Observational study of organisational responses of 17 US hospitals over the first year of the COVID-19 pandemic
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Choo, E.K, et al. Observational Study of Organisational Responses of 17 Us Hospitals Over the First Year of the Covid-19 Pandemic. BMJ Publishing Group, 2023. https://doi.org/10.17615/5610-h867APA
Choo, E., Strehlow, M., Del Rios, M., Oral, E., Pobee, R., Nugent, A., Lim, S., Hext, C., Newhall, S., Ko, D., Chari, S., Wilson, A., Baugh, J., Callaway, D., Delgado, M., Glick, Z., Graulty, C., Hall, N., Jemal, A., Kc, M., Mahadevan, A., Mehta, M., Meltzer, A., Pozhidayeva, D., Resnick Ault, D., Schulz, C., Shen, S., Southerland, L., Du Pont, D., & Mc Carthy, D. (2023). Observational study of organisational responses of 17 US hospitals over the first year of the COVID-19 pandemic. BMJ Publishing Group. https://doi.org/10.17615/5610-h867Chicago
Choo, E.K., M Strehlow, M Del Rios, E Oral, R Pobee, A Nugent, S Lim et al. 2023. Observational Study of Organisational Responses of 17 Us Hospitals Over the First Year of the Covid-19 Pandemic. BMJ Publishing Group. https://doi.org/10.17615/5610-h867- Creator
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Choo, E.K.
- Other Affiliation: Oregon Health & Science University
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Strehlow, M.
- Other Affiliation: Stanford University
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Del Rios, M.
- Other Affiliation: University of Iowa
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Oral, E.
- Other Affiliation: LSU Health Sciences Center
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Pobee, R.
- Other Affiliation: University of Illinois Chicago
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Nugent, A.
- Other Affiliation: University of Iowa
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Lim, S.
- Other Affiliation: LSU Health Sciences Center
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Hext, C.
- Other Affiliation: University of Wisconsin
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Newhall, S.
- Other Affiliation: Oregon Health & Science University
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Ko, D.
- Other Affiliation: Stanford University
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Chari, S.V.
- Affiliation: School of Medicine, Department of Emergency Medicine
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Wilson, A.
- Other Affiliation: Oregon Health & Science University
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Baugh, J.J.
- Other Affiliation: Massachusetts General Hospital
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Callaway, D.
- Other Affiliation: Atrium Health
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Delgado, M.K.
- Other Affiliation: University of Pennsylvania
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Glick, Z.
- Other Affiliation: University of Maryland
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Graulty, C.J.
- Other Affiliation: NYU Langone School of Medicine
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Hall, N.
- Other Affiliation: Stanford University
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Jemal, A.
- Other Affiliation: Morehouse School of Medicine
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Kc, M.
- Other Affiliation: Yale School of Medicine
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Mahadevan, A.
- Other Affiliation: Stanford University
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Mehta, M.
- Other Affiliation: Ohio State University
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Meltzer, A.C.
- Other Affiliation: George Washington University School of Medicine
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Pozhidayeva, D.
- Other Affiliation: Oregon Health & Science University
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Resnick-Ault, D.
- Other Affiliation: University of Colorado School of Medicine
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Schulz, C.
- Other Affiliation: Carolinas Medical Center
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Shen, S.
- Other Affiliation: Stanford University
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Southerland, L.
- Other Affiliation: Ohio State University
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Du Pont, D.
- Other Affiliation: University of Pennsylvania
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McCarthy, D.M.
- Other Affiliation: Northwestern University
- Abstract
- Objectives The COVID-19 pandemic has required significant modifications of hospital care. The objective of this study was to examine the operational approaches taken by US hospitals over time in response to the COVID-19 pandemic. Design, setting and participants This was a prospective observational study of 17 geographically diverse US hospitals from February 2020 to February 2021. Outcomes and analysis We identified 42 potential pandemic-related strategies and obtained week-to-week data about their use. We calculated descriptive statistics for use of each strategy and plotted percent uptake and weeks used. We assessed the relationship between strategy use and hospital type, geographic region and phase of the pandemic using generalised estimating equations (GEEs), adjusting for weekly county case counts. Results We found heterogeneity in strategy uptake over time, some of which was associated with geographic region and phase of pandemic. We identified a body of strategies that were both commonly used and sustained over time, for example, limiting staff in COVID-19 rooms and increasing telehealth capacity, as well as those that were rarely used and/or not sustained, for example, increasing hospital bed capacity. Conclusions Hospital strategies during the COVID-19 pandemic varied in resource intensity, uptake and duration of use. Such information may be valuable to health systems during the ongoing pandemic and future ones.
- Date of publication
- 2023
- Keyword
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- License
- Attribution-NonCommercial 4.0 International
- Journal title
- BMJ Open
- Journal volume
- 13
- Journal issue
- 5
- Language
- English
- Version
- Publisher
- Funder
- National Center for Advancing Translational Sciences, NCATS
- National Institutes of Health, NIH: UL1TR002369
- Oregon Clinical and Translational Research Institute, OCTRI
- ISSN
- 2044-6055
- Publisher
- BMJ Publishing Group
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