Bracing for impact: operational upshots from the National Centre for Infectious Diseases Screening Centre (Singapore) during the COVID-19 outbreak

Bracing for impact: operational upshots from the National Centre for Infectious Diseases Screening Centre (Singapore) during the COVID-19 outbreak
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DOI:
10.1002/emp2.12134
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发表时间:
2020-08-01
影响因子:
2.3
通讯作者:
Hou, Ang
Hou, Ang
中科院分区:
其他
文献类型:
--
作者:
Manauis, Charmaine Malenab;Loh, Marvin;Hou, Ang

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为了抗击正在发生的新冠肺炎大流行,新加坡采取了一种严格的筛查方法,包括积极追踪接触者,快速隔离确诊或疑似病例,并立即对新出现的本地聚集区和热点进行隔离。我们的筛查中心团队自今年1月底以来一直参与管理新加坡指定的筛查中心。凭借明确的蓝图和大量的疫情前准备工作,我们的筛查中心在启动后一天内开始初步运作,并在三天内达到全面运作状态。截至2020年4月8日,该筛查中心已筛查了14000多名患者。我们采取“全院统筹”的方式,寻求其他部门和专科的协助,以增加人手。制定了细致的基础设施规划,以方便病人流动,并制定了严格的措施,防止医院传播和职业暴露,以保护工作人员和患者。本文旨在描述我们在运营过程中的主要收获,并讨论遇到的挑战。
To combat the ongoing COVID-19 pandemic, Singapore has adopted a rigorous screening approach that involves aggressive contact tracing, rapid isolation of confirmed or suspect cases, and immediate ring-fencing of emerging local clusters and hotspots. Our screening centre team has been involved in running Singapore's designated screening centre since the end of January this year. With a well-defined blueprint and substantial pre-outbreak preparatory work, initial operations at our screening centre commenced within a day on activation and full operational status was attained in 3 days. As of 8 April 2020, the screening centre had screened more than 14,000 patients. We have adopted a "whole-of-hospital" approach, enlisting the help from other departments and subspecialties to augment manpower. Meticulous infrastructure planning to facilitate patient flow and strict measures to prevent nosocomial transmission and occupational exposure were instituted to safeguard both the staff and patients. This paper aims to describe our key takeaways in the course of operations and discuss the challenges encountered.