey="Todt, D" uniqKey="Todt D">D Todt</name></author><author><name sortKey="Pfaender, S" uniqKey="Pfaender S">S Pfaender</name></author><author><name sortKey="Steinmann, E" uniqKey="Steinmann E">E Steinmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Song, X" uniqKey="Song X">X Song</name></author><author><name sortKey="Vossebein, L" uniqKey="Vossebein L">L Vossebein</name></author><author><name sortKey="Zille, A" uniqKey="Zille A">A Zille</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pottage, T" uniqKey="Pottage T">T Pottage</name></author><author><name sortKey="Richardson, C" uniqKey="Richardson C">C Richardson</name></author><author><name sortKey="Parks, S" uniqKey="Parks S">S Parks</name></author><author><name sortKey="Walker, Jt" uniqKey="Walker J">JT Walker</name></author><author><name sortKey="Bennett, Am" uniqKey="Bennett A">AM Bennett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goyal, Sm" uniqKey="Goyal S">SM Goyal</name></author><author><name sortKey="Chander, Y" uniqKey="Chander Y">Y Chander</name></author><author><name sortKey="Yezli, S" uniqKey="Yezli S">S Yezli</name></author><author><name sortKey="Otter, Ja" uniqKey="Otter J">JA Otter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Dk" uniqKey="Kim D">DK Kim</name></author><author><name sortKey="Kang, Dh" uniqKey="Kang D">DH Kang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can J Anaesth</journal-id><journal-id journal-id-type="iso-abbrev">Can J Anaesth</journal-id><journal-title-group><journal-title>Canadian Journal of Anaesthesia</journal-title></journal-title-group><issn pub-type="ppub">0832-610X</issn><issn pub-type="epub">1496-8975</issn><publisher><publisher-name>Springer International Publishing</publisher-name><publisher-loc>Cham</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32162212</article-id><article-id pub-id-type="pmc">7090449</article-id><article-id pub-id-type="publisher-id">1620</article-id><article-id pub-id-type="doi">10.1007/s12630-020-01620-9</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article/Brief Review</subject></subj-group></article-categories><title-group><article-title>Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore</article-title><trans-title-group><trans-title xml:lang="fr">Se préparer pour la pandémie de COVID-19: revue des moyens déployés dans un bloc opératoire d’un grand hôpital tertiaire au Singapour</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-8318-5685</contrib-id><name><surname>Wong</surname><given-names>Jolin</given-names></name><degrees>MBBS, MMed (Anaes), FANZCA</degrees><address><email>jolin.wong@singhealth.com.sg</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-3856-8342</contrib-id><name><surname>Goh</surname><given-names>Qing Yuan</given-names></name><degrees>MBBS, MMed (Anaes), EDIC</degrees><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Tan</surname><given-names>Zihui</given-names></name><degrees>MB ChB, MMed (Anaes)</degrees><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-8565-1934</contrib-id><name><surname>Lie</surname><given-names>Sui An</given-names></name><degrees>MBBS, MRCP, MMed (Anaes)</degrees><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Tay</surname><given-names>Yoong Chuan</given-names></name><degrees>MBBS, MMed (Anaes)</degrees><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Ng</surname><given-names>Shin Yi</given-names></name><degrees>MBBS, MMed (Anaes), EDIC, PGDip (Clinical Ultrasound), FCCP, FCCM, FAMS</degrees><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Soh</surname><given-names>Chai Rick</given-names></name><degrees>MBBS, MMed (Anaes), FANZCA, CICM</degrees><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.163555.1</institution-id><institution-id institution-id-type="ISNI">0000 0000 9486 5048</institution-id><institution>Division of Anaesthesiology,</institution><institution>Singapore General Hospital,</institution></institution-wrap>Outram Road, Singapore, 169608 Singapore</aff></contrib-group><pub-date pub-type="epub"><day>11</day><month>3</month><year>2020</year></pub-date><fpage>1</fpage><lpage>14</lpage><history><date date-type="received"><day>2</day><month>3</month><year>2020</year></date><date date-type="rev-recd"><day>4</day><month>3</month><year>2020</year></date><date date-type="accepted"><day>4</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>© Canadian Anesthesiologists' Society 2020</copyright-statement><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p></license></permissions><abstract id="Abs1"><p id="Par1">The coronavirus disease 2019 (COVID-19) outbreak has been designated a public health emergency of international concern. To prepare for a pandemic, hospitals need a strategy to manage their space, staff, and supplies so that optimum care is provided to patients. In addition, infection prevention measures need to be implemented to reduce in-hospital transmission. In the operating room, these preparations involve multiple stakeholders and can present a significant challenge. Here, we describe the outbreak response measures of the anesthetic department staffing the largest (1,700-bed) academic tertiary level acute care hospital in Singapore (Singapore General Hospital) and a smaller regional hospital (Sengkang General Hospital). These include engineering controls such as identification and preparation of an isolation operating room, administrative measures such as modification of workflow and processes, introduction of personal protective equipment for staff, and formulation of clinical guidelines for anesthetic management. Simulation was valuable in evaluating the feasibility of new operating room set-ups or workflow. We also discuss how the hierarchy of controls can be used as a framework to plan the necessary measures during each phase of a pandemic, and review the evidence for the measures taken. These containment measures are necessary to optimize the quality of care provided to COVID-19 patients and to reduce the risk of viral transmission to other patients or healthcare workers.</p></abstract><trans-abstract xml:lang="fr" id="Abs2"><title>Résumé</title><p id="Par2">L’épidémie liée au coronavirus 2019 (COVID-19) a été qualifiée d’urgence de santé publique de portée internationale. La préparation face à une pandémie nécessite de la part d’un hôpital l’élaboration de stratégies pour gérer ses infrastructures, ses processus, son personnel et ses patients; il doit notamment instaurer des mesures de prévention des infections pour réduire la transmission intrahospitalière. Pour un bloc opératoire, ces préparations impliquent la participation de nombreux acteurs et peuvent constituer un véritable défi. Nous décrivons les mesures prises en réponse à l’épidémie par le département d’anesthésie qui sert le plus grand hôpital universitaire de soins aigus (1700 lits) de Singapour (<italic>Singapore General Hospital</italic>) et un plus petit hôpital régional (<italic>Sengkang General Hospital</italic>). Cela a été obtenu grâce à des expertises d’ingénierie, telles que l’identification et la préparation d’une salle d’opération en isolation, des mesures administratives telles que la modification du déroulement des activités et des processus, l’introduction d’équipements de protection individuels pour le personnel et — enfin — la formulation de lignes directrices cliniques pour la gestion anesthésique. La simulation a été importante pour évaluer la faisabilité de toutes nouvelles modifications des salles d’opération ou d’un nouveau flux de travail. Dans le contexte des différentes phases d’une pandémie, nous discutons de l’application d’une hiérarchie de contrôles comme cadre des modifications à chaque niveau de contrôle et nous passons aussi en revue les données probantes soutenant les mesures prises. Ces mesures de confinement sont nécessaires pour optimiser la qualité des soins procurés aux patients atteints de COVID-19 et pour réduire le risque de transmission du virus à d’autres patients ou employés du domaine de la santé.</p></trans-abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/StressCovidV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000140 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000140 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= StressCovidV1
|flux= Pmc
|étape= Curation
|type= RBID
|clé= PMC:7090449
|texte= Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:32162212" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \
| NlmPubMed2Wicri -a StressCovidV1
| This area was generated with Dilib version V0.6.33. |  |