Mitchell Oscar J L, Doran Olivia, Yuriditsky Eugene, Root Christopher, Teran Felipe, Ma Kevin, Shashaty Michael, Moskowitz Ari, Horowitz James, Abella Benjamin S
Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, United States.
Center for Resuscitation Science, University of Pennsylvania, United States.
Resusc Plus. 2021 Jun;6:100121. doi: 10.1016/j.resplu.2021.100121. Epub 2021 Apr 12.
Management of patients with acute deterioration from novel coronavirus disease of 2019 (COVID-19) has posed a particular challenge for rapid response systems (RRSs) due to increased hospital strain and direct risk of infection to RRS team members.
We sought to characterize RRS structure and protocols adaptions during the COVID-19 pandemic.
Internet-based cross-sectional survey of RRS leaders, physicians, and researchers across the United States.
Clinicians from 46 hospitals were surveyed, 40 completed a baseline survey (87%), and 19 also completed a follow-up qualitative survey. Most reported an increase in emergency team resources during the COVID-19 pandemic. The number of sites performing simulation training sessions decreased from 88% before COVID-19 to 53% during the pandemic.
Most RRSs reported pandemic-related adjustments, most commonly through increasing resources and implementation of protocol changes. There was a reduction in the number of sites that performed simulation training.
由于医院压力增加以及快速反应系统（RRS）团队成员面临直接感染风险，对新型冠状病毒肺炎（COVID-19）急性病情恶化患者的管理给快速反应系统带来了特殊挑战。
我们试图描述COVID-19大流行期间快速反应系统的结构和协议调整情况。
设计、地点和参与者：对美国各地的快速反应系统负责人、医生和研究人员进行基于互联网的横断面调查。
对46家医院的临床医生进行了调查，40人完成了基线调查（87%），19人还完成了后续定性调查。大多数报告称，在COVID-19大流行期间应急团队资源有所增加。进行模拟培训课程的机构数量从COVID-19之前的88%降至大流行期间的53%。
大多数快速反应系统报告了与大流行相关的调整，最常见的是通过增加资源和实施协议变更。进行模拟培训的机构数量有所减少。
