SMUR, Hôpital Delafontaine, Centre hospitalier de Saint Denis, Saint Denis, France.
Emergency Department Hôpital privé du Vert Galant Groupe Ramsey, Tremblay en France, France.
Health Serv Manage Res. 2023 Nov;36(4):291-298. doi: 10.1177/09514848221100746. Epub 2022 Nov 8.
: The COVID-19 pandemic has had a dramatic toll worldwide on the populations but also has been essentially supported by the existing public health system, particularly hospital-based emergency wards and intensive care units. In France, the first cases were identified on the 24th of January 2020. The first epidemic sprout emerged in the Eastern part of the country and spread in two weeks towards the center to the Paris-region where it peaked on the 14th of April 2020. In Paris and the region around it, the intensity of the epidemic has increased significantly to have a strong impact on all public and private hospital systems in a few weeks. During France's 2020 COVID-19 epidemic, a private hospital went into a major organizational change of its Emergency Department which mainly included the use of a Telemedicine Booth for vitals automatic recording during triage procedures. The purpose of this study is to share a unique exerience centered on the use of a Telemedicine Booth as a screening process during an epidemic. The present study is a case report describing the organizational scheme adopted by the hospital and discusses the data of 1844 patients that attended the facility over a month and the results of a questionaire survey adressed to the Emergency Department personnel. The study population is the population that Data where collecte. Quantitative activity indicators' data were collected with a specific triage register, patient management software and the Telemedicine Booth activity software and were analysed with basic statistics. Among the 1844 patients, 766 were engaged in an automated triage process supported by a Telemedicine Booth. Patients' clinical characteristics are comparable to those found in international literature during the COVID-19 pandemic. The use of the Telemedicine Booth as a screening process facilitated patients' flow. It usefully participated in the patient rapid orientation, relieving the hospital emergency department, actively contributes in a safe and secure environment highly trusted by the hospital staff and health workers. To our knowledge, the Telemedicine Booth use as a screening process during an epidemic constitutes the first contribution to such an innovative approach.
: COVID-19 大流行对全球人口造成了巨大影响，但也得到了现有公共卫生系统的大力支持，特别是医院急诊病房和重症监护室。在法国，第一批病例于 2020 年 1 月 24 日确诊。第一批病例出现在法国东部，两周内蔓延到法国中部的巴黎地区，该地区的疫情在 2020 年 4 月 14 日达到高峰。在巴黎及其周边地区，疫情的强度显著增加，在几周内对所有公私医院系统都产生了重大影响。在法国 2020 年 COVID-19 大流行期间，一家私立医院对其急诊部进行了重大组织变革，主要包括在分诊过程中使用远程医疗亭自动记录生命体征。本研究旨在分享一次独特的经历，重点介绍在大流行期间使用远程医疗亭作为筛查过程。本研究是一份病例报告，描述了医院采用的组织方案，并讨论了在一个月内接待的 1844 名患者的数据以及对急诊部工作人员进行的问卷调查结果。研究人群是收集数据的人群。通过专门的分诊登记册、患者管理软件和远程医疗亭活动软件收集了定量活动指标数据，并进行了基本统计分析。在 1844 名患者中，有 766 名患者接受了远程医疗亭支持的自动分诊过程。患者的临床特征与 COVID-19 大流行期间国际文献中的发现相似。将远程医疗亭作为筛查过程有助于患者的流程。它有助于患者快速定位，缓解医院急诊部的压力，在医院工作人员和卫生工作者高度信任的安全环境中积极做出贡献。据我们所知，在大流行期间将远程医疗亭用作筛查过程是这种创新方法的首次贡献。
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