Systems Analysis of a Dedicated Ambulatory Respiratory Unit for Seeing and Ensuring Follow-up of Patients With COVID-19 Symptoms.
Systems Analysis of a Dedicated Ambulatory Respiratory Unit for Seeing and Ensuring Follow-up of Patients With COVID-19 Symptoms.
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对专用流动呼吸病房的系统分析，用于查看并确保对有 COVID-19 症状的患者进行随访。
DOI：
10.1097/jac.0000000000000390
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Schiff,GordonD
中科院分区：
文献类型：
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作者：
Benneyan,JamesC;White,Tiantian;Nehls,Nicole;Yap,TzeSheng;Aronson,Mark;Sternberg,Scot;Anderson,Tim;Goyal,Kashika;Lindenberg,Julia;Kim,Hans;Cohen,Marc;Phillips,RussellS;Schiff,GordonD
COVID-19 necessitated significant care redesign, including new ambulatory workflows to handle surge volumes, protect patients and staff, and ensure timely reliable care. Opportunities also exist to harvest lessons from workflow innovations to benefit routine care. We describe a dedicated COVID-19 ambulatory unit for closing testing and follow-up loops characterized by standardized workflows and electronic communication, documentation, and order placement. More than 85% of follow-ups were completed within 24 hours, with no observed staff, nor patient infections associated with unit operations. Identified issues include role confusion, staffing and gatekeeping bottlenecks, and patient reluctance to visit in person or discuss concerns with phone screeners.
