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Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the COVID-19 Pandemic
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| Abstract During the first few months of the COVID-19 pandemic, Canadian nursing homes implemented strict no-visitor policies to reduce the risk of introducing COVID-19 in these settings. There are now growing concerns that the risks associated with restricted access to family caregivers and visitors have started to out... |
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Emergently planned exclusive hub-and-spoke system in the epicenter of the first wave of COVID-19 pandemic in Italy: the experience of the largest COVID-19-free ICU hub for time-dependent diseases
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| BACKGROUND: Lombardy was the epicenter in Italy of the first wave of COVID-19 pandemic. To face the contagion growth, from March 8 to May 8 2020, a regional law re-designed the hub-and-spoke system for time-dependent diseases to better allocate resources for COVID-19 patients. METHODS: We report the reorganization of t... |
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Staffing and Capacity Planning for SARS-CoV-2 Monoclonal Antibody Infusion Facilities: A Performance Estimation Calculator Based on Discrete-Event Simulations
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| BACKGROUND: The COVID-19 pandemic has significantly stressed healthcare systems. The addition of monoclonal antibody (mAb) infusions, which prevent severe disease and reduce hospitalizations, to the repertoire of COVID-19 countermeasures offers the opportunity to reduce system stress but requires strategic planning and... |
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Fifteen-minute consultation: Recognition of sickle cell crises in the paediatric emergency department
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| Children with sickle cell disease can develop life-threatening and painful crises that require prompt assessment and efficient management by healthcare professionals in the emergency or acute care setting. Due to migration patterns and improved survival rates in high-prevalence countries, there is an increased tendency... |
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Description of an Integrated and Dynamic System to Efficiently Deal with a Raging COVID-19 Pandemic Peak
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| Background: To describe an innovative and functional method to deal with the increased COVID-19 pandemic-related intensive care unit bed requirements. Methods: We describe the emergencial creation of integrated system of internistic ward, step-down unit and intensive care unit, physically located in reciprocal vicinity... |
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Factors driving availability of COVID-19 convalescent plasma: Insights from a demand, production, and supply model
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| BACKGROUND: COVID-19 Convalescent Plasma (CCP) is a promising treatment for COVID-19. Blood collectors have rapidly scaled up collection and distribution programs. METHODS: We developed a detailed simulation model of CCP donor recruitment, collection, production, and distribution processes. We ran our model using varyi... |
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Health workforce protection and preparedness during the COVID-19 pandemic: a tool for the rapid assessment of EU health systems
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| This article is dedicated to the WHO International Year of Health and Care Workers in 2021 in recognition of their commitment during the COVID-19 pandemic. The study aims to strengthen health workforce preparedness, protection and ultimately resilience during a pandemic. We argue for a health system approach and introd... |
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Rapid Development and Utilization of a Clinical Intelligence Dashboard for Frontline Clinicians to Optimize Critical Resources During Covid-19
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| Introduction: The COVID-19 pandemic has created an unprecedented situation where sudden and prolonged surges of critically ill patients have disrupted healthcare systems worldwide A major concern for hospitals worldwide is how to best manage large numbers of COVID-19 infected and non-infected patients, while still main... |
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A Closer Look at Women's Health Centers: Historical Lessons and Future Aims.
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| Women's Health Centers (WHC) have evolved over the last few decades as comprehensive centers for women's health care. This article reviews the history and evaluation of WHC, as well as opportunities for women's health training. Prior studies comparing WHC with traditional primary care and obstetrics/gynecology clinics ... |
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Adapting cleft care protocols in low- and middle-income countries during and after COVID-19: a process-driven review with recommendations
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| Objective: A consortium of global cleft professionals, predominantly from low- and middle-income countries, identified adaptions to cleft care protocols during and after COVID as a priority learning area of need. Design: A multidisciplinary international working group met on a videoconferencing platform in a multi-stag... |
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"You know, we can change the services to suit the circumstances of what is happening in the world": a rapid case study of the COVID-19 response across city centre homelessness and health services in Edinburgh, Scotland
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| BACKGROUND: The COVID-19 pandemic has necessitated unprecedented changes in the way that health, social, and housing services are delivered to individuals experiencing homelessness and problem substance use. Protecting those at high risk of infection/transmission, whilst addressing the multiple health and social needs ... |
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The Privatization of the Italian National Health System and its Impact on Health Emergency Preparedness and Response: The COVID-19 Case
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| Hospitals play a critical role in providing essential care during emergencies; however, this essential care can overwhelm the functional capacity of health systems. In Italy, substantial cuts in funding have drastically reduced the resources of the National Health Service (NHS) and contributed to the expansion of the p... |
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Recognising the important role of nurses in general practice
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| Medical Director of Primary Care, NHS England and NHS Improvement Dr Nikki Kanani shares her thoughts on the role GPNs have played throughout the COVID-19 pandemic |
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Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative assessment
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| OBJECTIVES: The study aims to investigate GPs' experiences of how UK COVID-19 policies have affected the management and safety of complex elderly patients, who suffer from multimorbidity, at the primary care level in North West London (NWL). DESIGN: This is a service evaluation adopting a qualitative approach. SETTING:... |
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Guidelines and best practice recommendations on reproductive health services provision amid COVID-19 pandemic: scoping review
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| BACKGROUND: Policymakers and health professionals prefer to use summarized evidence of practice recommendations. The aim of this scoping review is therefore to identify available guidelines, consensus statements, the standard of practice, and practice recommendations on reproductive health service provision during the ... |
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Should age matter in COVID-19 triage? A deliberative study
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| The COVID-19 pandemic put a large burden on many healthcare systems, causing fears about resource scarcity and triage. Several COVID-19 guidelines included age as an explicit factor and practices of both triage and 'anticipatory triage' likely limited access to hospital care for elderly patients, especially those in ca... |
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Helping healthcare teams save lives during COVID-19: Insights and countermeasures from team science.
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| As the COVID-19 pandemic has ravaged the United States, health care teams are on the frontlines of this global crisis, often navigating harrowing conditions at work, such as a lack of personal protective equipment and staffing shortages, and distractions at home, including worries about elderly relatives or making chil... |
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Rural community pharmacies’ preparedness for and responses to COVID-19
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| BACKGROUND: Few studies have documented rural community pharmacy disaster preparedness. OBJECTIVES: To: (1) describe rural community pharmacies’ preparedness for and responses to COVID-19 and (2) examine whether responses vary by level of pharmacy rurality. METHODS: A convenience sample of rural community pharmacists c... |
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Family Presence for Patients with Severe Acute Brain Injury and the Influence of the COVID-19 Pandemic.
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| Objectives: The global COVID-19 pandemic made strict visitation policies necessary. We explored the experiences of family members of patients with severe acute brain injury focusing on the impact of family presence in the hospital. Methods: Semistructured interviews (February 2018-April 2020) were audiotaped, transcrib... |
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Imagining a world without low-value services: progress, barriers, and the path forward
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| Low-value services are a major problem in the US health care system. We believe that the coronavirus disease 2019 pandemic's unprecedented impact on the health system, and society writ large, offers an opportunity to reshape the conversation and incentives around low-value services. This article explores current barrie... |
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Supporting the Healthcare Workforce in Response to the COVID-19 Pandemic
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| ARS-CoV-2, a new coronavirus disease first identified in 2019 (COVID-19), is responsible for the pandemic that is presently straining the Illinois’ healthcare workforce and is expected to continue doing so for the next several years. Prior pandemics and disasters have demonstrated that the scope of responsibilities for... |
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Re-organising primary health care to respond to the Coronavirus epidemic in Cape Town, South Africa
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| Cape Town is currently one of the hotspots for COVID-19 on the African continent The Metropolitan Health Services have re-organised their primary health care (PHC) services to tackle the epidemic with a community-orientated primary care perspective Two key goals have guided the re-organisation, the need to maintain soc... |
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Lessons from the frontlines: a junior doctor's experience of the first wave of the COVID-19 pandemic in a resource-limited setting
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| COVID-19 has stressed healthcare systems across the globe. We present the experience of an intern medical officer working in a tertiary care hospital during the first wave of the pandemic in Sri Lanka. Her narrative describes how the stress of the pandemic brought into sharp focus the strengths and weaknesses in the he... |
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Transport of COVID-19 and other highly contagious patients by helicopter and fixed-wing air ambulance: a narrative review and experience of the Swiss air rescue Rega
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| BACKGROUND: The current COVID-19 pandemic highlights the challenges air ambulance services are facing when transporting highly infectious patients for several hours in enclosed spaces. This overview provides an example of a standard operating procedure (SOP) for infection prevention measures in HEMS missions during the... |
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Community engagement during COVID: A field report from seven CTSAs
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| INTRODUCTION: Prior to the COVID pandemic, many CTSAs employed face-to-face interactions to conduct most of their community engagement (CE) activities. During the COVID pandemic, such engagement had to be curtailed and alternatives needed to be formulated. In addition, Community Engaged Research (CEnR) teams refocused ... |
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Medical leadership in the NHS during the COVID-19 pandemic
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| Amid the global COVID-19 pandemic, adaptation of healthcare systems, with strong medical leadership, has been integral to coping with the ever-changing situation. This article is based on the personal experiences of doctors in the NHS and insights into the frontline response to this situation. It reflects on leadership... |
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Barriers to hospital electronic public health reporting and implications for the COVID-19 pandemic
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| We sought to identify barriers to hospital reporting of electronic surveillance data to local, state, and federal public health agencies and the impact on areas projected to be overwhelmed by the COVID-19 pandemic. Using 2018 American Hospital Association data, we identified barriers to surveillance data reporting and ... |
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Model for ethical triaging of electroconvulsive therapy patients during the COVID-19 pandemic
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| Electroconvulsive therapy (ECT) is an essential treatment for severe mental illnesses such as depression with suicidality and catatonia. However, its availability is being threatened by resource limitations and infection concerns due to the COVID-19 pandemic. This may necessitate the triage of patients for ECT but ther... |
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The need for innovation in deathcare leadership
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| Purpose The purpose of this viewpoint essay is to examine deathcare leadership during the COVID-19 pandemic and recommend innovations to employ a more human-centric approach Design/methodology/approach This viewpoint essay uses scholarly and popular literature to explore deathcare practices during the ongoing COVID-19 ... |
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Clinical Informatics during the COVID-19 Pandemic: Lessons Learned and Implications for Emergency Department and Inpatient Operations
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| In response to a pandemic, hospital leaders can use clinical informatics to aid clinical decision-making, virtualizing medical care, coordinating communication, and defining workflow and compliance. Clinical informatics procedures need to be implemented nimbly, with governance measures in place to properly oversee and ... |
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Short Term Home Oxygen Therapy for COVID-19 patients: The COVID-HOT algorithm
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| Innovative solutions are required to effectively address the unprecedented surge of demand on our healthcare systems created by the COVID-19 pandemic. Home treatment and monitoring of patients who are asymptomatic or mildly symptomatic can be readily implemented to ameliorate the health system burden while maintaining ... |
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COVID-19 and the multidisciplinary care of patients with lung cancer: an evidence-based review and commentary
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| Delivering lung cancer care during the COVID-19 pandemic has posed significant and ongoing challenges. There is a lack of published COVID-19 and lung cancer evidence-based reviews, including for the whole patient pathway. We searched for COVID-19 and lung cancer publications and brought together a multidisciplinary gro... |
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An Australian diagnostic microbiology surge response to the COVID-19 pandemic
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| Diagnostic microbiology services form a critical component of the response to infectious disease outbreaks. Like previous respiratory virus pandemics, the COVID-19 pandemic has placed significant strains on the standing capacity of laboratories around the world. In this case study, we describe the surge response requir... |
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Role of knowledge management in agile execution during pandemic
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| The COVID-19 pandemic brought an unprecedented time for everyone. IT Industry was not an exception. Some had to cut the workforce whereas some sustained in this pandemic. In this paper, we will try to look at how agile setup has helped the organization to sail through pandemic and how knowledge management becomes impor... |
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Evidence in hand: Optimizing the unique skill set of a hospital-based center for nursing research and evidence-based practice
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| This paper describes how, as the COVID-19 pandemic emerged, one hospital-based center for nursing research and evidence-based practice capitalized on its unique skill mix to quickly pivot to provide hospital administrators and staff with timely, relevant evidence regarding the care of patients and families, as well as ... |
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Pivoting Nursing Research and Scholarship during the COVID-19 Pandemic.
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| BACKGROUND The global COVID-19 pandemic has brought numerous challenges for conducting the human subjects research needed to advance science and improve health. OBJECTIVE The purpose of this article is to discuss how a college of nursing at a large public university in the southeast United States has responded to the c... |
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Guidelines for the management of diabetes in care homes during the Covid‐19 pandemic
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| The National Diabetes Stakeholders Covid‐19 Response Group was formed in early April 2020 as a rapid action by the Joint British Diabetes Societies for Inpatient Care, Diabetes UK, the Association of British Clinical Diabetologists, and Diabetes Frail to address and support the special needs of residents with diabetes ... |
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Drug Information Association (DIA) 2020 Virtual Global Annual Meeting (June 14-18, 2020).
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| At the 56th Global Annual Meeting of the Drug Information Association (DIA), attendees met virtually during the height of the global COVID-19 pandemic for "rapid cross-stakeholder, cross-border collaboration" to support health worldwide. Sessions included presenters and speakers from regulatory, patient advocacy and ac... |
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Leaving no ethical value behind: triage protocol design for pandemic rationing
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| Rationing of medical resources is a critical issue in the COVID-19 pandemic Most existing triage protocols are based on a priority point system, in which a formula specifies the order in which the supply of a resource, such as a ventilator, is to be rationed for patients A priority point system generates an identical p... |
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Challenges of Hospital Oxygen Management during the COVID-19 Pandemic in Rural Nepal
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| Oxygen support remains essential for treatment of acute and severe manifestations of COVID-19. In Nepal, like many other low-resource settings, medical oxygen availability was inadequate before the pandemic. The mid-2021 wave of COVID-19 transmission starkly exposed the supply–demand imbalance of medical oxygen across ... |
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Establishing an Office-Based Framework for Resuming Otolaryngology Care in Academic Practice During the COVID-19 Pandemic
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| OBJECTIVE: The COVID-19 health crisis abruptly disrupted the practice of otolaryngology. This article aims to define the changes needed to operate an academic otolaryngology practice safely and efficiently from within the epicenter of the pandemic. We define the areas of normal patient workflow that have been affected ... |
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Learning Agility of Learning and Development Professionals in the Life Sciences Field During the COVID-19 Pandemic: Empirical Study
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| BACKGROUND: The COVID-19 pandemic has impacted the life sciences field worldwide. Life sciences organizations (eg, pharmaceutical and med-tech companies) faced a rapidly increasing need for vital medical products, patient support, and vaccine development. Learning and development (L&D) departments play a crucial role i... |
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Effective interventions to ensure MCH (Maternal and Child Health) services during pandemic related health emergencies (Zika, Ebola, and COVID-19): A systematic review
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| INTRODUCTION: Ensuring accessible and quality health care for women and children is an existing challenge, which is further exacerbated during pandemics. There is a knowledge gap about the effect of pandemics on maternal, newborn, and child well-being. This systematic review was conducted to study maternal and child he... |
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Why Do We Need Wobble Rooms during COVID-19?
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| The "wobble room" is a wellness intervention designed to guide staff through unpredictable times that are not going away quickly. Emergency department teams are accustomed to trauma events and trauma debriefing, but the prolonged uncertainties and fears associated with COVID-19 have posed a unique challenge for healthc... |
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An App-Based Intervention to Support First Responders and Essential Workers During the COVID-19 Pandemic: Needs Assessment and Mixed Methods Implementation Study
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| BACKGROUND: The COVID-19 pandemic has created unprecedented challenges for first responders (eg, police, fire, and emergency medical services) and nonmedical essential workers (eg, workers in food, transportation, and other industries). Health systems may be uniquely suited to support these workers given their medical ... |
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Enhancing Nursing Capacity to Provide Patient Care in a Pandemic.
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| At the onset of the COVID-19 pandemic, an immediate priority for nurse leaders was to develop a care delivery plan to address anticipated surges in patient volumes and potential staff shortages. This article describes actions taken to enhance patient care capacity. Strategies included reviewing the competencies of nurs... |
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Family Presence for Critically Ill Patients During a Pandemic
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| Family engagement is a key component of high-quality critical care, with known benefits for patients, care teams, and family members themselves. The COVID-19 pandemic led to rapid enactment of prohibitions or restrictions that now persist, particularly for patients with COVID-19. Reevaluation of these policies in respo... |
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Practice of cardiac rehabilitation at the beginning of the COVID-19 pandemic: Challenges and responses
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| Despite the upheavals in health care systems related to the onset of the COVID-19 pandemic, cardiac rehabilitation (CR) needs to continue for inpatients experiencing recent cardiac surgery or severe heart failure because CR improves patient outcomes, reduces readmissions and lowers long-term costs. Our aim is to share ... |
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COVID-19: intellectual disability nurses and the role of networking during a pandemic
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| Why you should read this article:• To enhance your understanding of the networking role of the registered nurse in intellectual disability• To familiarise yourself with the requirements of the networking role during the COVID-19 pandemic• To learn more about how to access services for clients with a learning disability... |
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Response of Healthcare Workers to COVID-19 Protocols after the Index Case at 37 Military Hospital, Ghana
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| The diagnosis and management of COVID-19 are much dependent on the adherence to standardized protocols. Healthcare workers play a crucial role in the case management of COVID-19 in many institutions. Globally, the disease burden is increasing, and the mortality has reached over 2 041 426 compared with 323 000 in May 20... |
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The ‘new normal’ in post–COVID‐19 pediatric dental practice
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| The COVID‐19 pandemic has posed an extraordinary challenge to the world. Dental healthcare personnel are considered to be at high risk as they work in close proximity to the oral cavity of patients. New procedures of approach and management should be incorporated in different aspects of routine dental practice. In addi... |
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Role of 3D printing in the protection of surgical and critical care professionals in the COVID-19 pandemic
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| Background and objective There is a shortage of supplies for the protection of professionals during the COVID-19 pandemic 3D printing offers the possibility to compensate for the production of some of the equipment needed The objective is to describe the role of 3D printing in a health service during the COVID-19 pande... |
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Clinical trials in a COVID-19 pandemic: Shared infrastructure for continuous learning in a rapidly changing landscape
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| BACKGROUND: Clinical trials, conducted efficiently and with the utmost integrity, are a key component in identifying effective vaccines, therapies, and other interventions urgently needed to solve the COVID-19 crisis. Yet launching and implementing trials with the rigor necessary to produce convincing results is a comp... |
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Rapid reorganization of the Milan metropolitan public safety answering point operations during the initial phase of the COVID‐19 outbreak in Italy
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| OBJECTIVE: To quantify how the first public announcement of confirmed coronavirus disease 2019 (COVID‐19) in Italy affected a metropolitan region's emergency medical services (EMS) call volume and how rapid introduction of alternative procedures at the public safety answering point (PSAP) managed system resources. METH... |
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Clinical Trials in Public Health Emergencies: The Ebola and COVID Experiences [video]
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| From the Video Description: Designing and implementing clinical trials for novel infectious disease treatments brings many challenges, especially during a rapidly evolving pandemic A new disease brings uncertainties arising from an imperfect understanding about illness, limited information about proposed countermeasure... |
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Designing a management dashboard for healthcare professionals and managers in the COVID-19 epidemic
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| Background and Aim: Access to integrated information, up-to-date statistics, and timely diagnosis of the disease will help managers and health care providers to manage the crisis caused by the COVID-19 epidemic In the present study, a management dashboard was designed by determining the key performance indicators of CO... |
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Humanism in the Age of COVID-19: Renewing Focus on Communication and Compassion
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| The global COVID-19 pandemic has become one of the largest clinical and operational challenges faced by emergency medicine, and our EDs continue to see increased volumes of infected patients, many of whom are not only ill, but acutely aware and fearful of their circumstances and potential mortality. Given this, there m... |
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Brazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic.
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| OBJECTIVE to describe the theoretical construction process of nursing process support documents in COVID-19 care scenarios. METHODS an experience report of the joint activity of the Brazilian Nursing Process Research Network (Rede de Pesquisa em Processo de Enfermagem) composed of Higher Education and Health Institutio... |
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Point-of-Care program in HIV, tuberculosis, and associated conditions: A virtual global technical assistance platform to strengthen HIV and tuberculosis workforce capacity
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| A global multi-disciplinary faculty was established to work collaboratively and provide virtual technical assistance, using a point-of-care continuing education model, to clinicians across the world engaged in the care of patients with either HIV infection or tuberculosis Ancillary offerings included live or virtual le... |
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Treating an Epidemic During a Pandemic: Experience Treating Opioid Use Disorder at the Baltimore Convention Center Field Hospital
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| During the COVID-19 pandemic, access to addiction treatment has plummeted. At the same time, patients with opioid use disorder are at higher risk of COVID-19 infection and experience worse outcomes. The Baltimore Convention Center Field Hospital (BCCFH), a state-run COVID-19 disaster hospital operated by Johns Hopkins ... |
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Can the profession cope with a second wave?
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| By Matthew Limb Vet practices are well placed to manage a possible second wave of the Covid-19 pandemic but some struggling businesses will be tipped over the edge, say industry and profession leaders [ ]they would be better prepared for further lockdowns, which for some parts of the country are happening now, she said... |
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Exceptional Prices of Medical and Other Supplies during the COVID-19 Pandemic in Ecuador
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| Shortages of essential supplies used to prevent, diagnose, and treat COVID-19 have been a global concern, and price speculation and hikes may have negatively influenced access. This study identifies variability in prices of products acquired through government-driven contracts in Ecuador during the early pandemic respo... |
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A multi-professional education and Improvement process to guide clinical practice in the developing management of covid-19: The Trainee experience
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| Introduction and Objectives On March 1st 2020 the World Health Organisation dashboard had recorded 1 897 cases of COVID-19, rising to 75 008 by April 1st 2020 In this time, there were rapidly emerging changes in clinical knowledge and management, challenging the work of hospital teams caring for these patients This pro... |
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The Huddle: A Daily Dose of Communication.
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| Teamwork and communication are critical to ensure safe and quality care for students. A huddle offers the team a daily dedicated time to connect with each other. Huddles are short, regular debriefings designed to engage clinical staff in discussions about existing or emerging safety issues. The huddle was already syste... |
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Hospital at home for the management of COVID-19: preliminary experience with 63 patients
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| Alternatives to conventional hospitalization are needed to increase health systems resilience in the face of COVID-19 pandemic. Herein, we describe the characteristics and outcomes of 63 patients admitted to a single HaH during the peak of COVID-19 in Barcelona. Our results suggest that HaH seems to be a safe and effic... |
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The Role of Israel’s Emergency Medical Services During a Pandemic in the Pre-Exposure Period
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| OBJECTIVE: The scientific literature on coronavirus disease (COVID-19) is extensive, but little is written about the role of emergency medical services (EMS). The objective of this study is to describe the role of Magen David Adom (MDA), Israel’s national emergency prehospital medical organization, in the pre-exposure ... |
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RapidInfo4U – an online individualised COVID-19 support intervention for nursing and allied health professionals: study protocol
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| Background: The COVID-19 outbreak was declared a pandemic by the World Health Organization on March 11th, 2020. An ongoing challenge in healthcare is ensuring that up-to-date and high-quality research evidence is implemented in practice. In the context of a global pandemic it is assumed, given the increased pressures o... |
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Withdrawing critical care from patients in a triage situation
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| The advent of COVID-19 has been the occasion for a renewed interest in the principles governing triage when the number of critically ill patients exceeds the healthcare infrastructure's capacity in a given location. Some scholars advocate that it would be morally acceptable in a crisis to withdraw resources like life s... |
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Psychiatric liaison referrals: a thematic analysis during peak COVID-19
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| Aims With the advent of the COVID-19 Pandemic the NHS long term Plan commitments of January 2019 to improve crisis care nationwide became all the more pressing. The aim of this study was to thematically investigate what mental health crisis presentations might be diverted from the Emergency department to external crisi... |
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Communication in the time of COVID
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| The risk of infection precluded normal visiting by relatives of COVID-19 patients in an intensive therapy unit (ITU) Instead, a team of medical students and retired consultants telephoned next of kin with a daily update A categorised selection of the students' reflections on their experiences is presented and discussed |
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'You should see a doctor', said the robot: Reflections on a digital diagnostic device in a pandemic age
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| AIMS: In three days at the beginning of the COVID-19 pandemic, the Copenhagen Emergency Medical Services developed a digital diagnostic device. The purpose was to assess and triage potential COVID-19 symptoms and to reduce the number of calls to public health-care helplines. The device was used almost 150,000 times in ... |
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An international multicenter study of protocols for liver transplantation during a pandemic: A case for quadripartite equipoise
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| BACKGROUND & AIMS: The outbreak of COVID-19 has vastly increased the operational burden on healthcare systems worldwide. For patients with end-stage liver failure, liver transplantation is the only option. However, the strain on intensive care facilities caused by the pandemic is a major concern. There is an urgent nee... |
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Enhancing Nurse Manager Resilience in a Pandemic
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| Nurse managers face many daily challenges that require strong resilience and skill. The COVID-19 pandemic placed nurse managers under exceptional pressure to deliver safe staffing resources, updated infection control practices, and communication with the multidisciplinary team. During the height of the pandemic in the ... |
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Crisis management, global healthcare challenges and opportunities: The intersection of the COVID-19 pandemic and Global Health Emergency
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| The existing literature has paid insufficient attention to crisis management of global health challenges in the advent of epidemics and pandemics This study articulates resilience importance and opportunities in the COVID-19 from crisis management challenges in essential ways The second wave of the COVID-19 infectious ... |
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Evolution of clinical radiotherapy physics practice under COVID-19 constraints
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| As the COVID-19 spread continues to challenge the societal and professional norms, radiotherapy around the globe is pushed into an unprecedented transformation. We will discuss how clinical physics has transformed to ascertain safety and quality standards across four facilities around the world through diversity of act... |
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Emergency Medical Technicians' Experiences of the Challenges of Prehospital Care Delivery During the COVID-19 Pandemic: A Qualitative Study
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| BACKGROUND: Exploring emergency medical technicians' (EMTs) experiences of COVID-19 epidemic, help to identify the challenges they face in their daily work and develop strategies that address these challenges. This study aimed to explore EMTs' experiences of the challenges of prehospital care delivery during the COVID-... |
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Rapid reorganization of the Milan metropolitan public safety answering point operations during the initial phase of the COVID-19 outbreak in Italy
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| Objective: To quantify how the first public announcement of confirmed coronavirus disease 2019 (COVID-19) in Italy affected a metropolitan region's emergency medical services (EMS) call volume and how rapid introduction of alternative procedures at the public safety answering point (PSAP) managed system resources. Meth... |
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Pharmaceutical care program for Polymedicated elderly patients visiting Community Pharmacies in UAE during COVID-19 Pandemic: A Study Protocol
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| Background: The profession of pharmacy nowadays is expanding from dispensing medication to evidence-based, patient-centered approach, in which optimizing pharmacologic therapy is the goal. Community pharmacists can optimize the overall quality of care especially in rural populations where people most of the time can’t ... |
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The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic
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| BACKGROUND: Planning for extreme surges in demand for hospital care of patients requiring urgent life-saving treatment for COVID-19, while retaining capacity for other emergency conditions, is one of the most challenging tasks faced by health care providers and policymakers during the pandemic. Health systems must be w... |
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Preparing maternity for COVID-19: A translational simulation approach
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| COVID-19 has posed major challenges for health care. Hospitals around the world have needed to rapidly prepare for the emerging pandemic. Translational simulation - simulation that is integrated and focused on emerging clinical priorities - offers numerous opportunities to aid in pandemic preparation. We describe our a... |
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Using simulation exercises to improve student skills and patient safety
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| The COVID-19 pandemic has affected the delivery of nursing training in higher education and how workforce development programmes are delivered. Using simulated practice is an opportunity for experiential and immersive learning in a safe and supported environment that replaces real life. This article discusses the use o... |
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A Mobile Primary Care Clinic Mitigates an Early COVID-19 Outbreak Among Migrant Farmworkers in Iowa.
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| Migrant and seasonal farmworkers are a vulnerable population with unique health and safety challenges related to the entire spectrum of the social determinants of health. These challenges place migrant and seasonal farmworkers at a disproportionate risk of infection and illness because of the COVID-19 pandemic. This re... |
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Building a Community Partnership in a Pandemic: NJ Pediatric Residency Advocacy Collaborative
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| The New Jersey Pediatric Residency Advocacy Collaborative (NJPRAC) is a statewide collaborative with faculty leads from each of the 10 New Jersey pediatric residency programs. The 2 major goals of the collaborative were to build community partnerships between pediatric residency programs and local organizations and dev... |
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AAIM Recommendations for the 2020-2021 Internal Medicine Residency Application Cycle in Response to the COVID-19 Pandemic
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| This statement was released in June 2020 by the Alliance for Academic Internal Medicine to provide guidance for the 2020-2021 residency application cycle in light of the COVID-19 pandemic. While many of the recommendations are specific to this cycle, others, such as the Department Summary Letter of Evaluation, are mean... |
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HFE at the frontiers of COVID-19. Human factors/ergonomics to support the communication for safer care in Italy during the COVID-19 pandemic
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| Italy was the first country after China to be affected by COVID-19. The wave of the emergency found our country unprepared to cope with the surge of patients going to first aid departments to seek assistance in the almost complete paralysis of community health. Human factors and ergonomics (HFE) can effectively contrib... |
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Free advice for care staff in residential settings
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| The Infection Prevention Society (IPS) has brought together all national COVID-19 infection prevention advice specifically for healthcare staff working in residential care settings |
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Reopening the Doors to Center-Based ABA Services: Clinical and Safety Protocols During COVID-19
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| In the wake of the coronavirus (COVID-19) pandemic, U.S. organizations that provide applied behavior analysis (ABA) programs to individuals with autism spectrum disorder have implemented a variety of safety precautions to minimize the spread of the virus, often shifting center-based services to the home or telehealth. ... |
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Primary care physicians’ narratives on COVID-19 responses in Japan: Professional roles evoked under a pandemic
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| Abstract Background Within the vague system of primary care and COVID-19 infection control in Japan, we explored how primary care (PC) physicians exhibited adaptive performance in their institutions and communities to cope with the COVID-19 pandemic from January to May 2020 Methods Narrative analysis conducted by a tea... |
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Adding the Capacity for an Intensive Care Unit Dedicated to COVID 19, Preserving the Operational Capability of a French Golden Hour Offset Surgical Team in Sahel
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| INTRODUCTION: In April 2020, the military medical planning needs to be recalibrated to support the COVID-19 crisis during a large-scale combat operation carried out by the French army in Sahel. MATERIAL AND METHODS: Since 2019, proper positioning of Forward Surgical Teams (FSTs) has been imperative in peer-to-near-peer... |
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Preparing an obstetric unit in the heart of the epidemic strike of COVID-19: quick reorganization tips
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| COVID-19 is placing considerable strain on healthcare systems. Disaster and military medicine specialists were involved in the outbreak in Italy, after many units were overwhelmed. Health providers were caught off guard and personnel was unprepared to face this unprecedented threat. Local decisions accelerated the rate... |
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Crisis Standards of Care Implementation at the State Level in the United States
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| INTRODUCTION: In 2009, the Institute of Medicine published guidelines for implementation of Crisis Standards of Care (CSC) at the state level in the United States (US). Based in part on the then concern for H1N1 pandemic, there was a recognized need for additional planning at the state level to maintain health system p... |
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Financial and Quality Metrics of A Large, Publicly Traded U.S. Nursing Home Chain in the Age of Covid-19.
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| Nursing homes faced serious challenges with large COVID-19 resident infection rates and deaths during the pandemic. This descriptive case study examined the structure, operations, strategies, care outcomes, and owners of The Ensign Group Inc. the second largest U.S. for-profit chain, between 2007 and 2021. Ensign, as a... |
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Evidence-based medicine and COVID-19: what to believe and when to change
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| The COVID-19 pandemic has led to a surge of information being presented to clinicians regarding this novel and deadly disease. There is a clear urgency to collate, review, appraise and act on this information if we are to do the best for clinicians and patients. However, the speed of the pandemic is a threat to traditi... |
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Planning for a COVID-19 crisis
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| [ ]we were told to plan for a catastrophe Colleagues from China and Italy reported unprecedented admissions, bulging hospitals with sick, vulnerable patients ventilated in car parks, corridors, or in purposebuilt hospitals, of nursing teams proning patients en masse and running out of ventilators and personal protectio... |
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Health Science Students as PPE Coaches in the Emergency Department – a Pandemic Pilot Project
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| Summary PPE is an integral part of reducing transmission of COVID-19 We assessed a 5-week pilot project of utilising health science student volunteers as PPE coaches in the adult and paediatric emergency department (ED) during the pandemic PPE coaches were provided with training, PPE checklist, area for written observa... |
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Cross-Cutting Lessons Learned During the COVID-19 Pandemic—the Walter Reed Army Institute of Research Experience
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| INTRODUCTION: At the start of the coronavirus disease 2019 (COVID-19) pandemic, Walter Reed Army Institute of Research (WRAIR) mobilized to rapidly conduct medical research to detect, prevent, and treat the disease in order to minimize the impact of the pandemic on the health and readiness of U.S. Forces. WRAIR’s major... |
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Chapter 15: Future Perspectives in Drug Repurposing
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| Drug repurposing offers a more efficient route to medicinal innovation than conventional new molecular entity research, and proposals for repurposing projects can come from in silico algorithms, pharmacological experimentation, clinical serendipity or retrospective analysis of human data. These approaches offer a much ... |
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Reflections of a COVID-19 Graduate Nurse Student
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| In the midst of pandemic and chaos, the world did not cease. Although shelter-in-place was mandated, advance practice nursing students did not waiver. The Class of 2021 advance practice nurses will enter preventive and tertiary care with patience and resiliency. While healthcare facilities were limiting non-essential s... |
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Timely adaptation of a Pediatric Unit to COVID-19 emergency in Northern Italy: the experience of Fondazione IRCCS Policlinico San Matteo in Pavia
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| Italy is one of the most exposed countries worldwide to COVID-19, and Lombardy is the most affected region in Italy. In this context, Fondazione IRCCS Policlinico San Matteo in Pavia, one of the largest University hospitals in the region, has been involved in the management of the outbreak since its inception. Immediat... |
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COVID-19: instruments for the allocation of mechanical ventilators-a narrative review
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| After the World Health Organization declared COVID-19 to be a pandemic, the elaboration of comprehensive and preventive public policies became important in order to stop the spread of the disease. However, insufficient or ineffective measures may have placed health professionals and services in the position of having t... |
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