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Bracing for the Wave: a Multi-Institutional Survey Analysis of Inpatient Workforce Adaptations in the First Phase of COVID-19.


ABSTRACT:

Background

Medical centers across the country have had to rapidly adapt clinician staffing strategies to accommodate large influxes of patients with the coronavirus disease 2019 (COVID-19).

Objective

We sought to understand the adaptations and staffing strategies that US academic medical centers employed in the inpatient setting early in the spread of COVID-19, and to assess whether those changes were sustained during the first phase of the pandemic.

Design

Cross-sectional survey assessing organization-level, team-level, and clinician-level inpatient workforce adaptations.

Participants

Hospital medicine leadership at 27 academic medical centers in the USA.

Key results

Twenty-seven of 36 centers responded to the survey (75%). Widespread practices included frequent staffing reassessment, organization-level changes such as geographic cohorting and redeployment of non-hospitalists, and exempting high-risk healthcare workers from direct care of patients with COVID-19. Several practices were implemented but discontinued, such as reduction of non-essential services, indicating that they were less sustainable for large centers.

Conclusion

These findings provide guidance for inpatient leaders seeking to identify sustainable practices for COVID-19 inpatient workforce planning.

SUBMITTER: Linker AS 

PROVIDER: S-EPMC8161717 | biostudies-literature |

REPOSITORIES: biostudies-literature

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