학술논문
A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic.
Document Type
Academic Journal
Author
Bessis S; Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Dinh A; Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Gautier S; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Department of Public Health, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Davido B; Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Levy J; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Department of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Lawrence C; Microbiology Laboratory and Hygiene, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Lot AS; Department of Medical Informatics, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Bensmail D; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Department of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Rech C; Department of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Farcy-Afif M; Department of Pharmacy, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Bouchand F; Department of Pharmacy, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; de Truchis P; Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Herrmann JL; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Microbiology Laboratory and Hygiene, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Barbot F; INSERM CIC1429, Clinical Investigation Center, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Orlikowski D; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; INSERM CIC1429, Clinical Investigation Center, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Moine P; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Intensive Care Unit, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Perronne C; Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Josseran L; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Department of Public Health, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Prigent H; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Department of Physiology, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.; Annane D; UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France.; Intensive Care Unit, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Source
Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
Subject
Language
English
Abstract
The COVID-19 pandemic is a unique crisis challenging healthcare institutions as it rapidly overwhelmed hospitals due to a large influx of patients. This major event forced all the components of the healthcare systems to adapt and invent new workflows. Thus, our tertiary care hospital was reorganized entirely. During the cruising phase, additional staff was allocated to a one-building organization comprising an intensive care unit (ICU), an acute care unit, a physical medicine and rehabilitation unit, and a COVID-19 screening area. The transfer of patients from a ward to another was more efficient due to these organizations and pavilion structure. The observed mortality was low in the acute care ward, except in the palliative unit. No nosocomial infection with SARS-CoV-2 was reported in any other building of the hospital since this organization was set up. This type of one-building organization, integrating all the components for comprehensive patient care, seems to be the most appropriate response to pandemics.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2022 Bessis, Dinh, Gautier, Davido, Levy, Lawrence, Lot, Bensmail, Rech, Farcy-Afif, Bouchand, de Truchis, Herrmann, Barbot, Orlikowski, Moine, Perronne, Josseran, Prigent and Annane.)
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2022 Bessis, Dinh, Gautier, Davido, Levy, Lawrence, Lot, Bensmail, Rech, Farcy-Afif, Bouchand, de Truchis, Herrmann, Barbot, Orlikowski, Moine, Perronne, Josseran, Prigent and Annane.)