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

页码：293 / 296

页数：4

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