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]

Détails

ID Serval
serval:BIB_C4B18AADE722
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
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]
Périodique
Revue medicale suisse
Auteur(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
Statut éditorial
Publié
Date de publication
29/04/2020
Peer-reviewed
Oui
Volume
16
Numéro
N° 691-2
Pages
869-874
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
Betacoronavirus, Coronavirus Infections/epidemiology, Crew Resource Management, Healthcare, France, Humans, Pandemics, Pneumonia, Viral/epidemiology, Tertiary Care Centers/organization & administration
Pubmed
Création de la notice
02/05/2020 13:48
Dernière modification de la notice
15/05/2020 5:26
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