Introduction The European SARS-CoV-2 (COVID-19) outbreak threatened military beneficiaries receiving care outside of the United States. Military treatment facilities located outside the United States were the first to respond to the pandemic, requiring immediate action to establish novel protocols. The purpose of this case series is to describe challenges, solutions, and future recommendations during a pandemic response at three small naval military treatment facilities located outside the continental United States (OCONUS). Results The analysis and discussion reviews challenges in information processing, communication methods and patterns, process changes, actions for staff protection, and change fatigue experienced during this time. Conclusions Recommendations for future work include filling the gaps in the evidence for a prolonged pandemic response and crisis management, such as the current SARS-CoV-2 pandemic, including best practices to communicate, maintain staff resilience, and manage or mitigate associated prolonged stress and uncertainty.

中文翻译：

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案例系列：描述小型海军 OCONUS 军事治疗设施中的冠状病毒大流行反应

简介 欧洲 SARS-CoV-2 (COVID-19) 爆发威胁到在美国境外接受护理的军事受益人。位于美国以外的军事治疗设施是第一个对这一流行病做出反应的设施，需要立即采取行动建立新的协议。本案例系列的目的是描述在美国大陆 (OCONUS) 以外的三个小型海军军事治疗设施应对大流行期间的挑战、解决方案和未来建议。结果 分析和讨论回顾了在此期间经历的信息处理、沟通方法和模式、流程变更、员工保护措施和变更疲劳方面的挑战。