New Approach to Managing the COVID-19 Pandemic in a Complex Tertiary Care Medical Center in Madrid, Spain

Artiga-Sainz L.M. Sarria-Santamera A. Martínez-Alés G. Quintana-Díaz M.
3 October 2022 Cambridge University Press

Disaster Medicine and Public Health Preparedness
2022 #16 Issue 5 2097 - 2102 pp.

The coronavirus disease 2019 (COVID-19) pandemic is putting health-care systems under unprecedented stress to accommodate unexpected numbers of patients forcing a quick re-organization. This article describes the staff management experience of a third level referral hospital in the city of Madrid, Spain, one of the cities and hospitals with the largest number of COVID-19 cases. A newly created COVID-19-specific clinical management unit (CMU) coordinated all clinical departments and conducted real-Time assessments of the availability and needs of medical staff, alongside the hospitals general management board. The CMU was able to (i) redeploy up to 285 physicians every week to bolster medical care in COVID-19 wards and forecast medical staff requirements for the upcoming week so all departments could organize their work while coping with COVID-19 needs, (ii) overview all clinical activities conducted in a medicalized hotel, and (iii) recruit a team of roughly 90 volunteer medical students to accelerate data collection and evidence generation. The main advantage of a CMU composed by a member of every job category-its ability to generate rapid, locally adapted responses to unexpected challenges-made it perfect for the unprecedented increase in health-care need generated by the COVID-19 pandemic.

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Service de Medecine Interne, Centre Hospitalier Universitaire Caen Normandie, Caen, France
Department of Medicine, Nazarbayev University School of Medicine, Nur-Sultan, Kazakhstan
Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States
Unidad de Gestión Apoyo COVID-19, Servicio Medicina Intensiva, Hospital Universitario la Paz, Madrid, Spain

Service de Medecine Interne
Department of Medicine
Department of Epidemiology
Unidad de Gestión Apoyo COVID-19

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