Optimizing Scarce Resource Allocation During COVID-19: Rapid Creation of a Regional Health-Care Coalition and Triage Teams in San Diego County, California.
Optimizing Scarce Resource Allocation During COVID-19: Rapid Creation of a Regional Health-Care Coalition and Triage Teams in San Diego County, California.
复制标题
DOI：
10.1017/dmp.2020.344
复制
发表时间：
2022-03
影响因子：
2.7
通讯作者：
Koenig KL
中科院分区：
文献类型：
--
作者：
Devereaux A;Yang H;Seda G;Sankar V;Maves RC;Karanjia N;Parrish JS;Rosenberg C;Goodman-Crews P;Cederquist L;Burkle FM;Tuteur J;Leroy C;Koenig KL
成功管理医疗保健需求超出地区医疗保健能力的事件需要协调稀缺资源分配策略。目前缺乏关于快速开发、培训和协调区域医院分诊团队以管理 2019 年冠状病毒病 (COVID-19) 期间稀缺资源分配的出版物。在 3 周的时间里，100 多名临床医生、伦理学家、领导人和公共卫生当局以虚拟方式召开会议，就如何最好地挽救尽可能多的生命并共享资源达成共识。这被称为基于人口的危机管理。在大流行期间，监管环境不断变化，对占地 4500 平方英里的 22 家急症护理医院进行快速区域化具有挑战性，但通过相互信任、透明度和对公共卫生当局的信心克服了这一挑战。由于许多城市都面临着 COVID-19 激增的问题，我们分享了成功快速组建医疗保健联盟、危机护理标准和分诊团队培训的流程。持续的流程改进和沟通方法的结合对于成功实施至关重要。由于 COVID-19 病例激增，需要稀缺资源协作决策，使用我们的区域医疗联盟通信、事件指挥系统和危机护理委员会有助于缓解圣地亚哥和因皮里尔县地区的危机护理。
Successful management of an event where health-care needs exceed regional health-care capacity requires coordinated strategies for scarce resource allocation. Publications for rapid development, training, and coordination of regional hospital triage teams to manage the allocation of scarce resources during coronavirus disease 2019 (COVID-19) are lacking. Over a period of 3 weeks, over 100 clinicians, ethicists, leaders, and public health authorities convened virtually to achieve consensus on how best to save the most lives possible and share resources. This is referred to as population-based crisis management. The rapid regionalization of 22 acute care hospitals across 4500 square miles in the midst of a pandemic with a shifting regulatory landscape was challenging, but overcome by mutual trust, transparency, and confidence in the public health authority. Because many cities are facing COVID-19 surges, we share a process for successful rapid formation of health-care care coalitions, Crisis Standard of Care, and training of Triage Teams. Incorporation of continuous process improvement and methods for communication is essential for successful implementation. Use of our regional health-care coalition communications, incident command system, and the crisis care committee helped mitigate crisis care in the San Diego and Imperial County region as COVID-19 cases surged and scarce resource collaborative decisions were required.
登录
查看更多内容
影响因子：
4.3
作者：
Christian, Michael D.
通讯作者：
Christian, Michael D.
影响因子：
9.6
作者：
Christian, Michael D;Devereaux, Asha V;Kissoon, Niranjan
通讯作者：
Kissoon, Niranjan
影响因子：
4.4
作者：
Burkle, Frederick M., Jr.
通讯作者：
Burkle, Frederick M., Jr.
影响因子：
9.6
作者：
Devereaux, Asha V.;Dichter, Jeffrey R.;Rubinson, Lewis
通讯作者：
Rubinson, Lewis
影响因子：
9.6
作者：
Maves, Ryan C.;Downar, James;Christian, Michael D.
通讯作者：
Christian, Michael D.