Impacts organisationnels et défis cliniques de la pandémie COVID-19 pour un service hospitalier de médecine interne universitaire [Organizational Impacts and Clinical Challenges of the COVID-19 Pandemic on a Swiss Tertiary Internal Medicine Department]

Details

Serval ID
serval:BIB_C4B18AADE722
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Impacts organisationnels et défis cliniques de la pandémie COVID-19 pour un service hospitalier de médecine interne universitaire [Organizational Impacts and Clinical Challenges of the COVID-19 Pandemic on a Swiss Tertiary Internal Medicine Department]
Journal
Revue medicale suisse
Author(s)
Garnier A., Vaucher J., Bianchi C., Kraege V., Méan M., Castioni J., Bart P.A., Champier V., Eggimann P., Gachoud D., Jovanovic M., Lamy O., Marques-Vidal P., Monti M., Perier A., Robert S., Roulet G., Sartori C., Waeber G., Vollenweider P.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
29/04/2020
Peer-reviewed
Oui
Volume
16
Number
N° 691-2
Pages
869-874
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The rapid progression of COVID-19 is an organizational challenge for all hospitals. To secure the patient overflow, the Department internal medicine of the University Hospital of Lausanne increased nurse and medical workforces as well as bed capacity by 65 %, with extraordinary help from other departments. The implemented crisis management stood upon three pillars : a crisis management team, steering documents and internal communication. In this new form, the Department had already taken care of 442 COVID-19 admissions by April 16, 2020. Alongside organizational challenges, clinical issues such as rapid respiratory distress, clinical suspicions with negative PCR and treatment uncertainties in the absence of sufficient evidence were overcome. Despite the peak of the pandemic appearing to have passed, the next phase could be just as complicated.
Keywords
Betacoronavirus, Coronavirus Infections/epidemiology, Crew Resource Management, Healthcare, France, Humans, Pandemics, Pneumonia, Viral/epidemiology, Tertiary Care Centers/organization & administration
Pubmed
Create date
02/05/2020 13:48
Last modification date
15/05/2020 5:26
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