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新冠疫情期间的质量改进

Quality improvement during the COVID-19 pandemic.

作者信息

Oesterreich Shari, Cywinski Jacek B, Elo Brett, Geube Mariya, Mathur Piyush

机构信息

Resident, Center for Anesthesiology Education, Anesthesiology Institute, Cleveland Clinic.

Department of General Anesthesiology, Anesthesiology Institute, Cleveland Clinic.

出版信息

Cleve Clin J Med. 2020 Jun 3. doi: 10.3949/ccjm.87a.ccc041.

Abstract

In response to the COVID-19 pandemic, quality improvement teams at Cleveland Clinic initiated a number of measures to guide the care of patients with suspected or confirmed COVID-19 infection and protect care givers. This included increasing the frequency of team meetings from monthly to daily or weekly and creating task forces to create protocols for patient transport, airway management, and management of personal protective equipment and medications in short supply. Enterprise wide, we postponed non-essential surgeries, set up an overflow intensive care unit onsite, created a web-based COVID-19 toolkit for all care givers, and sent daily emails about the most recent developments, decisions, and recommendations from national and international societies.

摘要

为应对新冠疫情,克利夫兰诊所的质量改进团队采取了一系列措施,以指导疑似或确诊新冠病毒感染患者的护理工作,并保护医护人员。这包括将团队会议的频率从每月一次增加到每日或每周一次,并成立特别工作组,制定患者转运、气道管理以及个人防护装备和短缺药物管理的方案。在整个机构范围内,我们推迟了非必要的手术,在现场设立了一个备用重症监护病房,为所有医护人员创建了一个基于网络的新冠病毒工具包,并每日发送有关国家和国际协会的最新进展、决策和建议的电子邮件。

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