
| 10.7861/clinmed.2020-0613
http://scihub22266oqcxt.onion/10.7861/clinmed.2020-0613
 33067188!7687318!33067188
free
free
free
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Clin+Med+(Lond) 2020 ; 20 (6): e234-e237 Nephropedia Template TP
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Incorporating SPACES recommendations to the COVID-19 ward care approach at the Royal Bournemouth Hospital #MMPMID33067188Tomlinson J; Khan S; Page GClin 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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