The COVID-19 Pandemic and the Hospital Surge Preparedness and Response Index: A Retrospective Study in an Italian Hospital

被引:0
作者
Rodi, Paolo [1 ,2 ]
Weinstein, Eric S. [2 ,3 ]
Foti, Francesco [2 ,4 ]
Somaschini, Roberta [4 ]
Claus, Marco [4 ]
von Schreeb, Johan [5 ]
机构
[1] Univ Hosp Zurich, Dept Visceral Surg & Transplantat, Zurich, Switzerland
[2] Univ Piemonte Orientale, CRIMEDIM Ctr Res & Training Disaster Med, Humanitarian Aid & Global Hlth, Novara, Italy
[3] Univ S Florida, Morsani Coll Med, Dept Emergency Med, Tampa, FL USA
[4] Azienda Socio Sanitaria Territoriale Lariana ASST, Como, Italy
[5] Karolinska Inst, Ctr Hlth Crises, Stockholm, Sweden
关键词
pandemic; surge capacity; key performance indicators; Hospital Surge Preparedness and Response Index; CAPACITY; PERFORMANCE; FRAMEWORK; DISASTERS; IMPACT;
D O I
10.1017/dmp.2025.4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective To quantitatively assess key performance indicator changes between selected pre-pandemic and pandemic periods at the Sant'Anna Hospital emergency department (ED) in Como, Italy through the retrospective use of Hospital Surge Preparedness and Response index (HSPRI).Methods This study collected the average length of stay (LOS), time-to-physician initial assessment (TPIA), and left-without-being seen (LWBS) rates for 2 pre-pandemic (control group) and 3 pandemic periods (study group) in the COVID ED (C-ED) dedicated to treat COVID-19 patients and the non-COVID ED (NC-ED) dedicated to non-COVID cases. Quantitative analysis was based on hypothesis testing. A retrospective qualitative theme and subtheme analysis based on the HSPRI was conducted on baseline strategies before each pandemic period and on the actions implemented thereafter.Results LOS increased across all pandemic periods. TPIA decreased in the first 2 pandemic periods in comparison to pre-pandemic. LWBS decreased between pre-pandemic and pandemic periods. Of the 22 action items listed in the HSPRI, 8 were implemented in the first pandemic period, 8 in the second and 1 in the third, for a total of 17 items.Conclusions The HSPRI demonstrated value as a tool for a hospital staff to actively utilize during a pandemic to identify KPI triggers to formulate actions to maintain pre-pandemic care or ameliorate the deterioration of care during the pandemic.
引用
收藏
页数:8
相关论文
共 30 条
  • [1] [Anonymous], 2022, Personal correspondence with head of Crisis Unit at SantAnna Hospital in San Fermo della Battaglia, Como
  • [2] [Anonymous], 2022, Why are healthcare performance measurements important?
  • [3] Strategies to measure and improve emergency department performance: a scoping review
    Austin, Elizabeth E.
    Blakely, Brette
    Tufanaru, Catalin
    Selwood, Amanda
    Braithwaite, Jeffrey
    Clay-Williams, Robyn
    [J]. SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE, 2020, 28 (01)
  • [4] A California Hospital's Response to COVID-19: From a Ripple to a Tsunami Warning
    Bader, Mary Kay
    Braun, Annabelle
    Fox, Cherie
    Dwinell, Lauren
    Cord, Jennifer
    Andersen, Marne
    Noakes, Bryan
    Ponticiello, Daniel
    [J]. CRITICAL CARE NURSE, 2020, 40 (06) : E1 - E16
  • [5] Understanding surge capacity: Essential elements
    Barbisch, Donna F.
    Koenig, Kristi L.
    [J]. ACADEMIC EMERGENCY MEDICINE, 2006, 13 (11) : 1098 - 1102
  • [6] Berge LR., 2011, JAMA, V305, DOI [10.1001/jama.2010.1982, DOI 10.1001/JAMA.2010.1982]
  • [7] Modeling abandonment behavior among patients
    Bolandifar, Ehsan
    DeHoratius, Nicole
    Olsen, Tava
    [J]. EUROPEAN JOURNAL OF OPERATIONAL RESEARCH, 2023, 306 (01) : 243 - 254
  • [8] The impact of disasters on emergency department resources: review against the Sendai framework for disaster risk reduction 2015-2030
    Carrington, Mercedes A.
    Ranse, Jamie
    Hammad, Karen
    [J]. AUSTRALASIAN EMERGENCY CARE, 2021, 24 (01) : 55 - 60
  • [9] Pandemic Influenza Extension Areas in an Urban Pediatric Hospital
    Charney, Rachel L.
    Armbrecht, Eric S.
    Kennedy, Brian R.
    Flood, Robert G.
    [J]. PREHOSPITAL AND DISASTER MEDICINE, 2012, 27 (01) : 75 - 80
  • [10] The effect of COVID-19 pandemic on the length of stay and outcomes in the emergency department
    Chun, Soh Yeon
    Kim, Ho Jung
    Kim, Han Bit
    [J]. CLINICAL AND EXPERIMENTAL EMERGENCY MEDICINE, 2022, 9 (02): : 128 - 133