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Title: Establishing a New Normal for Hospital Care: A Whole of Hospital Approach to Coronavirus Disease 2019 (COVID-19).
Authors: Lum, Brandon X
Liu, Eugene H 
Archuleta, Sophia 
Somani, Jyoti
Bagdasarian, Natasha 
Koh, Catherine S 
Sin, Clara S
Wong, Mushan
Quek, Swee Chye 
Fisher, Dale A
Keywords: COVID-19
academic medical center
establishing a new normal
surge capacity
whole of hospital
Hospitals, University
Intensive Care Units
Issue Date: 2-Nov-2021
Publisher: Oxford University Press (OUP)
Citation: Lum, Brandon X, Liu, Eugene H, Archuleta, Sophia, Somani, Jyoti, Bagdasarian, Natasha, Koh, Catherine S, Sin, Clara S, Wong, Mushan, Quek, Swee Chye, Fisher, Dale A (2021-11-02). Establishing a New Normal for Hospital Care: A Whole of Hospital Approach to Coronavirus Disease 2019 (COVID-19).. Clin Infect Dis 73 (9) : e3136-e3143. ScholarBank@NUS Repository.
Abstract: Singapore's hospitals had prepared to receive patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), planning various scenarios and levels of surge with a policy of isolating all confirmed cases as inpatients. The National University Hospital adopted a whole of hospital approach to coronavirus disease 2019 (COVID-19) with 3 primary goals: zero hospital-acquired COVID-19, all patients receive timely necessary care, and maintenance of staff morale. These goals to date have been met. A large influx of COVID-19 cases required significant transformation of clinical and operational processes. Isolation room numbers almost tripled and dedicated COVID-19 cohort wards were established, elective care was postponed, and intensive care units were augmented with equipment and manpower. In the wake of the surge, establishing a new normal for hospital care requires maintaining vigilance to detect endemic COVID-19, establishing contingency plans to ramp up in case of another surge, while returning to business as usual.
Source Title: Clin Infect Dis
ISSN: 10584838
DOI: 10.1093/cid/ciaa1722
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