Redesigning a Department of Surgery during the COVID-19 Pandemic

Background COVID-19 has created an urgent need for reorganization and surge planning among departments of surgery across the USA. Methods Review of the COVID-19 planning process and work products in preparation for a patient surge. Organizational and process changes, workflow redesign, and communica...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2020-08, Vol.24 (8), p.1852-1859
Main Authors: Brethauer, Stacy A., Poulose, Benjamin K., Needleman, Bradley J., Sims, Carrie, Arnold, Mark, Washburn, Kenneth, Tsung, Allan, Mokadam, Nahush, Sarac, Timur, Merritt, Robert, Pawlik, Timothy M.
Format: Article
Language:English
Subjects:
Betacoronavirus
Clinical Protocols
Coronavirus Infections - epidemiology
Coronaviruses
COVID-19
Emergency preparedness
Gastroenterology
Hospital Restructuring
Hospitals
Humans
Interdisciplinary Communication
Medicine
Medicine & Public Health
Ohio - epidemiology
Pandemics
Planning
Pneumonia, Viral - epidemiology
SARS-CoV-2
Stakeholder Participation
Surgery
Surgery Department, Hospital - organization & administration
Workflow
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Summary:Background COVID-19 has created an urgent need for reorganization and surge planning among departments of surgery across the USA. Methods Review of the COVID-19 planning process and work products in preparation for a patient surge. Organizational and process changes, workflow redesign, and communication plans are presented. Results The planning process included widespread collaboration among leadership from many disciplines. The department of surgery played a leading role in establishing clinical protocols, guidelines, and policies in preparation for a surge of COVID-19 patients. A multidisciplinary approach with input from clinical and nonclinical stakeholders is critical to successful crisis planning. A clear communication plan should be implemented early and input from trainees, staff, and faculty should be solicited. Conclusion Major departmental and health system reorganization is required to adapt academic surgical practices to a widespread crisis. Surgical leadership, innovation, and flexibility are critical to successful planning and implementation.
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-020-04608-4