1. Adaptation of ED design layout during the COVID-19 pandemic: a national cross-sectional survey
- Author
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Pauline Ravon, Thomas Saloux, Francois Morin, Bruno Carneiro, Dominique Savary, Pierre-Marie Roy, Delphine Douillet, Thomas Moumneh, Physiopathologie Cardiovasculaire et Mitochondriale (MITOVASC), Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), École des Hautes Études en Santé Publique [EHESP] (EHESP), MitoVasc - Physiopathologie Cardiovasculaire et Mitochondriale (MITOVASC), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), and Chard-Hutchinson, Xavier
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emergency department ,Cross-sectional study ,[SDV]Life Sciences [q-bio] ,emergency care systems ,Context (language use) ,Computer-assisted web interviewing ,Critical Care and Intensive Care Medicine ,emergency departments ,03 medical and health sciences ,0302 clinical medicine ,Pandemic ,medicine ,Humans ,Hospital Design and Construction ,030212 general & internal medicine ,Pandemics ,Original Research ,Health Services Needs and Demand ,SARS-CoV-2 ,business.industry ,Staff management ,COVID-19 ,030208 emergency & critical care medicine ,Workload ,General Medicine ,Emergency department ,medicine.disease ,Triage ,[SDV] Life Sciences [q-bio] ,Cross-Sectional Studies ,efficiency ,Health Care Surveys ,Emergency Medicine ,France ,Medical emergency ,Emergency Service, Hospital ,business - Abstract
BackgroundThe aim was to describe the organisational changes in French EDs in response to the COVID-19 pandemic with regard to architectural constraints and compare with the recommendations of the various bodies concerning the structural adjustments to be made in this context.MethodsAs part of this cross-sectional study, all heads of emergency services or their deputies were contacted to complete an electronic survey. This was a standardised online questionnaire consisting of four parts: characteristics of the responding centre, creation of the COVID-19 zone and activation of the hospital’s emergency operations plan, flow and circulation of patients and, finally, staff management. Each centre was classified according to its workload related to COVID-19 and its size (university hospital centre, high-capacity hospital centre and low-capacity hospital centre). The main endpoint was the frequency of implementation of international guidelines for ED organisation.ResultsBetween 11 May and 20 June 2020, 57 French EDs completed the online questionnaire and were included in the analysis. Twenty-eight EDs were able to separate patient flows into two zones: high and low viral density (n=28/57, 49.1%). Of the centres included, 52.6% set up a specific triage area for patients with suspected COVID-19 (n=30/57). Whereas, in 15 of the EDs (26.3%), the architecture made it impossible to increase the surface area of the ED.ConclusionAll EDs have adapted, but many of the changes recommended for the organisation of ED could not be implemented. ED architecture constrains adaptive capacities in the context of COVID-19.
- Published
- 2021
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