A Hospital Partnership with a Nursing Home Experiencing aCOVID-19 Outbreak: Description of aMultiphaseEmergency Response in Toronto, Canada

被引:47
作者
Stall, Nathan M. [1 ,2 ,3 ,4 ,5 ]
Farquharson, Carolyn [6 ]
Fan-Lun, Chris [7 ,8 ]
Wiesenfeld, Lesley [9 ,10 ]
Loftus, Carla A. [9 ]
Kain, Dylan [11 ]
Johnstone, Jennie [12 ,13 ,14 ,15 ]
McCreight, Liz [12 ]
Goldman, Russell D. [16 ,17 ]
Mahtani, Ramona [16 ,17 ]
机构
[1] Sinai Hlth Syst, Div Gen Internal Med & Geriatr, Toronto, ON, Canada
[2] Univ Hlth Network, Toronto, ON, Canada
[3] Womens Coll Hosp, Womens Coll Res Inst, Toronto, ON, Canada
[4] Univ Toronto, Dept Med, Div Geriatr Med, Toronto, ON, Canada
[5] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada
[6] Univ Toronto, Sinai Hlth Syst, Toronto, ON, Canada
[7] Mt Sinai Hosp, Dept Pharm Serv, Sinai Hlth Syst, Toronto, ON, Canada
[8] Univ Toronto, Leslie Dan Fac Pharm, Toronto, ON, Canada
[9] Mt Sinai Hosp, Dept Psychiat, Sinai Hlth Syst, Toronto, ON, Canada
[10] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[11] Univ Toronto, Dept Med, Div Infect Dis, Toronto, ON, Canada
[12] Sinai Hlth Syst, Infect Prevent & Control, Toronto, ON, Canada
[13] Publ Hlth Ontario, Toronto, ON, Canada
[14] Univ Toronto, Dana Lana Sch Publ Hlth, Toronto, ON, Canada
[15] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada
[16] Sinai Hlth Syst, Temmy Latner Ctr Palliat Care, Toronto, ON, Canada
[17] Univ Toronto, Dept Family & Community, Div Palliat Care, Toronto, ON, Canada
关键词
D O I
10.1111/jgs.16625
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Nursing homes have become "ground zero" for the coronavirus disease 2019 (COVID-19) epidemic in North America, with homes experiencing widespread outbreaks, resulting in severe morbidity and mortality among their residents. This article describes a 371-bed acute-care hospital's emergency response to a 126-bed nursing home experiencing a COVID-19 outbreak in Toronto, Canada. Like other healthcare system responses to COVID-19 outbreaks in nursing homes, this hospital-nursing home partnership can be characterized in several phases: (1) engagement, relationship, and trust building; (2) environmental scan, team building, and immediate response; (3) early-phase response; and (4) stabilization and transition period.
引用
收藏
页码:1376 / 1381
页数:6
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