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Preparedness, Adaptation, and Innovation: Approach to the COVID-19 Pandemic at a Decentralized, Quaternary Care Department of Emergency Medicine

Anna Q. Yaffee, Elizabeth Peacock, Roslyn Seitz, G. Chad Hughes, Philip Haun, Michael A. Ross, Tim P. Moran, Andrew M. Pendley, Nataisia Terry, David W. Wright

2020Western Journal of Emergency Medicine27 citationsDOIOpen Access PDF

Abstract

The COVID-19 pandemic has required healthcare systems to be creative and adaptable in response to an unprecedented crisis. Below we describe how we prepared for and adapted to this pandemic at our decentralized, quaternary-care department of emergency medicine, with specific recommendations from our experience. We discuss our longstanding history of institutional preparedness, as well as adaptations in triage, staffing, workflow, and communications. We also discuss innovation through working with industry on solutions in personal protective equipment, as well as telemedicine and methods for improving morale. These preparedness and response solutions and recommendations may be useful moving forward as we transition between response and recovery in this pandemic as well as future pandemics.

Topics & Concepts

StaffingPreparednessPandemicTriagePersonal protective equipmentEmergency departmentMedicineAdaptation (eye)WorkflowHealth careMedical emergencyTelemedicineEmergency managementCoronavirus disease 2019 (COVID-19)NursingPolitical scienceManagementPsychologyInfectious disease (medical specialty)DiseaseLawEconomicsPathologyNeuroscienceEmergency and Acute Care StudiesDisaster Response and ManagementCOVID-19 and healthcare impacts
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