医院与养老院合作应对 COVID-19 疫情：加拿大多伦多多阶段应急响应描述。
A Hospital Partnership with a Nursing Home Experiencing a COVID-19 Outbreak: Description of a Multiphase Emergency Response in Toronto, Canada.
机构信息
Division of General Internal Medicine and Geriatrics, Sinai Health System and the University Health Network, Toronto, Ontario, Canada.
Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
出版信息
J Am Geriatr Soc. 2020 Jul;68(7):1376-1381. doi: 10.1111/jgs.16625. Epub 2020 Jun 13.
Abstract
Nursing homes have become "ground zero" for the coronavirus disease 2019 (COVID-19) epidemic in North America, with homes experiencing widespread outbreaks, resulting in severe morbidity and mortality among their residents. This article describes a 371-bed acute-care hospital's emergency response to a 126-bed nursing home experiencing a COVID-19 outbreak in Toronto, Canada. Like other healthcare system responses to COVID-19 outbreaks in nursing homes, this hospital-nursing home partnership can be characterized in several phases: (1) engagement, relationship, and trust building; (2) environmental scan, team building, and immediate response; (3) early-phase response; and (4) stabilization and transition period. J Am Geriatr Soc 68:1376-1381, 2020.
摘要
养老院已成为北美 2019 年冠状病毒病（COVID-19）疫情的“重灾区”，养老院中爆发了大规模疫情，导致其居民发病率和死亡率居高不下。本文描述了加拿大多伦多一家拥有 371 张病床的急症护理医院对一家爆发 COVID-19 的 126 张病床的养老院的紧急应对措施。与其他医疗保健系统对养老院 COVID-19 疫情的应对措施一样，这种医院-养老院合作可以分为几个阶段：（1）参与、关系和信任的建立；（2）环境扫描、团队组建和即刻响应；（3）早期响应；以及（4）稳定和过渡时期。美国老年医学会杂志 68:1376-1381, 2020。
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3
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Age Ageing. 2020 Jul 1;49(4):497-498. doi: 10.1093/ageing/afaa094.
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