To describe the implementation of the contingency plan in the social and health care in the COVID-19 pandemic in the Public Hospital of Monforte (Lugo, Spain) and to evaluate the effectiveness of the measures included in this plan.
Phenomenological sampling conducted between March 10 and May 15, 2020. Evaluation qualitative assessment by an external quality improvement team of the Galician Health Service (SERGAS), based on the Practicum Direct rapid structured checklist in risk management, organizational management, and evaluation of decision making. As outcome indicators, we assessed the number of hospital admissions, number of PCRs performed, telephone attention to social and health social-healthcare patients, number of hospitalizations avoided and estimation of their direct cost.
After assessing and managing the risks, an information security plan was developed and solutions to minimize complications in our patients derived from this pandemic. An emergency decision making team was created, as well as an employee communication mechanism for employees through standardized documents and documentation channels.
The adaptation of the Practicum Direct rapid model to the healthcare setting is a useful and easy-to-apply tool that allows us to identify weak points and areas for improvement in our Service and thus to strengthen patient care in all clinical areas, improving the quality of care.
目的:描述在蒙福特公立医院(卢戈,西班牙)并评估该计划中包括的措施的有效性。
方法:现象学抽样于2020年3月10日至5月15日进行。由加利西亚卫生服务(SERGAS)的外部质量改进团队进行的评估定性评估,基于风险管理中的PracticumDirect快速结构化清单,组织管理,和决策评估。作为结果指标,我们评估了入院人数,执行的PCRs的数量,电话关注社会和健康社会保健患者,避免的住院次数和直接成本的估计。
结果:在评估和管理风险之后,制定了信息安全计划和解决方案,以最大程度地减少这次大流行给我们的患者带来的并发症。成立了应急决策小组,以及通过标准化的文件和文档渠道为员工提供的员工沟通机制。
结论:PracticumDirect快速模式适应医疗保健环境是一种有用且易于应用的工具,使我们能够识别服务的弱点和需要改进的地方,从而加强所有临床领域的患者护理。提高护理质量。