Considerations for Oral and Maxillofacial Surgeons in COVID-19 Era: Can We Sustain the Solutions to Keep Our Patients and Healthcare Personnel Safe?
Considerations for Oral and Maxillofacial Surgeons in COVID-19 Era: Can We Sustain the Solutions to Keep Our Patients and Healthcare Personnel Safe?
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DOI：
10.1016/j.joms.2020.05.027
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发表时间：
2020-08-01
影响因子：
1.9
通讯作者：
Roser, Steven M.
中科院分区：
文献类型：
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作者：
Chigurupati, Radhika;Panchal, Neeraj;Roser, Steven M.
随着2019冠状病毒病（COVID-19）全球大流行的减弱和社交距离指南的放松，我们将如何开展临床、教学、商业和社交活动，存在一些不确定性。我们预期在如何与患者和其他提供者互动，如何设计患者工作流程，如何指导我们的教学课程的方法以及如何在不同的临床环境中执行程序方面会发生变化。本报告的目的是回顾临床和学术口腔颌面外科工作流程中需要考虑的一些变化，以便在减少患者和医护人员风险的情况下实现更平稳的过渡。应在所有临床和非临床环境中严格执行和监测新的感染控制政策，总体目标是减少接触和传播的风险。在获得疫苗或替代解决方案之前，筛查COVID-19症状、在需要时进行检测以及建立流行病学联系对于控制和预防新发COVID-19病例至关重要。此外，必须考虑到药品和个人防护装备等基本用品短缺、工作区和等候区的设计和通风问题、间接费用增加以及工作人员在需要隔离时可能缺勤等问题。我们的工作流程和患者护理路径的这种转变可能会在短期内至少持续到2021年或未来12至24个月。因此，我们必须优先考虑手术，平衡患者的偏好和医护人员的风险。我们现在有机会做出改变，拥抱远程医疗和其他教学和临床护理的协作虚拟平台。至关重要的是，我们必须保持对COVID-19的认识，在我们的微环境中进行适当的监测，良好的临床判断和道德价值观，以继续提供高质量、经济和可获得的患者护理。(C) 2020美国口腔颌面外科医师协会
Several uncertainties exist regarding how we will conduct our clinical, didactic, business, and social activities as the coronavirus disease 2019 (COVID-19) global pandemic abates and social distancing guidelines are relaxed. We anticipate changes in how we interact with our patients and other providers, how patient workflow is designed, the methods used to conduct our teaching sessions, and how we perform procedures in different clinical settings. The objective of the present report is to review some of the changes to consider in the clinical and academic oral and maxillofacial surgery workflow and, allow for a smoother transition, with less risk to our patients and healthcare personnel. New infection control policies should be strictly enforced and monitored in all clinical and nonclinical settings, with an overall goal to decrease the risk of exposure and transmission. Screening for COVID-19 symptoms, testing when indicated, and establishing the epidemiologic linkage will be crucial to containing and preventing new COVID-19 cases until a vaccine or an alternate solution is available. Additionally, the shortage of essential supplies such as drugs and personal protective equipment, the design and ventilation of workspaces and waiting areas, the increase in overhead costs, and the possible absence of staff, if quarantine is necessary, must be considered. This shift in our workflow and patient care paths will likely continue in the short-term at least through 2021 or the next 12 to 24 months. Thus, we must prioritize surgery, balancing patient preferences and healthcare personnel risks. We have an opportunity now to make changes and embrace telemedicine and other collaborative virtual platforms for teaching and clinical care. It is crucial that we maintain COVID-19 awareness, proper surveillance in our microenvironments, good clinical judgment, and ethical values to continue to deliver high-quality, economical, and accessible patient care. (C) 2020 American Association of Oral and Maxillofacial Surgeons