ArticlePloS one2021
Preparations of Dutch emergency departments for the COVID-19 pandemic: A questionnaire-based study.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Article
- Primary care access to radiology: Characteristics of trauma patients referred to the emergency department.Journal of evaluation in clinical practice · 2023Observational
- Healthcare-associated infections in Dutch hospitals during the COVID-19 pandemic.Antimicrobial resistance and infection control · 2023Article
- Article
- Citizens' economic recovery models for a pandemic.PloS one · 2023Article
- Hospital Staffing during the COVID-19 Pandemic in Sweden.Healthcare (Basel, Switzerland) · 2022Article
- Preparedness and management during the first phase of the COVID-19 outbreak - a survey among emergency primary care services in Norway.BMC health services research · 2022Article
- Infection control strategies for patients and accompanying persons during the COVID-19 pandemic in German hospitals: a cross-sectional study in March-April 2021.The Journal of hospital infection · 2022Article
- Characteristics and outcomes of older patients hospitalised for COVID-19 in the first and second wave of the pandemic in The Netherlands: the COVID-OLD study.Age and ageing · 2022Article
- Sort and Sieve: Pre-Triage Screening of Patients with Suspected COVID-19 in the Emergency Department.International journal of environmental research and public health · 2021Observational
- The Effect of the Corona Virus on the Mental State Among Emergency Room Nurses: A Systematic Review.SAGE open nursingReview
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe onset of the COVID-19 pandemic was characterized by rapid increases in Emergency department (ED) patient visits. EDs required an appropriate transformation. The main challenges were: adapting capacity to respond to surges in the number of patient visits, protection of high risk (frontline) staff and the segregation of suspect-COVID-19 patients. To date, only a few studies have assessed the nation-wide response of EDs to the COVID-19 pandemic. This study was designed to review the preparations of Dutch EDs during the initial phase of this public health crisis.
methodsThe study was designed as a nation-wide, cross-sectional, questionnaire-based study of Dutch hospital organizations having one or more EDs. One respondent completed the questionnaire for each hospital. The questionnaire was conducted between the first and the second COVID-19 wave in the Netherlands. It contained close-ended and open-ended questions on changes in ED infrastructure, ED workforce adaptions and the role of emergency physicians (EPs) in each hospital crisis management team.
resultsThe questionnaire was completed by 58 respondents. This represented 80% of the total number of EDs. All respondents had made preparations in anticipation of a COVID-19 patient surge. Treatment capacity was expanded in 70% of EDs, with a median increase of 49% (IQR 33-73%). Suspect-COVID-19 was segregated from non-COVID-19 patients in 89% of EDs. Alternative locations (such as outpatient departments) were more often used to assess non-COVID-19 patients, than for suspect-COVID-19 patients. Staff was expanded in 82% of EDs. This largely concerned nursing staff. A formal role for Emergency Physicians (EPs) in the hospital's crisis management team was reported by 94% of hospital organizations employing EPs.
conclusionAll Dutch EDs responded to the COVID-19 pandemic in a very short time span despite much uncertainty. Preparations predominantly concerned expansion of treatment capacity and segregation of COVID-19 ED care. EPs played a prominent role, both in direct COVID-19 care and in the hospital crises management team. It is vital for EDs to adapt to community needs swiftly. The ability of EDs to respond to the pandemic varied considerably.
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