A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic

The COVID-19 pandemic is a unique crisis challenging healthcare institutions as it rapidly overwhelmed hospitals due to a large influx of patients. This major event forced all the components of the healthcare systems to adapt and invent new workflows. Thus, our tertiary care hospital was reorganized...

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Main Authors: Simon Bessis, Aurélien Dinh, Sylvain Gautier, Benjamin Davido, Jonathan Levy, Christine Lawrence, Anne-Sophie Lot, Djamel Bensmail, Célia Rech, Muriel Farcy-Afif, Frédérique Bouchand, Pierre de Truchis, Jean-Louis Herrmann, Frédéric Barbot, David Orlikowski, Pierre Moine, Christian Perronne, Loïc Josseran, Hélène Prigent, Djillali Annane
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.709848/full
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author Simon Bessis
Simon Bessis
Aurélien Dinh
Aurélien Dinh
Sylvain Gautier
Sylvain Gautier
Benjamin Davido
Benjamin Davido
Jonathan Levy
Jonathan Levy
Christine Lawrence
Anne-Sophie Lot
Djamel Bensmail
Djamel Bensmail
Célia Rech
Muriel Farcy-Afif
Frédérique Bouchand
Pierre de Truchis
Jean-Louis Herrmann
Jean-Louis Herrmann
Frédéric Barbot
David Orlikowski
David Orlikowski
Pierre Moine
Pierre Moine
Christian Perronne
Christian Perronne
Loïc Josseran
Loïc Josseran
Hélène Prigent
Hélène Prigent
Djillali Annane
Djillali Annane
author_facet Simon Bessis
Simon Bessis
Aurélien Dinh
Aurélien Dinh
Sylvain Gautier
Sylvain Gautier
Benjamin Davido
Benjamin Davido
Jonathan Levy
Jonathan Levy
Christine Lawrence
Anne-Sophie Lot
Djamel Bensmail
Djamel Bensmail
Célia Rech
Muriel Farcy-Afif
Frédérique Bouchand
Pierre de Truchis
Jean-Louis Herrmann
Jean-Louis Herrmann
Frédéric Barbot
David Orlikowski
David Orlikowski
Pierre Moine
Pierre Moine
Christian Perronne
Christian Perronne
Loïc Josseran
Loïc Josseran
Hélène Prigent
Hélène Prigent
Djillali Annane
Djillali Annane
author_sort Simon Bessis
collection DOAJ
description The COVID-19 pandemic is a unique crisis challenging healthcare institutions as it rapidly overwhelmed hospitals due to a large influx of patients. This major event forced all the components of the healthcare systems to adapt and invent new workflows. Thus, our tertiary care hospital was reorganized entirely. During the cruising phase, additional staff was allocated to a one-building organization comprising an intensive care unit (ICU), an acute care unit, a physical medicine and rehabilitation unit, and a COVID-19 screening area. The transfer of patients from a ward to another was more efficient due to these organizations and pavilion structure. The observed mortality was low in the acute care ward, except in the palliative unit. No nosocomial infection with SARS-CoV-2 was reported in any other building of the hospital since this organization was set up. This type of one-building organization, integrating all the components for comprehensive patient care, seems to be the most appropriate response to pandemics.
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spelling doaj.art-20a492f801944040a1ebedd4eb3f674d2022-12-22T00:35:35ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-05-011010.3389/fpubh.2022.709848709848A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the PandemicSimon Bessis0Simon Bessis1Aurélien Dinh2Aurélien Dinh3Sylvain Gautier4Sylvain Gautier5Benjamin Davido6Benjamin Davido7Jonathan Levy8Jonathan Levy9Christine Lawrence10Anne-Sophie Lot11Djamel Bensmail12Djamel Bensmail13Célia Rech14Muriel Farcy-Afif15Frédérique Bouchand16Pierre de Truchis17Jean-Louis Herrmann18Jean-Louis Herrmann19Frédéric Barbot20David Orlikowski21David Orlikowski22Pierre Moine23Pierre Moine24Christian Perronne25Christian Perronne26Loïc Josseran27Loïc Josseran28Hélène Prigent29Hélène Prigent30Djillali Annane31Djillali Annane32Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceDepartment of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceDepartment of Public Health, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceDepartment of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceDepartment of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceMicrobiology Laboratory and Hygiene, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceDepartment of Medical Informatics, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceDepartment of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceDepartment of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceDepartment of Pharmacy, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceDepartment of Pharmacy, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceDepartment of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceMicrobiology Laboratory and Hygiene, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceINSERM CIC1429, Clinical Investigation Center, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceINSERM CIC1429, Clinical Investigation Center, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceIntensive Care Unit, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceDepartment of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceDepartment of Public Health, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France0Department of Physiology, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceUFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, FranceIntensive Care Unit, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, FranceThe COVID-19 pandemic is a unique crisis challenging healthcare institutions as it rapidly overwhelmed hospitals due to a large influx of patients. This major event forced all the components of the healthcare systems to adapt and invent new workflows. Thus, our tertiary care hospital was reorganized entirely. During the cruising phase, additional staff was allocated to a one-building organization comprising an intensive care unit (ICU), an acute care unit, a physical medicine and rehabilitation unit, and a COVID-19 screening area. The transfer of patients from a ward to another was more efficient due to these organizations and pavilion structure. The observed mortality was low in the acute care ward, except in the palliative unit. No nosocomial infection with SARS-CoV-2 was reported in any other building of the hospital since this organization was set up. This type of one-building organization, integrating all the components for comprehensive patient care, seems to be the most appropriate response to pandemics.https://www.frontiersin.org/articles/10.3389/fpubh.2022.709848/fullCOVID-19 outbreakpreparednessinfection controlemerging infectionresilience
spellingShingle Simon Bessis
Simon Bessis
Aurélien Dinh
Aurélien Dinh
Sylvain Gautier
Sylvain Gautier
Benjamin Davido
Benjamin Davido
Jonathan Levy
Jonathan Levy
Christine Lawrence
Anne-Sophie Lot
Djamel Bensmail
Djamel Bensmail
Célia Rech
Muriel Farcy-Afif
Frédérique Bouchand
Pierre de Truchis
Jean-Louis Herrmann
Jean-Louis Herrmann
Frédéric Barbot
David Orlikowski
David Orlikowski
Pierre Moine
Pierre Moine
Christian Perronne
Christian Perronne
Loïc Josseran
Loïc Josseran
Hélène Prigent
Hélène Prigent
Djillali Annane
Djillali Annane
A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic
Frontiers in Public Health
COVID-19 outbreak
preparedness
infection control
emerging infection
resilience
title A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic
title_full A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic
title_fullStr A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic
title_full_unstemmed A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic
title_short A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic
title_sort restructured hospital into a one building organization for covid 19 patients a resilient and effective response to the pandemic
topic COVID-19 outbreak
preparedness
infection control
emerging infection
resilience
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.709848/full
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