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德国最大医院之一的 COVID-19 管理:概念、评估和调整。

COVID-19 management at one of the largest hospitals in Germany: Concept, evaluation and adaptation.

机构信息

Institute of Emergency Medicine and Management in Medicine, University Hospital, LMU Munich, Munich, Germany.

Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.

出版信息

Health Serv Manage Res. 2023 Feb;36(1):63-74. doi: 10.1177/09514848221100752. Epub 2022 May 18.

DOI:10.1177/09514848221100752
PMID:35584399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9117989/
Abstract

CONTEXT

The LMU University Hospital is among the largest healthcare facilities in Germany. The measures implemented prior to and during the first pandemic wave of COVID-19, were evaluated in preparation of a second pandemic wave. This paper presents the pandemic management concept, evaluation and adaptation of LMU University Hospital.

METHODS

Between July and September 2020 the disaster management team of LMU University Hospital conducted a mixed-method evaluation of the hospital's pandemic management. A workshop series based on the After Action Review working group format was organized to examine the management structure, decision-making processes, documentation, and crisis preparedness response for a second COVID-19 wave. Further, the satisfaction of employees with the hospital's COVID-19 management was examined through an anonymous survey.

RESULTS

The workshop series highlighted a need for structural and operational adaptation of the COVID-19 management at LMU University Hospital. The results of the employee survey ( = 2182) provided positive feedback for the measures taken during the first pandemic wave. Specific actions were derived concerning the availability of personal protective equipment and emergency childcare services. A key outcome of both evaluation activities was the identified need for further improvement in communication between stakeholders. All changes were adopted prior to the second pandemic wave.

摘要

背景

慕尼黑大学附属医院是德国最大的医疗保健机构之一。在为应对第二次大流行浪潮而做准备时,评估了在 COVID-19 大流行第一波之前和期间实施的措施。本文介绍了慕尼黑大学附属医院的大流行管理理念、评估和调整。

方法

2020 年 7 月至 9 月期间,慕尼黑大学附属医院的灾害管理团队对医院的大流行管理进行了混合方法评估。基于事后评估工作组的格式组织了一系列研讨会,以检查管理结构、决策过程、文档以及为应对第二次 COVID-19 浪潮的危机准备情况。此外,还通过匿名调查检查了员工对医院 COVID-19 管理的满意度。

结果

研讨会系列强调了慕尼黑大学附属医院 COVID-19 管理在结构和运营方面需要进行调整。员工调查(n=2182)的结果对第一波大流行期间采取的措施提供了积极反馈。针对个人防护设备和紧急儿童保育服务的可用性,得出了具体的行动方案。这两个评估活动的一个关键成果是确定了利益相关者之间进一步改善沟通的必要性。所有的变更都在第二次大流行浪潮之前进行了采用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/9869073/f8d4ea1caec9/10.1177_09514848221100752-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/9869073/b6931e268cee/10.1177_09514848221100752-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/9869073/f8d4ea1caec9/10.1177_09514848221100752-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/9869073/b6931e268cee/10.1177_09514848221100752-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/9869073/f8d4ea1caec9/10.1177_09514848221100752-fig2.jpg

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