The COVID-19 Pandemic and the Hospital Surge Preparedness and Response Index: A Retrospective Study in an Italian Hospital.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Disaster Medicine and Public Health Preparedness Pub Date : 2025-02-20 DOI:10.1017/dmp.2025.4

Paolo Rodi, Eric S Weinstein, Francesco Foti, Roberta Somaschini, Marco Claus, Johan von Schreeb

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引用次数: 0

Abstract

Objective: To quantitatively assess key performance indicator changes between selected pre-pandemic and pandemic periods at the Sant'Anna Hospital emergency department (ED) in Como, Italy through the retrospective use of Hospital Surge Preparedness and Response index (HSPRI).

Methods: This study collected the average length of stay (LOS), time-to-physician initial assessment (TPIA), and left-without-being seen (LWBS) rates for 2 pre-pandemic (control group) and 3 pandemic periods (study group) in the COVID ED (C-ED) dedicated to treat COVID-19 patients and the non-COVID ED (NC-ED) dedicated to non-COVID cases. Quantitative analysis was based on hypothesis testing. A retrospective qualitative theme and subtheme analysis based on the HSPRI was conducted on baseline strategies before each pandemic period and on the actions implemented thereafter.

Results: LOS increased across all pandemic periods. TPIA decreased in the first 2 pandemic periods in comparison to pre-pandemic. LWBS decreased between pre-pandemic and pandemic periods. Of the 22 action items listed in the HSPRI, 8 were implemented in the first pandemic period, 8 in the second and 1 in the third, for a total of 17 items.

Conclusions: The HSPRI demonstrated value as a tool for a hospital staff to actively utilize during a pandemic to identify KPI triggers to formulate actions to maintain pre-pandemic care or ameliorate the deterioration of care during the pandemic.

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2019冠状病毒病大流行与医院高峰防范和应对指数：意大利一家医院的回顾性研究

目的：通过回顾性使用医院高峰准备和应对指数（HSPRI），定量评估意大利科莫市圣安娜医院急诊科（ED）在选定的大流行前和大流行期间的关键绩效指标变化。方法：本研究收集了专门治疗COVID-19患者的COVID- ED （C-ED）和专门治疗非COVID-19患者的非COVID- ED （NC-ED）的2个大流行前（对照组）和3个大流行期间（研究组）的平均住院时间（LOS）、到医生初始评估时间（TPIA）和未就诊（LWBS）率。定量分析基于假设检验。在HSPRI的基础上，对每次大流行之前的基线战略和之后实施的行动进行了回顾性定性主题和次主题分析。结果：LOS在所有大流行期间都有所增加。与大流行前相比，前两个大流行期间TPIA有所下降。LWBS在大流行前和大流行期间有所下降。在HSPRI列出的22个行动项目中，有8个在第一次大流行期间实施，8个在第二次大流行期间实施，1个在第三次大流行期间实施，总共有17个项目。结论：HSPRI显示了作为一种工具的价值，医院工作人员可以在大流行期间积极利用它来确定KPI触发因素，以制定行动来维持大流行前的护理或改善大流行期间恶化的护理。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.