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Emergency Responses to COVID-19 Outbreak: Experiences and Lessons from a General Hospital in Nanjing, China

40 Pages Posted: 17 Mar 2020

See all articles by Yang Shen

Yang Shen

Southeast University (China) - Department of Obstetrics and Gynecology

Ying Cui

Southeast University (China) - Center of Interventional Radiology and Vascular Surgery

Ning Li

Southeast University (China) - Department of Neurosurgery

Chen Tian

Southeast University (China) - Department of Infectious Diseases

Ming Chen

Southeast University (China) - Department of Urology

Ye-Wei Zhang

Southeast University (China) - Department of Medical Affairs

Ying-Zi Huang

Southeast University (China) - Department of Critical Care Medicine

Hui Chen

Southeast University (China) - Department of Medical Affairs

Qing-Fang Kong

Southeast University (China) - Department of Infection Prevention and Control

Qun Zhang

Southeast University (China) - Department of Infectious Diseases

Gao-Jun Teng

Southeast University (China) - Jiangsu Key Laboratory of Molecular and Functional Imaging

More...

Abstract

Background: Until now, the novel coronavirus 2019 (SARS-CoV-2) has caused wide dissemination in China and other 72 countries, affecting more than 90,000 peoples. Global health systems are facing the unprecedented challenges. Here we shared the experiences and lessons in emergency responses and management from our hospital, a government-assigned regional anti-COVID-19 general hospital in Nanjing, Jiangsu Province, China.

Methods: All measures were designed and taken based on three periodic strategies with different emphases, in response to the epidemic progress. Beginning on January 6, 2020, an emergency leadership committee with subsidiary companion teams were established in Phase Ⅰ. Proactive preparation like infrastructure modifications and personnel training were conducted. In Phase Ⅱ, no efforts were spared on special arrangements for outpatients, surgeries, and online medical services to cut the visitors density. With continuous drop of newly confirmed cases since mid-February, regular hospital operation recovered gradually (Phase Ⅲ). COVID-19 screening flow was tailored in each phase. Questionnaires for staffs’ mental status and satisfaction were also surveyed.

Findings: Since January 16, three patients were diagnosed with SARS-CoV-2 infection in our hospital. No hospital employees were infected with COVID-19. There was no case of hospital-acquired COVID-19 infection for those who received medical care in the setting of both outpatient and inpatient. During the epidemics, 6·46% staffs suffered depression, 9·87% had anxiety, and 98% were satisfied with the hospital infection control work. Shortages in staffs and medical consumables, and limitation in space were the obstacles we encountered.

Interpretation: As the outbreak was rapid and sudden, and great uncertainties in COVID-19 still remain, we faced substantial challenges and difficulties. As the cost of in-hospital transmission is unbearable, our experiences and lessons suggested that prompt actions should be taken immediately to decrease or eliminate potential in-hospital transmission. Experience shared herein may be useful for those facilities who are and who may engage in COVID-19.

Funding Statement: None.

Declaration of Interests: The authors declare no competing interests.

Keywords: COVID-19; Hospital Management; Infection Prevention and Control; Emergency Responses

Suggested Citation

Shen, Yang and Cui, Ying and Li, Ning and Tian, Chen and Chen, Ming and Zhang, Ye-Wei and Huang, Ying-Zi and Chen, Hui and Kong, Qing-Fang and Zhang, Qun and Teng, Gao-Jun, Emergency Responses to COVID-19 Outbreak: Experiences and Lessons from a General Hospital in Nanjing, China (3/4/2020). Available at SSRN: https://ssrn.com/abstract=3551327 or http://dx.doi.org/10.2139/ssrn.3551327

Yang Shen

Southeast University (China) - Department of Obstetrics and Gynecology

Nanjing
China

Ying Cui

Southeast University (China) - Center of Interventional Radiology and Vascular Surgery

Nanjing
China

Ning Li

Southeast University (China) - Department of Neurosurgery

Nanjing
China

Chen Tian

Southeast University (China) - Department of Infectious Diseases

Nanjing
China

Ming Chen

Southeast University (China) - Department of Urology

Nanjing
China

Ye-Wei Zhang

Southeast University (China) - Department of Medical Affairs

Nanjing
China

Ying-Zi Huang

Southeast University (China) - Department of Critical Care Medicine

Sipailou 2#
Nanjing, Jiangsu Province 210096
China

Hui Chen

Southeast University (China) - Department of Medical Affairs

Nanjing
China

Qing-Fang Kong

Southeast University (China) - Department of Infection Prevention and Control

Nanjing
China

Qun Zhang

Southeast University (China) - Department of Infectious Diseases

Nanjing
China

Gao-Jun Teng (Contact Author)

Southeast University (China) - Jiangsu Key Laboratory of Molecular and Functional Imaging ( email )

China

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