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新冠疫情激增:纽约市急诊科联盟行动后报告

COVID-19 Pandemic Surge: After-Action Report of a Coalition of Emergency Departments in New York City.

作者信息

Tedeschi Christopher, Mills Angela M, Sharma Rahul, Deland Emme, Johnston Benjamin, Schwimmer Emy, Heilpern Katherine L

机构信息

Department of Emergency Medicine, Vagelos College of Physicians and Surgeons, Columbia University Medical Center, New York, NY, USA.

Department of Emergency Medicine, Weill Cornell Medicine, New York, NY, USA.

出版信息

Disaster Med Public Health Prep. 2022 Oct;16(5):2114-2119. doi: 10.1017/dmp.2021.216. Epub 2021 Jun 30.

Abstract

The coronavirus disease (COVID-19) pandemic has stressed the US health care system in unprecedented ways. In March and April 2020, emergency departments (EDs) throughout New York City experienced high volumes and acuity related to the pandemic. Here, we present a structured after-action report of a coalition of 9 EDs within a hospital system in the New York City metropolitan area, with an emphasis on best practices developed during the prolonged surge as well as specific opportunities for growth. We report our experience in 6 key areas using a framework built around lessons learned. This report represents the most salient concepts related to our institutional after-action report, and those seemingly most relevant to our peer institutions dealing with similar circumstances.

摘要

冠状病毒病(COVID-19)大流行以前所未有的方式给美国医疗保健系统带来了压力。2020年3月和4月,纽约市各地的急诊科都面临着与该大流行相关的高就诊量和高急症情况。在此,我们展示了纽约市大都市地区一个医院系统内9个急诊科组成的联盟的结构化事后分析报告,重点是在长期激增期间形成的最佳实践以及具体的发展机遇。我们使用围绕经验教训构建的框架报告了我们在6个关键领域的经验。本报告体现了与我们机构事后分析报告相关的最突出概念,以及那些似乎与处理类似情况的同行机构最相关的概念。

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