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dc.contributor.authorJolin Wong
dc.date.accessioned2020-03-29T15:17:49Z
dc.date.available2020-03-29T15:17:49Z
dc.date.issued2020-03-11
dc.identifier.urihttps://link.springer.com/article/10.1007%2Fs12630-020-01620-9en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12663/851
dc.description.abstractThe coronavirus disease 2019 (COVID-19) outbreak has been designated a public health emergency of international concern. To prepare for a pandemic, hospitals need a strategy to manage their space, staff, and supplies so that optimum care is provided to patients. In addition, infection prevention measures need to be implemented to reduce in-hospital transmission. In the operating room, these preparations involve multiple stakeholders and can present a significant challenge. Here, we describe the outbreak response measures of the anesthetic department staffing the largest (1,700-bed) academic tertiary level acute care hospital in Singapore (Singapore General Hospital) and a smaller regional hospital (Sengkang General Hospital). These include engineering controls such as identification and preparation of an isolation operating room, administrative measures such as modification of workflow and processes, introduction of personal protective equipment for staff, and formulation of clinical guidelines for anesthetic management. Simulation was valuable in evaluating the feasibility of new operating room set-ups or workflow. We also discuss how the hierarchy of controls can be used as a framework to plan the necessary measures during each phase of a pandemic, and review the evidence for the measures taken. These containment measures are necessary to optimize the quality of care provided to COVID-19 patients and to reduce the risk of viral transmission to other patients or healthcare workers.en_US
dc.languageEnglishen_US
dc.subjectCOVID-19en_US
dc.subjectCoronavirusen_US
dc.subjectSARS-CoVen_US
dc.subjectInfectious Disease Transmission, Professional-to-Patienten_US
dc.subjectInfectious Disease Transmission, Patient-to-Professionalen_US
dc.subjectDisease Transmission, Infectiousen_US
dc.titlePreparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singaporeen_US
eihealth.countryCanadaen_US
eihealth.categoryEmergency medical services, medical transport and 911en_US
eihealth.typeResearch protocol informationen_US
eihealth.maincategorySave Lives / Salvar Vidasen_US
dc.relation.ispartofjournalCanadian Journal of Anesthesiaen_US


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