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COVID-19 大流行期间,医师临床支持主管在支持患者及其家庭、医护人员和医疗体系方面的作用。

Impact of a Physician Clinical Support Supervisor in Supporting Patients and Families, Staff, and the Health-Care System During the COVID-19 Pandemic.

机构信息

Assistant Professor of Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado.

Associate Professor of Medicine, Division of Hospital Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.

出版信息

Disaster Med Public Health Prep. 2022 Feb;16(1):328-332. doi: 10.1017/dmp.2020.345. Epub 2020 Sep 10.

Abstract

As coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV2), became a pandemic, hospitals activated Hospital Incident Command Systems (HICS). At our institution, we included a role of Physician Clinical Support Supervisor (PCSS) in the HICS structure. The PCSS role was filled by physicians who served hospital leadership positions, such as Physician Advisor, Medical Staff leadership, Chief Quality Officer, and Chief Medical Informatics Officer. In an effort to summarize the lessons learned by implementation of the PCSS role during the COVID-19 pandemic, we evaluated a PCSS working Microsoft Teams™ spreadsheet and the experience of physicians in the PCSS role. Through efficient daily 2-way communication between frontline providers, HICS, and hospital leadership, the PCSS role facilitated rapid change and improved support for frontline staff, patients and families, and the health-care system. We recommend including the role of PCSS in HICS structure in the event of future pandemics or other crises.

摘要

随着由严重急性呼吸系统综合症冠状病毒 2 型(SARS-CoV2)引起的 2019 年冠状病毒病(COVID-19)成为大流行,医院启动了医院事故指挥系统(HICS)。在我们的机构中,我们在 HICS 结构中加入了医师临床支持主管(PCSS)这一角色。PCSS 角色由担任医院领导职务的医师担任,如医师顾问、医务人员领导、首席质量官和首席医疗信息官。为了总结在 COVID-19 大流行期间实施 PCSS 角色过程中吸取的经验教训,我们评估了 PCSS 使用的 Microsoft Teams™电子表格以及医师在 PCSS 角色中的体验。通过前线医护人员、HICS 和医院领导层之间高效的日常双向沟通,PCSS 角色促进了快速变革,并为前线工作人员、患者及其家属以及医疗保健系统提供了更好的支持。我们建议在未来的大流行或其他危机中,将 PCSS 角色纳入 HICS 结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcac/7653485/2066f4d2a6b0/S1935789320003456_fig1.jpg

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