5 research outputs found
Efectividad del plan de contingencia de la Unidad de Enfermedad Inflamatoria Intestinal ante la infección de Covid-19.
Fundamentos: La toma de decisiones en los hospitales y en sus propios servicios asistenciales apenas está referenciada en la literatura. Durante el período de pandemia por Covid-19, los servicios asistenciales han puesto en marcha planes de contingencia para minimizar las consecuencias del coronavirus en los profesionales y pacientes. Sin embargo, apenas se comparte el despliegue de esos planes de contingencia, ni sus resultados, privando de referencias para refutar, comparar o emular los citados planes a otros servicios asistenciales u hospitales.
El objetivo del trabajo fue la descripción de la puesta en marcha de dichos planes
ante la pandemia de Covid-19 en la Unidad de Enfermedad
Inflamatoria Intestinal de un Servicio de Digestivo en el
Área Sanitaria de Pontevedra e O Salnés (Galicia).
Métodos: Un equipo de directivos y profesionales
adaptaron al entorno sanitario las 10 medidas recomendadas
por Deloitte para afrontar una pandemia. A continuación, se
formularon las medidas como listado de comprobación. A
partir del ciclo de mejora Plan-Do-Check-Act, se agruparon
las 10 medidas en las siguientes categorías: gestión del riesgo,
gestión organizacional y toma de decisiones. Por último,
un equipo externo realizó una evaluación cualitativa de la
puesta en marcha del plan de contingencia realizado.
Resultados: La Unidad de Enfermedad Inflamatoria
Intestinal del Servicio de Digestivo realizó un plan de
contingencia que presenta un cumplimiento de las 10 medidas
recomendadas para hacer frente a la pandemia de
Covid-19 con garantías.
Conclusiones: Compartir el despliegue del plan de
contingencia y sus resultados es útil para identificar buenas
prácticas. Este trabajo ofrece un método para evaluar
las tomas de decisiones en los plantes de contingencia
en situaciones de pandemia. Los resultados sitúan a la
Unidad de Enfermedad Inflamatoria Intestinal en el rango
de la excelencia
Increasing and sustaining blood-borne virus screening in Spain and Portugal throughout the COVID-19 pandemic: a multi-center quality improvement intervention
BackgroundAround 57,000 people in Spain and Portugal currently living with HIV or chronic hepatitis C are unaware of their infection. The COVID-19 pandemic severely disrupted screening efforts for these infections. We designed an intervention to increase and sustain opportunistic blood-borne virus (BBV) screening and linkage to care (SLTC) by implementing the TEST model.MethodsThe Plan Do Study Act (PDSA) method of quality improvement (QI) was implemented in 8 healthcare organizations (HCOs), including four hospitals, two clusters of community health centers, and two community-based organizations (CBOs). Baseline assessment included a review of BBV SLTC practices, testing volume, and results 12 months before the intervention. Changes in BBV testing rates over time were measured before, during, and after the COVID-19 lockdowns in 2020. A mixed ANOVA model was used to analyze the possible effect on testing volumes among HCOs over the three study periods.InterventionBBV testing was integrated into normal clinical flow in all HCOs using existing clinical infrastructure and staff. Electronic health record (EHR) systems were modified whenever possible to streamline screening processes, implement systemic institutional policy changes, and promote QI.ResultsTwo years after the launch of the intervention in screening practices, testing volumes increased by 116%, with formal healthcare settings recording larger increases than CBOs. The start of the COVID-19 lockdowns was accompanied by a global 60% decrease in testing in all HCOs. Screening emergency department patients or using EHR systems to automate screening showed the highest resilience and lowest reduction in testing. HCOs recovered 77% of their testing volume once the lockdowns were lifted, with CBOs making the fullest recovery. Globally, enhanced screening techniques enabled HCOs to diagnose a total of 1,860 individuals over the research period.ConclusionsImplementation of the TEST model enabled HCOs to increase and sustain BBV screening, even during COVID-19 lockdowns. Although improvement in screening was noted in all HCOs, additional work is needed to develop strong patient linkage to care models in challenging times, such as global pandemics
Jornada de puertas abiertas para futuros residentes. Encuesta de satisfacción
Formulario de encuesta de satisfacción de la "Jornada de puertas abiertas para futuros residentes" del área sanitaria de Pontevedra y el SalnésFormulario da enquisa de satisfacción da "Xornada de portas abertas para futuros residentes" da Área Sanitaria de Pontevedra e o Salné
Efectividad del plan de contingencia de la Unidad de Enfermedad Inflamatoria Intestinal ante la infección de COVID-19
Background: Decision making in hospitals, and especially
in their own healthcare services, is hardly referenced
in the literature. During the pandemic period, healthcare
services have put in place contingency plans to minimize
the consequences of the coronavirus on professionals and
patients. However, the deployment of contingency plans
and results are hardly shared, depriving other services of
references to refute, compare or emulate the aforementioned
plans. The objective of this work was the description
of the implementation and evaluation of Contingency
Plans in the Covid-19 pandemic in a unit of inflammatory
bowel disease of a Digestive Service in the Sanitary Area of
Pontevedra and O Salnés.
Methods: A team of managers and professionals adapted
the 10 measures recommended by Deloitte to face a
pandemic to the healthcare environment. The measures
were then formulated as a checklist. From the Plan-Do-
Check-Act improvement cycle, they were grouped into
categories: risk management, organizational management
and decision-making. Finally, an external team carried out
a qualitative evaluation of the implementation of the contingency
plan carried out.
Results: The Intestinal Inflammatory Disease Unit of
the Digestive Service has obtained an assessment of compliance
with the 10 recommended measures to confidently
face a pandemic.
Conclusions: Sharing the deployment of the contingency
plan and its results is useful to identify good practices.
This article shows a method to evaluate decision-making in
pandemic situations. The outcomes faces the The Intestinal
Inflammatory Disease Unit in an excelent position.
Key words: COVID-19, Pandemic, Coronavirus
Infections Gastroenterology, Inflammatory bowel disease,
Contingency Plans, Revisión de Utilización de Recursos
Learning Health System, Public Reporting of Healthcare
Data.Fundamentos: La toma de decisiones en los hospitales
y en sus propios servicios asistenciales apenas está referenciada
en la literatura. Durante el período de pandemia
por Covid-19, los servicios asistenciales han puesto en marcha
planes de contingencia para minimizar las consecuencias
del coronavirus en los profesionales y pacientes. Sin
embargo, apenas se comparte el despliegue de esos planes
de contingencia, ni sus resultados, privando de referencias
para refutar, comparar o emular los citados planes a otros
servicios asistenciales u hospitales. El objetivo del trabajo
fue la descripción de la puesta en marcha de dichos planes
ante la pandemia de Covid-19 en la Unidad de Enfermedad
Inflamatoria Intestinal de un Servicio de Digestivo en el
Área Sanitaria de Pontevedra e O Salnés (Galicia).
Métodos: Un equipo de directivos y profesionales
adaptaron al entorno sanitario las 10 medidas recomendadas
por Deloitte para afrontar una pandemia. A continuación, se
formularon las medidas como listado de comprobación. A
partir del ciclo de mejora Plan-Do-Check-Act, se agruparon
las 10 medidas en las siguientes categorías: gestión del riesgo,
gestión organizacional y toma de decisiones. Por último,
un equipo externo realizó una evaluación cualitativa de la
puesta en marcha del plan de contingencia realizado.
Resultados: La Unidad de Enfermedad Inflamatoria
Intestinal del Servicio de Digestivo realizó un plan de
contingencia que presenta un cumplimiento de las 10 medidas
recomendadas para hacer frente a la pandemia de
Covid-19 con garantías.
Conclusiones: Compartir el despliegue del plan de
contingencia y sus resultados es útil para identificar buenas
prácticas. Este trabajo ofrece un método para evaluar
las tomas de decisiones en los plantes de contingencia
en situaciones de pandemia. Los resultados sitúan a la
Unidad de Enfermedad Inflamatoria Intestinal en el rango
de la excelencia
Table_1_Increasing and sustaining blood-borne virus screening in Spain and Portugal throughout the COVID-19 pandemic: a multi-center quality improvement intervention.DOCX
BackgroundAround 57,000 people in Spain and Portugal currently living with HIV or chronic hepatitis C are unaware of their infection. The COVID-19 pandemic severely disrupted screening efforts for these infections. We designed an intervention to increase and sustain opportunistic blood-borne virus (BBV) screening and linkage to care (SLTC) by implementing the TEST model.MethodsThe Plan Do Study Act (PDSA) method of quality improvement (QI) was implemented in 8 healthcare organizations (HCOs), including four hospitals, two clusters of community health centers, and two community-based organizations (CBOs). Baseline assessment included a review of BBV SLTC practices, testing volume, and results 12 months before the intervention. Changes in BBV testing rates over time were measured before, during, and after the COVID-19 lockdowns in 2020. A mixed ANOVA model was used to analyze the possible effect on testing volumes among HCOs over the three study periods.InterventionBBV testing was integrated into normal clinical flow in all HCOs using existing clinical infrastructure and staff. Electronic health record (EHR) systems were modified whenever possible to streamline screening processes, implement systemic institutional policy changes, and promote QI.ResultsTwo years after the launch of the intervention in screening practices, testing volumes increased by 116%, with formal healthcare settings recording larger increases than CBOs. The start of the COVID-19 lockdowns was accompanied by a global 60% decrease in testing in all HCOs. Screening emergency department patients or using EHR systems to automate screening showed the highest resilience and lowest reduction in testing. HCOs recovered 77% of their testing volume once the lockdowns were lifted, with CBOs making the fullest recovery. Globally, enhanced screening techniques enabled HCOs to diagnose a total of 1,860 individuals over the research period.ConclusionsImplementation of the TEST model enabled HCOs to increase and sustain BBV screening, even during COVID-19 lockdowns. Although improvement in screening was noted in all HCOs, additional work is needed to develop strong patient linkage to care models in challenging times, such as global pandemics.</p