Pou N, Peix T, Trias S, Trilla A, Varela P, Martínez G, Castells A
Dirección del Área Quirúrgica, Hospital Clínico de Barcelona, Barcelona, España.
Dirección del Área Quirúrgica, Hospital Clínico de Barcelona, Barcelona, España.
J Healthc Qual Res. 2021 May-Jun;36(3):136-141. doi: 10.1016/j.jhqr.2021.01.002. Epub 2021 Feb 10.
During the SARS-CoV-2 pandemic, elective surgical activity was reduced to a minimum. As both the number of cases and the hospitalization needs for this pathology decreased, we thought it appropriate to progressively recover scheduled surgical activity. This work describes how, even with the current alarm state, we were able to practically normalize this activity in a few weeks.
Two weeks before the intervention, the patients included in the waiting lists were contacted by telephone. After checking their health status and expressing their desire to undergo surgery, they were provided with recommendations to decrease the risk of coronavirus infection. Likewise, an exclusive circuit was established to carry out, 48 hours before the intervention, the detection of SARS-CoV-2 by means of exudates nasopharyngeal PCR. The results were evaluated by each surgical service and the anesthesiology service. In addition, asymptomatic Surgical Area professionals could undergo weekly screening for the early detection of coronavirus according to the recommendations of Occupational Health.
In the midst of a pandemic, scheduled surgical activity was reduced by 85%. From the week of April 13, the operating rooms available were recovered, which allowed practically all surgical activity to be recovered the week of May 25.
The creation of circuits and procedures to streamline surgical activity, still in full force of the state of alarm, has allowed us, in a few weeks, to recover almost all of it.
在新型冠状病毒肺炎大流行期间，择期手术活动降至最低限度。随着该疾病病例数量和住院需求的减少，我们认为逐步恢复预定的手术活动是合适的。这项工作描述了即使在当前的警戒状态下，我们如何能够在几周内实际使这项活动正常化。
在干预前两周，通过电话联系列入等候名单的患者。在检查他们的健康状况并表达他们接受手术的意愿后，向他们提供了降低冠状病毒感染风险的建议。同样，建立了一个专用流程，在干预前48小时通过鼻咽拭子PCR检测新型冠状病毒。结果由每个外科科室和麻醉科进行评估。此外，根据职业健康建议，无症状的手术区域专业人员可每周进行筛查，以便早期发现冠状病毒。
在大流行期间，预定的手术活动减少了85%。从4月13日那周开始，恢复了可用的手术室，这使得几乎所有手术活动在5月25日那周得以恢复。
在警戒状态仍然生效的情况下，创建简化手术活动的流程和程序使我们能够在几周内恢复几乎所有手术活动。
