Rapid response system adaptations at 40 US hospitals during the COVID-19 pandemic.
Rapid response system adaptations at 40 US hospitals during the COVID-19 pandemic.
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2019冠状病毒病大流行期间，美国40家医院的快速反应系统调整。
DOI：
10.1016/j.resplu.2021.100121
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发表时间：
2021-06
影响因子：
2.4
通讯作者：
Abella BS
中科院分区：
文献类型：
--
作者：
Mitchell OJL;Doran O;Yuriditsky E;Root C;Teran F;Ma K;Shashaty M;Moskowitz A;Horowitz J;Abella BS
2019年新型冠状病毒病（COVID-19）急性恶化患者的管理对快速反应系统（RRS）构成了特殊挑战，因为医院压力增加，RRS团队成员面临直接感染风险。我们试图描述2019冠状病毒病大流行期间RRS结构和方案调整的特征。基于互联网的RRS领导人，医生和研究人员在美国的横断面调查。来自46家医院的临床医生接受了调查，40人完成了基线调查（87%），19人还完成了后续定性调查。大多数报告称，在COVID-19疫情期间，应急团队资源有所增加。进行模拟培训课程的地点数目由COVID-19前的88%减少至疫情期间的53%。大多数RRS报告了与流行病相关的调整，最常见的是通过增加资源和实施方案变更。进行模拟培训的地点数目有所减少。
Management of patients with acute deterioration from novel coronavirus disease of 2019 (COVID-19) has posed a particular challenge for rapid response systems (RRSs) due to increased hospital strain and direct risk of infection to RRS team members. We sought to characterize RRS structure and protocols adaptions during the COVID-19 pandemic. Internet-based cross-sectional survey of RRS leaders, physicians, and researchers across the United States. Clinicians from 46 hospitals were surveyed, 40 completed a baseline survey (87%), and 19 also completed a follow-up qualitative survey. Most reported an increase in emergency team resources during the COVID-19 pandemic. The number of sites performing simulation training sessions decreased from 88% before COVID-19 to 53% during the pandemic. Most RRSs reported pandemic-related adjustments, most commonly through increasing resources and implementation of protocol changes. There was a reduction in the number of sites that performed simulation training.
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影响因子：
4.1
作者：
Daly Guris, Rodrigo J.;Doshi, Anushree;Wolfe, Heather A.
通讯作者：
Wolfe, Heather A.
影响因子：
37.8
作者：
Nallamothu BK;Guetterman TC;Harrod M;Kellenberg JE;Lehrich JL;Kronick SL;Krein SL;Iwashyna TJ;Saint S;Chan PS
通讯作者：
Chan PS
DOI：
10.1164/rccm.202004-1037cp
发表时间：
2020-06-01
影响因子：
24.7
作者：
Griffin, Kelly M.;Karas, Maria G.;Lief, Lindsay
通讯作者：
Lief, Lindsay
影响因子：
6.5
作者：
Azzopardi, Peter;Kinney, Sharon;Tibballs, James
通讯作者：
Tibballs, James
影响因子：
37.8
作者：
Edelson, Dana P.;Sasson, Comilla;Topjian, Alexis A.
通讯作者：
Topjian, Alexis A.