Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center.
Protecting the emergency physician workforce during the coronavirus disease 2019 pandemic through precision scheduling at an academic tertiary care trauma center.
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通过学术三级护理创伤中心的精确调度，在2019年冠状病毒大流行期间保护急诊医生队伍。
DOI：
10.1002/emp2.12221
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发表时间：
2021-03
影响因子：
2.3
通讯作者：
Gharahbaghian L
中科院分区：
文献类型：
--
作者：
Lee MO;Ribeira R;Fang A;Cantwell L;Khanna K;Smith C;Gharahbaghian L
2019冠状病毒病（COVID-19）大流行带来了新的急诊医生人手配置挑战。急诊医生可能会因为呼吸道症状或等待严重急性呼吸系统综合征冠状病毒2的检测结果而被解雇。易受伤害的急诊医生人群因COVID-19而患严重疾病和死亡的风险增加，包括年龄较大的医生;患有慢性疾病的医生，包括心脏和肺部疾病和免疫抑制;以及可能怀孕的医生。我们提出了我们的方法来规划人员编制问题，通过精确调度。我们描述了为保护我们脆弱的医生和最大限度地提高我们的医生覆盖率所采取的行动。这些措施包括优化员工队伍;增加备用呼叫系统;根据患者到达时间、数量和激增预测调整班次;通过远程医疗、集合和创建风险较低的急诊科护理区域，最大限度地减少对COVID-19的暴露并减少个人防护设备的使用;以及标准化插管以限制暴露。
The coronavirus disease 2019 (COVID‐19) pandemic created new emergency physician staffing challenges. Emergency physicians may be taken out of the workforce because of respiratory symptoms or pending severe acute respiratory syndrome coronavirus 2 test results. Vulnerable emergency physician populations with increased risk of serious disease and death from COVID‐19 include physicians at older ages; those with chronic medical conditions, including cardiac and pulmonary diseases and immunosuppression; and potentially pregnancy. We present our approach to planning for staffing issues through precision scheduling. We describe the actions taken to protect our vulnerable physicians and maximize our physician coverage. Measures include optimizing workforce; increasing backup call system; adjusting shifts based on patient arrival times, volume, and surge predictions; minimizing exposure to COVID‐19 and reduce personal protective equipment use through telemedicine, huddles, and, creating lower risk emergency department care areas; and standardizing intubations to limit exposure.
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影响因子：
11.8
作者：
Scales DC;Green K;Chan AK;Poutanen SM;Foster D;Nowak K;Raboud JM;Saskin R;Lapinsky SE;Stewart TE
通讯作者：
Stewart TE
DOI：
10.1007/bf03021815
发表时间：
2006-02-01
期刊：
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE
影响因子：
--
作者：
Caputo, KM;Byrick, R;Orser, BA
通讯作者：
Orser, BA
DOI：
10.1001/jama.289.21.joc30885
发表时间：
2003-06-04
影响因子：
120.7
作者：
Booth, CM;Matukas, LM;Detsky, AS
通讯作者：
Detsky, AS
影响因子：
8.8
作者：
Meng, Lingzhong;Qiu, Haibo;Xiong, Lize
通讯作者：
Xiong, Lize
DOI：
10.15585/mmwr.mm6915e4
发表时间：
2020-04-17
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
CDC COVID-19 Response Team
通讯作者：
CDC COVID-19 Response Team