Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, 4650 Sunset Blvd., Mail Stop 113, Los Angeles, CA 90027, United States of America.
Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, 4650 Sunset Blvd., Mail Stop 113, Los Angeles, CA 90027, United States of America; Division of Behavioral & Organizational Sciences, School of Social Science, Policy, & Evaluation, Claremont Graduate University, 150 E. Tenth St., ACB Mail Room, Claremont, CA 91711, United States of America.
Am J Emerg Med. 2020 Oct;38(10):2130-2133. doi: 10.1016/j.ajem.2020.07.024. Epub 2020 Jul 16.
In March 2020, the American College of Emergency Physicians (ACEP) published a national strategic plan for COVID-19, which provides general guidelines yet leaves logistical details for institutions to determine. Key capabilities from this plan provided a crucial foundation for a 16-day Emergency Department (ED) surge planning process at one pediatric institution. This paper describes critical milestones and lessons learned during this brief period, including derivation of criteria for ED surge activation, a full-scale surge drill, and the resultant ED surge protocol. The framework of real-time evaluation was used throughout the planning process and involved constant and iterative synthesis of real-time feedback from multidisciplinary stakeholders for responsive decision-making. Ultimately, the objective of this paper is to provide timely and readily actionable information to other institutions seeking guidance to apply the ACEP strategic plan for COVID-19.
2020 年 3 月，美国急诊医师学院（ACEP）发布了一份针对 COVID-19 的国家战略计划，该计划提供了总体指导方针，但将后勤细节留给各机构自行确定。该计划中的关键能力为一家儿科机构的 16 天急诊部门（ED）激增规划流程提供了重要基础。本文描述了在这一短暂期间的关键里程碑和经验教训，包括 ED 激增激活标准的推导、全面的激增演练，以及由此产生的 ED 激增协议。实时评估框架在整个规划过程中得到了应用，涉及从多学科利益相关者那里实时收集反馈，并进行持续和迭代的综合分析，以做出响应性决策。最终，本文的目的是为其他寻求 ACEP COVID-19 战略计划指导的机构提供及时且可操作的信息。
