Orthopaedic Walk-In Clinics: A model to lessen the burden on Emergency Departments during the COVID-19 pandemic

被引：10
|
作者：
MacKechnie, Madeline C. [1 ]
Nadeau, Molly [2 ]
Deering, Ericka [2 ]
Thaller, John [2 ]
MacKechnie, Michael A. [2 ,3 ]
机构：
[1] Univ Calif San Francisco, Zuckerberg San Francisco Gen Hosp, 2550 23rd St,Bldg 9,2nd Floor, San Francisco, CA 94110 USA
[2] MaineGen Med Ctr, 15 Enterprise Dr, Augusta, ME 04330 USA
[3] Dartmouth Coll, Geisel Sch Med, 1 Rope Ferry Rd, Hanover, NH 03755 USA
来源：
JOURNAL OF ORTHOPAEDICS | 2020年 / 20卷
关键词：
D O I：
10.1016/j.jor.2020.05.014
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Objective: Operating duties for orthopaedic surgeons decreased during the COVID-19 pandemic, while Emergency Department (ED) cases surged. Orthopaedic Walk-In Clinics (OWICs) were implemented to manage urgent musculoskeletal cases. Methods: OWICs, organized in three days, were staffed by one orthopaedic surgeon, one triage person, three medical assistants, and a physician assistant/nurse practitioner. Results: Musculoskeletal non-emergency ED referrals decreased by 40.6% (p < 0.001) after initiation of the OWICs, allowing optimal use of resources to address the COVID-19 surge. Conclusion: This paper describes the OWIC model and its preliminary impact. The OWICs could serve as a template for other orthopaedic departments during the pandemic.
引用
收藏
页码：293 / 296
页数：4
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