Journal article
Observational study of organisational responses of 17 US hospitals over the first year of the COVID-19 pandemic
BMJ open, Vol.13(5), e067986
05/08/2023
DOI: 10.1136/bmjopen-2022-067986
PMCID: PMC10410813
PMID: 37156578
Abstract
ObjectivesThe COVID-19 pandemic has required significant modifications of hospital care. The objective of this study was to examine the operational approaches taken by US hospitals over time in response to the COVID-19 pandemic.Design, setting and participantsThis was a prospective observational study of 17 geographically diverse US hospitals from February 2020 to February 2021.Outcomes and analysisWe identified 42 potential pandemic-related strategies and obtained week-to-week data about their use. We calculated descriptive statistics for use of each strategy and plotted percent uptake and weeks used. We assessed the relationship between strategy use and hospital type, geographic region and phase of the pandemic using generalised estimating equations (GEEs), adjusting for weekly county case counts.ResultsWe found heterogeneity in strategy uptake over time, some of which was associated with geographic region and phase of pandemic. We identified a body of strategies that were both commonly used and sustained over time, for example, limiting staff in COVID-19 rooms and increasing telehealth capacity, as well as those that were rarely used and/or not sustained, for example, increasing hospital bed capacity.ConclusionsHospital strategies during the COVID-19 pandemic varied in resource intensity, uptake and duration of use. Such information may be valuable to health systems during the ongoing pandemic and future ones.
Details
- Title: Subtitle
- Observational study of organisational responses of 17 US hospitals over the first year of the COVID-19 pandemic
- Creators
- Esther K Choo - Oregon Health & Science UniversityMatthew Strehlow - Stanford UniversityMarina Del Rios - University of IowaEvrim Oral - Louisiana State University Health Sciences Center New OrleansRuth Pobee - University of Illinois ChicagoAndrew Nugent - University of IowaStephen Lim - University Medical Center New OrleansChristian Hext - University of Wisconsin–MadisonSarah Newhall - Oregon Health & Science UniversityDiana Ko - Palo Alto UniversitySrihari V Chari - University of North Carolina at Chapel HillAmy Wilson - Oregon Health & Science UniversityJoshua J Baugh - Massachusetts General HospitalDavid Callaway - Atrium Medical CenteMucio Kit Delgado - University of PennsylvaniaZoe Glick - University of Maryland, BaltimoreChristian J Graulty - New York UniversityNicholas Hall - Stanford UniversityAbdusebur Jemal - Morehouse School of MedicineMadhav KC - Yale Cancer CenterAditya Mahadevan - Stanford UniversityMilap Mehta - The Ohio State UniversityAndrew C Meltzer - George Washington UniversityDar'ya Pozhidayeva - Oregon Health & Science UniversityDaniel Resnick-Ault - University of Colorado DenverChristian Schulz - Carolinas Medical CenterSam Shen - Stanford UniversityLauren Southerland - The Ohio State UniversityDaniel Du Pont - University of PennsylvaniaDanielle M McCarthy - Northwestern University
- Resource Type
- Journal article
- Publication Details
- BMJ open, Vol.13(5), e067986
- DOI
- 10.1136/bmjopen-2022-067986
- PMID
- 37156578
- PMCID
- PMC10410813
- NLM abbreviation
- BMJ Open
- ISSN
- 2044-6055
- eISSN
- 2044-6055
- Publisher
- British Medical Journal Publishing Group
- Language
- English
- Date published
- 05/08/2023
- Academic Unit
- Emergency Medicine
- Record Identifier
- 9984406149102771
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