Department of Emergency Medicine, University of Washington, Seattle, WA.
Department of Surgery, University of Washington, Seattle, WA.
J Am Coll Surg. 2020 Sep;231(3):316-324.e1. doi: 10.1016/j.jamcollsurg.2020.06.006. Epub 2020 Jun 16.
Washington State experienced the first major outbreak of COVID-19 in the US and despite a significant number of cases, has seen a relatively low death rate per million population compared with other states with major outbreaks, and has seen a substantial decrease in the projections for healthcare use, that is, "flattening the curve." This consensus report seeks to identify the key factors contributing to the effective health system disaster response in western WA.
A multidisciplinary, expert panel including individuals and organizations who were integral to managing the public health and emergency healthcare system response were engaged in a consensus process to identify the key themes and lessons learned and develop recommendations for ongoing management of the COVID-19 pandemic.
Six key themes were identified, including early communication and coordination among stakeholders; regional coordination of the healthcare system response; rapid development and access to viral testing; proactive management of long-term care and skilled nursing facilities; proactive management of vulnerable populations; and effective physical distancing in the community.
Based on the lessons learned in each of the areas identified by the panel, 11 recommendations are provided to support the healthcare system disaster response in managing future outbreaks.
华盛顿州是美国第一个爆发 COVID-19 的地区，但与其他爆发重大疫情的州相比，其每百万人的死亡率相对较低，且医疗保健使用的预测（即“曲线变平”）大幅下降。本共识报告旨在确定促成华盛顿西部地区有效卫生系统灾害应对的关键因素。
一个多学科的专家小组，包括在管理公共卫生和紧急医疗系统应对方面不可或缺的个人和组织，参与了一个共识过程，以确定关键主题和经验教训，并为持续管理 COVID-19 大流行提出建议。
确定了六个关键主题，包括利益相关者之间的早期沟通和协调；医疗系统应对的区域协调；病毒检测的快速开发和获取；长期护理和熟练护理设施的主动管理；弱势人群的主动管理；以及社区内的有效身体距离。
基于专家组确定的每个领域的经验教训，提出了 11 项建议，以支持医疗保健系统在管理未来疫情时的灾害应对。
