Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study

Objective. To estimate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the organization of Spanish hospital emergency departments (EDs). To explore differences between Spanish autonomous communities or according to hospital size and disease incidence in the area. Methods. Survey of...

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Autores: Alquezar-Arbe, A, Pinera, P, Jacob, J, Martin, A, Jimenez, S, Llorens, P, Martin-Sanchez, FJ, Burillo-Putze, G, Garcia-Lamberechts, EJ, del Castillo, JG, Rizzi, M, Villa, TA, Haro, A, Diaz, NM, Miro, O
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p6547
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones6547
http://emergencias.portalsemes.org/descargar/impacto-organizativo-de-la-pandemia-covid19-de-2020-en-los-servicios-de-urgencias-hospitalarios-espaoles-resultados-del-estudio-encovur/
Access Level:acceso abierto
Palabra clave:COVID-19
Emergency department
Pandemics
Organizational structure
Quality
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spelling Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR studyAlquezar-Arbe, APinera, PJacob, JMartin, AJimenez, SLlorens, PMartin-Sanchez, FJBurillo-Putze, GGarcia-Lamberechts, EJdel Castillo, JGRizzi, MVilla, TAHaro, ADiaz, NMMiro, OCOVID-19Emergency departmentPandemicsOrganizational structureQualityObjective. To estimate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the organization of Spanish hospital emergency departments (EDs). To explore differences between Spanish autonomous communities or according to hospital size and disease incidence in the area. Methods. Survey of the heads of 283 EDs in hospitals belonging to or affiliated with Spain's public health service. Respondents evaluated the pandemic's impact on organization, resources, and staff absence from work in March and April 2020. Assessments were for 15-day periods. Results were analyzed overall and by autonomous community, hospital size, and local population incidence rates. Results. A total of 246 (87%) responses were received. The majority of the EDs organized a triage system, first aid, and observation wards; areas specifically for patients suspected of having COVID-19 were newly set apart. The nursing staff was increased in 83% of the EDs (with no subgroup differences), and 59% increased the number of physicians (especially in large hospitals and locations where the COVID-19 incidence was high). Diagnostic tests for the severe acute respiratory syndrome coronavirus 2 were the resource the EDs missed most: 55% reported that tests were scarce often or very often. Other resources reported to be scarce were FPP2 and FPP3 masks (38% of the EDs), waterproof protective gowns (34%), and space (32%). More than 5% of the physicians, nurses, or other emergency staff were on sick leave 20%, 19%, and 16% of the time. These deficiencies were greatest during the last half of March, except for tests, which were most scarce in the first 15 days. Large hospital EDs less often reported that diagnostic tests were unavailable. In areas where the COVID-19 incidence was higher, the EDs reported higher rates of staff on sick leave. Resource scarcity differed markedly by autonomous community and was not always associated with the incidence of COVID-19 in the population. Conclusions. The COVID-19 pandemic led to organizational changes in EDs. Certain resources became scarce, and marked differences between autonomous communities were detected.Soc Espanola Medicina Urgencias & Emergencias-SEMES2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones6547http://emergencias.portalsemes.org/descargar/impacto-organizativo-de-la-pandemia-covid19-de-2020-en-los-servicios-de-urgencias-hospitalarios-espaoles-resultados-del-estudio-encovur/EmergenciasISSN: 11376821ISSNe: 23865857reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Españolinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p65472026-06-12T10:20:37Z
dc.title.none.fl_str_mv Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study
title Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study
spellingShingle Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study
Alquezar-Arbe, A
COVID-19
Emergency department
Pandemics
Organizational structure
Quality
title_short Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study
title_full Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study
title_fullStr Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study
title_full_unstemmed Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study
title_sort Impact of the COVID-19 pandemic on hospital emergency departments: results of a survey of departments in 2020-the Spanish ENCOVUR study
dc.creator.none.fl_str_mv Alquezar-Arbe, A
Pinera, P
Jacob, J
Martin, A
Jimenez, S
Llorens, P
Martin-Sanchez, FJ
Burillo-Putze, G
Garcia-Lamberechts, EJ
del Castillo, JG
Rizzi, M
Villa, TA
Haro, A
Diaz, NM
Miro, O
author Alquezar-Arbe, A
author_facet Alquezar-Arbe, A
Pinera, P
Jacob, J
Martin, A
Jimenez, S
Llorens, P
Martin-Sanchez, FJ
Burillo-Putze, G
Garcia-Lamberechts, EJ
del Castillo, JG
Rizzi, M
Villa, TA
Haro, A
Diaz, NM
Miro, O
author_role author
author2 Pinera, P
Jacob, J
Martin, A
Jimenez, S
Llorens, P
Martin-Sanchez, FJ
Burillo-Putze, G
Garcia-Lamberechts, EJ
del Castillo, JG
Rizzi, M
Villa, TA
Haro, A
Diaz, NM
Miro, O
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COVID-19
Emergency department
Pandemics
Organizational structure
Quality
topic COVID-19
Emergency department
Pandemics
Organizational structure
Quality
description Objective. To estimate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the organization of Spanish hospital emergency departments (EDs). To explore differences between Spanish autonomous communities or according to hospital size and disease incidence in the area. Methods. Survey of the heads of 283 EDs in hospitals belonging to or affiliated with Spain's public health service. Respondents evaluated the pandemic's impact on organization, resources, and staff absence from work in March and April 2020. Assessments were for 15-day periods. Results were analyzed overall and by autonomous community, hospital size, and local population incidence rates. Results. A total of 246 (87%) responses were received. The majority of the EDs organized a triage system, first aid, and observation wards; areas specifically for patients suspected of having COVID-19 were newly set apart. The nursing staff was increased in 83% of the EDs (with no subgroup differences), and 59% increased the number of physicians (especially in large hospitals and locations where the COVID-19 incidence was high). Diagnostic tests for the severe acute respiratory syndrome coronavirus 2 were the resource the EDs missed most: 55% reported that tests were scarce often or very often. Other resources reported to be scarce were FPP2 and FPP3 masks (38% of the EDs), waterproof protective gowns (34%), and space (32%). More than 5% of the physicians, nurses, or other emergency staff were on sick leave 20%, 19%, and 16% of the time. These deficiencies were greatest during the last half of March, except for tests, which were most scarce in the first 15 days. Large hospital EDs less often reported that diagnostic tests were unavailable. In areas where the COVID-19 incidence was higher, the EDs reported higher rates of staff on sick leave. Resource scarcity differed markedly by autonomous community and was not always associated with the incidence of COVID-19 in the population. Conclusions. The COVID-19 pandemic led to organizational changes in EDs. Certain resources became scarce, and marked differences between autonomous communities were detected.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones6547
http://emergencias.portalsemes.org/descargar/impacto-organizativo-de-la-pandemia-covid19-de-2020-en-los-servicios-de-urgencias-hospitalarios-espaoles-resultados-del-estudio-encovur/
url https://isabial.portalinvestigacion.com/publicaciones6547
http://emergencias.portalsemes.org/descargar/impacto-organizativo-de-la-pandemia-covid19-de-2020-en-los-servicios-de-urgencias-hospitalarios-espaoles-resultados-del-estudio-encovur/
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Soc Espanola Medicina Urgencias & Emergencias-SEMES
publisher.none.fl_str_mv Soc Espanola Medicina Urgencias & Emergencias-SEMES
dc.source.none.fl_str_mv Emergencias
ISSN: 11376821
ISSNe: 23865857
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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