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Safety assessment for temporary hospitals during the COVID-19 pandemic: A simulation approach
Safety Science ( IF 4.7 ) Pub Date : 2021-12-22 , DOI: 10.1016/j.ssci.2021.105642
Afonso Teberga Campos 1 , Carlos Henrique Dos Santos 1 , Gustavo Teodoro Gabriel 1 , José Arnaldo Barra Montevechi 1
Affiliation  

Amid the devastating effects caused by the pandemic of the new Coronavirus (COVID-19), health leaders around the world are adding efforts to search efficient and effective responses in the fight against the disease. Conventional health centers, such as hospitals and emergency departments have been registering an increase in demand and atypical patterns due to the high transmissibility of the virus. In this context, the adoption of Temporary Hospitals (THs) is effective in trying to relieve conventional hospitals and direct efforts in the treatment of suspected and positive patients for COVID-19. However, some requirements should be considered regarding the processes performed by THs to maintain the health and safety of patients and staff. Based on the literature, we evaluated aspects related to patient safety in THs, especially linked to biosafety of medical facilities, and patient transport and visit. We highlight the analysis of flows and layouts, hospital cleaning and patient care. We described two case studies to demonstrate the proposed approach. As result, simulation tests improved safety metrics, such as waiting time for procedures, movement intensity in each area, length of stay and TH capacity. We conclude that the approach allows us to provide better THs that prevent cross-contamination, provide suitable care, and meet the demand.



中文翻译:

COVID-19 大流行期间临时医院的安全评估:模拟方法

在新型冠状病毒 (COVID-19) 大流行造成的破坏性影响中,世界各地的卫生领导者正在加紧努力,寻找有效的应对措施来对抗这种疾病。由于病毒的高传播性,医院和急诊室等传统卫生中心的需求和非典型模式一直在增加。在这种情况下,临时医院 (THs) 的采用有效地减轻了传统医院的负担,并直接努力治疗 COVID-19 疑似和阳性患者。但是,对于 TH 为维护患者和员工的健康和安全而执行的流程,应考虑一些要求。根据文献,我们评估了 THs 中与患者安全相关的方面,特别是与医疗设施的生物安全、患者转运和就诊有关。我们重点分析流程和布局、医院清洁和患者护理。我们描述了两个案例研究来证明所提出的方法。因此,模拟测试改进了安全指标,例如程序的等待时间、每个区域的运动强度、停留时间和 TH 容量。我们得出结论,该方法使我们能够提供更好的 TH,以防止交叉污染、提供适当的护理并满足需求。每个区域的运动强度、停留时间和 TH 容量。我们得出结论,该方法使我们能够提供更好的 TH,以防止交叉污染、提供适当的护理并满足需求。每个区域的运动强度、停留时间和 TH 容量。我们得出结论,该方法使我们能够提供更好的 TH,以防止交叉污染、提供适当的护理并满足需求。

更新日期:2021-12-25
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