Patient Safety Recommendations for COVID-19 Epidemic Outbreak Lessons from the Italian Experience
Main Article Content
Keywords
Coronavirus, COVID-19, Italy, Recommendations, Risk, Clinicians, Health Safety, Hospital procedure, Diagnosis, Treatment, Isolation, Quarantine
Abstract
On the basis of reports and questions forwarded to the Clinical Risk Managers of the Italian Network for Health Safety (INSH) from physicians working on the front line, a series of recommendations have been developed referring to documents and papers published by national institutions (ISS) and Italian and international scientific societies and journals. We have arranged the process to describe organising the work system according to the SEIPS Human Factors approach.
This document is re-posted with permission from Riccardo Tartaglia (President of Italian Network for Safety in Health Care).
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References
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6.Australian government Department of Health, Interim advice on non-inpatient care of persons with suspected or confirmed Coronavirus disease (COVID- 19), includ-ing use of personal protective equipment (PPE) Avail-able online at: https://www.health.gov.au/resources/publications/interim-recommendations-for- the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with- coronavirus-disease-2019-COVID-19.
7.Ferrari R, Groff P, Cosentini R, Indicazioni all’uso dei presidi per l’ssigenzazione dei pazienti con pol-monite da COVID-19. Parte 2: Il ruolo della C-PAP Available online at: https://www.simeu.it/w/articoli/leggiArticolo/3991/leggi.
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9.Lippi G, Simundic AM, Plebani M. Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19). Clin Chem Lab Med. 2020 Mar 16. pii:/j/cclm.ahead-of-print/cclm-2020-0285/cclm-2020-0285.xml. doi:10.1515/cclm-2020-0285. [Epub ahead of print] Available online at: https://www.degruyter.com/view/j/cclm.ahead-of-print/cclm-2020-0285/cclm-2020- 0285.xml.
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13.”Rapporto Prima Linea COVID-19 assetto organiz-zativo gestionale dei PS/DEA nell’ambito di focolaio epidemico o pre-epidemico” (SIMEU 07/03 /2020) Available online at: https://www.simeu.it/w/articoli/leggiArticolo/3964/leggi.
14.Linee guida Cinesi sulla gestione di COVID-19 (ver-sione 7), pubblicate dalla Salute Nazionale della R.P.C.e dalla Amministrazione Nazionale della Medicina Tradizionale della R.P.C. in data 3/3/2020 Available online at: https://www.nursetimes.org/wp- content/uploads/2020/03/Linee-guida-cinesi-sulla-gestione-COVID-19-versione-7- ita.pdf.pdf.
15.Kooraki S et al. Coronavirus (COVID-19) Outbreak: What the Department of Radiology Should Know, J Am Coll Radiol 2020 Available online at: https://www.jacr.org/article/S1546-1440(20)30150-2/pdf.
16.Lippi G, Plebani M, Laboratory abnormalities in patients with COVID-2019 infection. ClinChem Lab Med 2020 Published Online: 2020-03-03 Available online at: https://www.degruyter.com/doi/10.1515/cclm-2020-0198.
17. Lippi G, Plebani M, Michael Henry B. Thrombocyto-penia is associated with severe coronavirus disease 2019 (COVID-19) infections: A meta-analysis. Clin Chim Acta. 2020 Mar 13. pii: S0009-8981(20)30124-8. doi: 10.1016/j.cca.2020.03.022. [Epub ahead of print] Available online at: https://www.sciencedirect.com/science/article/pii/S0009898120301248?via%3Dihu b.
18. Wei Liu et al. Analysis of factors associated with disease outcomes in hospitalized patients with 2019 novel coronavirus disease Chinese Medical Journal 2020 DOI: 10.1097/CM9.0000000000000775 Available online at: https://journals.lww.com/cmj/Abstract/publishahead/Analysis_of_factors_associate d_with_dis-ease.99363.aspx.
19. Ministero della Salute, All.3 Polmonite da nuovo Coronavirus in Cina. Available online http://www.trovanorme.salute.gov.it/norme/renderNormsanPdf ?anno=2020&codLe g=72796&parte=1%20&serie=null.
20. Regione Emilia Romagna, Protocollo terapeutico per la terapia antivirale dei pazienti con infezione da CO-VID-19, aggiornato al 9 marzo 2020.
21. Position Statement of the ESC Council on Hypertension on ACE-Inhibitors and Angiotensin Receptor Block-ers, published on 13th march 2020 Available online at: https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position- statement-of-the-esc-council-on-hypertension-on-ace-inhibitors-and-ang.
22. EMA gives advice on the use of non-steroidal anti-inflammatories for COVID-19, published on 18th march 2020 Available online at: https://news/ema-gives-advice- use-non-steroidal-anti-inflammatories-COVID-19.
23. Groff P, Cosentini R, Ferrari R, Indicazioni all’uso dei presidi per l’ossigenazione dei pazienti con polmonite da COVID-19. Parte 1: Il ruolo delle HFNO Avail-able online at: https://www.simeu.it/w/articoli/leggiArticolo/3991/leggi.
24. Amirav I, RE: Transmission of Corona Virus by Nebu-lizer- a serious, underappreciated risk! published on 3rd march 2020 Available online at: https://www.cmaj.ca/content/re-transmission-corona-virus-nebulizer-serious- underappreciated-risk.
25. SIAARTI, Percorso COVID-19, Sezione 1 – Procedura Area critica, pubblicato il 14 marzo 2020 Available online at: http://www.siaarti.it/SiteAssets/News/COVID- 19%20-%20documenti%20SIAARTI/Per-corso%20COVID-19%20-%20Sezione%201%20%20-%20Procedura%20Area%20Critica.pdf.
26. SIAARTI, Percorso COVID-19, Sezione 2 – Raccoman-dazioni per la gestione locale, pubblicato il 14 marzo 2020 Available online at: http://www.siaarti.it/Site-Assets/News/COVID-19%20-%20documenti%20SIAARTI/Percorso%20COVID-19%20-%20Sezione%202%20-%20Raccomandazioni%20per%20la%20ges-tione%20locale.pdf.
27. SIAARTI, COVID-19 – Airway management Rev 1.2 Available online at: http://www.siaarti.it/SiteAssets/News/COVID-19%20-%20documenti%20SIAARTI/SIAARTI%20-%20COVID-19%20-%20Airway%20Management%20rev.1.2.pdf.
28. SIAARTI, Clinical Ethics Recommendations for the Al-location of Intensive Care Treatments in exceptional, resource-limited circumstances - Version n. 1 Posted on March, 16th - 2020 http://www.siaarti.it/SiteAssets/News/COVID-19%20-%20documenti%20SIAARTI/SIAARTI%20-%20COVID-19%20-%20Clinical%20Ethics%20Reccomendations.pdf.
29. Procedura aziendale USL Toscana Centro Firenze. Paziente COVID-19 in emergenza del 3 marzo 2020 PA 03.1B1.
30. Cambieri A., Girardi F., et.al., Il Reparto Operatorio-Progettazione, organizzazione, controllo- Il Pensiero Scientifico Editore, 2010.
31. Finzi GF.,Aparo L.,et.al. –Governo e Gestione dell’Igiene nelle strutture sanitarie – Manuale Pratico – Il Pensiero Scientifico Editore 2008.
32. Center for disease control and prevention, Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings Available online at: https://www.cdc.gov/coronavirus/2019- ncov/hcp/inpatient-obstetric-healthcare-guidance.html.
33. SIAARTI, COVID-19: gravidanza, parto e allattamento Available online at: http://www.siaarti.it/News/COVID%2019%20gravidanza,%20parto%20e%20allattam ento.aspx.
34. W. Liu et al. Detection of COVID-19 in children in early January 2020 in Wuhan, China, Correspondence NEJJM March 12 2020 DOI: 10.1056/NEJMc2003717 Available online at: https://www.nejm.org/doi/full/10.1056/NEJMc2003717.
35. Wei Xia et al. Clinical and CT features in pediatric pa-tients with COVID-19 infection: different point from adults, Ped Pneumol 5 march 2020 Available online at: https://onlinelibrary.wiley.com/doi/full/10.1002/ppul.24718.
36. Zhu N et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020 Jan 24; [e-pub]. Available online at: https://doi.org/10.1056/NEJMoa2001017.
37. Xu, Y., Li, X., Zhu, B. et al. Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persis-tent fecal viral shedding.Nat Med (2020). https://www.nature.com/articles/s41591-020-0817-4?proof=trueIn.
38. Rapporto ISS COVID-19 n.1/2020, Indicazioni ad interim per l’effettuazione dell’isolamento e dell’assistenza sanitaria domiciliare nell’attuale contesto COVID-19 Available online at: https://www.iss.it/docu-ments/20126/0/Rapporto+ISS+COVID- 19+1_2020+ISOLAMENTO+DOMICILIARE.pdf/47e9ffab-61ba-78fb-bab7- cc600d660ee7?t=1583831542224.
39. Samantha K Brooks, Rebecca K Webster, Louise E Smith, Lisa Woodland, Simon Wessely, Neil Greenberg, Gideon James Rubin. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020; 395: 912–20 Published Online February 26, 2020 Available online at: https://doi.org/10.1016/S0140-6736(20)30460-8.
40. Rischio infettivo da Coronavirus COVID-19 Indicazioni per l’oncologia Available at: https://www.aiom.it/wp-content/uploads/2020/03/20200313_COVID- 19_indicazioni_AIOM-CIPOMO-COMU.pdf.
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Apr 13, 2020
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Tartaglia, R. . (2020). Patient Safety Recommendations for COVID-19 Epidemic Outbreak: Lessons from the Italian Experience. Global Clinical Engineering Journal, 2, 7–30. https://doi.org/10.31354/globalce.v2i.94
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Special communications article
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