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Volume 2020, Issue 2
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

The need to resume scheduled hospital activities requires accurate screening for severe acute respiratory syndrome–Coronavirus disease 2019 (SARS–COVID-19) represented by real-time polymerase chain reaction on the nasal swab for each patient admitted. In order to prevent cross-contamination, we propose a model in which only two entry points are available: one for the urgent/emergent pathway and the other for all patients needing scheduled admission. If the patient needs emergent procedure and the swab test is not yet available, it will be viewed as a positive COVID-19 test. The hospital should be divided into two different areas: a green zone for negative-test patients and a blue zone for positive or undetermined patients in need of urgent care.

© 2020 Piani, Zanardo, Deana, licensee HBKU Press.
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2020-11-19
2024-04-24
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References

  1. World Health Organization. WHO Coronavirus disease (COVID-19) Dashboard. Available from: www.who.int [Accessed 4th August 2020] .
  2. Worldometers. COVID-19 Coronavirus pandemic. Available from: https://www.worldometers.info/coronavirus/. .
  3. Iacobucci G. Covid-19: all non-urgent elective surgery is suspended for at least three months in England. BMJ. 2020;368:m1106. doi: 10.1136/bmj.m1106. .
  4. Grasselli G, Pesenti A, Cecconi M. Critical care utilization for the COVID-19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response. JAMA. 2020;323:1545–1546. Available from: doi: 10.1001/jama.2020.4031. .
  5. Deana C, Vetrugno L, Tonizzo A, Orso D, Piani T, Bove T, et al. Drug supply during COVID-19 pandemic. Remember not to run with your tank empty. Hospital Pharmacy. 2020. doi: 10.1177/0018578720931749. .
  6. World Health Organization. Available from: https://www.euro.who.int/__data/assets/pdf_file/0006/268782/Standard-precautions-in-health-care-Eng.pdf. .
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Sliding Doors During COVID-19: Choose the Right One!
Journal of Emergency Medicine, Trauma and Acute Care 2020, 8 (2021); https://doi.org/10.5339/jemtac.2020.8
/content/journals/10.5339/jemtac.2020.8
/content/journals/10.5339/jemtac.2020.8
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Keyword(s): COVID-19, hospital organization, nasal swab and patient pathway

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