Bracing for the Wave: a Multi-Institutional Survey Analysis of Inpatient Workforce Adaptations in the First Phase of COVID-19.
Bracing for the Wave: a Multi-Institutional Survey Analysis of Inpatient Workforce Adaptations in the First Phase of COVID-19.
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DOI：
10.1007/s11606-021-06697-6
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发表时间：
2021-11
影响因子：
5.7
通讯作者：
HOMERuN COVID-19 Collaborative Working Group
中科院分区：
文献类型：
--
作者：
Linker AS;Kulkarni SA;Astik GJ;Keniston A;Sakumoto M;Eid SM;Burden M;Leykum LK;HOMERuN COVID-19 Collaborative Working Group
全国各地的医疗中心不得不迅速调整临床医生的人员配置策略，以适应2019冠状病毒病（COVID-19）患者的大量涌入。我们试图了解美国学术医疗中心在COVID-19传播早期在住院环境中采用的适应和人员配置策略，并评估这些变化是否在大流行的第一阶段持续。横断面调查评估组织层面，团队层面，和临床医生层面的住院劳动力适应。美国27个学术医疗中心的医院医学领导。36个中心中有27个对调查做出了回应（75%）。普遍的做法包括频繁的人员重新评估，组织层面的变化，如地理聚集和重新部署非住院医生，以及免除高风险医护人员直接护理COVID-19患者。有几种做法已经实施，但已经停止，例如减少非必要的服务，这表明这些做法对大型中心来说不太可持续。这些发现为住院领导者寻求确定COVID-19住院劳动力规划的可持续实践提供了指导。在线版本包含补充材料，可通过10.1007/s11606-021-06697-6获得。
Medical centers across the country have had to rapidly adapt clinician staffing strategies to accommodate large influxes of patients with the coronavirus disease 2019 (COVID-19). We sought to understand the adaptations and staffing strategies that US academic medical centers employed in the inpatient setting early in the spread of COVID-19, and to assess whether those changes were sustained during the first phase of the pandemic. Cross-sectional survey assessing organization-level, team-level, and clinician-level inpatient workforce adaptations. Hospital medicine leadership at 27 academic medical centers in the USA. Twenty-seven of 36 centers responded to the survey (75%). Widespread practices included frequent staffing reassessment, organization-level changes such as geographic cohorting and redeployment of non-hospitalists, and exempting high-risk healthcare workers from direct care of patients with COVID-19. Several practices were implemented but discontinued, such as reduction of non-essential services, indicating that they were less sustainable for large centers. These findings provide guidance for inpatient leaders seeking to identify sustainable practices for COVID-19 inpatient workforce planning. The online version contains supplementary material available at 10.1007/s11606-021-06697-6.
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影响因子：
9.6
作者：
Hick, John L.;Einav, Sharon;Christian, Michael D.
通讯作者：
Christian, Michael D.
DOI：
10.1097/acm.0000000000000139
发表时间：
2014-03
期刊：
Academic medicine : journal of the Association of American Medical Colleges
影响因子：
--
作者：
Auerbach AD;Patel MS;Metlay JP;Schnipper JL;Williams MV;Robinson EJ;Kripalani S;Lindenauer PK
通讯作者：
Lindenauer PK
影响因子：
2.6
作者：
Meier, Katie A.;Jerardi, Karen E.;Shah, Samir S.
通讯作者：
Shah, Samir S.
影响因子：
2.6
作者：
Frank, Maria G.;Croyle, Caroline;Price, Connie
通讯作者：
Price, Connie
影响因子：
4.5
作者：
Harris PA;Taylor R;Thielke R;Payne J;Gonzalez N;Conde JG
通讯作者：
Conde JG