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10.7861/clinmed.2020-0613

http://scihub22266oqcxt.onion/10.7861/clinmed.2020-0613
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33067188!7687318!33067188
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suck abstract from ncbi


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pmid33067188      Clin+Med+(Lond) 2020 ; 20 (6): e234-e237
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  • Incorporating SPACES recommendations to the COVID-19 ward care approach at the Royal Bournemouth Hospital #MMPMID33067188
  • Tomlinson J; Khan S; Page G
  • Clin Med (Lond) 2020[Nov]; 20 (6): e234-e237 PMID33067188show ga
  • The British Thoracic Society have published SPACES (Sharing Patient Assessments Cuts Exposure for Staff) guidance recommending the use of telecommunications as a means of inpatient clinical assessment during the COVID-19 pandemic. The aim of this audit was to reduce face-to-face exposure time during inpatient care of patients with suspected/confirmed COVID-19 using a telecommunications-based approach. 76 patients were included in the audit. 46 patients were included in cycle 1, which measured the average face-to-face time for clinical consultation per patient. 30 patients were included in cycle 2, whereby history-taking was conductedusing telecommunications and, if required, face-to-face physical examination.Average face-to-face exposure time was reduced to a median of 0 seconds (IQR 0-146.3 seconds) in the telecommunications group, from a median of 312.5 seconds (IQR 178.8-442.3 seconds) in the comparator group (p<0.0001). Patient satisfaction was high with individuals' responses revealing a perception of improved safety by maintaining social distancing. No adverse events were noted.The audit confirms telecommunications can be integrated successfully into the daily inpatient ward round structure, reducing face-to-face exposure time while maintaining patient satisfaction and safety.
  • |*Coronavirus Infections/diagnosis/prevention & control/therapy[MESH]
  • |*Hospitals[MESH]
  • |*Occupational Exposure/prevention & control/statistics & numerical data[MESH]
  • |*Pandemics/prevention & control[MESH]
  • |*Pneumonia, Viral/diagnosis/prevention & control/therapy[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |England[MESH]
  • |Humans[MESH]
  • |Medical Audit[MESH]
  • |Patient Satisfaction/*statistics & numerical data[MESH]
  • |Personal Protective Equipment[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |SARS-CoV-2[MESH]


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