COVID-19 risk assessment and safety management operational guidelines for IVF center reopening

• Published in: Journal of assisted reproduction and genetics 2020-11, Vol.37 (11), p.2669-2686
• Main Authors: Alaluf, Maria Graciela, Pasqualini, Agustin, Fiszbajn, Gabriel, Botti, Gustavo, Estofan, Gustavo, Ruhlmann, Claudio, Solari, Leticia, Bisioli, Claudio, Pene, Alicia, Branzini, Constanza, Quintero Retamar, Andrea, Checkherdemian, Valeria, Pesce, Romina, Serpa, Idelma, Lorenzo, Fabian, Avendaño, Conrado, Alvarez Sedo, Cristian, Lancuba, Stella
• Format: Article
• Language: English
• Subjects: Collaboration; Commentary; Coronavirus Infections; Coronaviruses; COVID-19; Disease transmission; Embryology; Epidemiology; Female; Fertilization in Vitro; Gynecology; Health Personnel; Human Genetics; Humans; Infectious diseases; Medical personnel; Medicine; Medicine & Public Health; Occupational safety; Pandemics; Patient safety; Pneumonia, Viral; Reproductive Medicine; Risk Assessment; Safety Management; Severe acute respiratory syndrome coronavirus 2; Training; Workers
• ISSN: 1058-0468; 1573-7330
• DOI: 10.1007/s10815-020-01958-5

Purpose To promote nationwide dissemination and implementation of COVID-19 Risk Assessment and Safety Management Operational Guidelines, drawn up by SAMeR Task Force in ART centers in Argentina. Our objective is to prevent and mitigate the transmission of SARS-CoV-2 at an institutional level, while reducing the risk of infection among both physicians and patients in the context of a critical scenario in the local and Latin American healthcare system. Methods SAMeR Executive Committee set up a crisis committee which was made up of specialists in reproductive medicine, embryology, and healthcare management. A critical and updated review of the advances in science, documents, and recommendations released by other societies (ASRM, ESHRE, IFFS, Red LARA, societies of anesthesiologists, infectious diseases, and Occupational Safety and Health Administration—OSHA) was carried out. Likewise, there were joint meetings with the Ministry of Health of Argentina in order to draw up the guidelines. Simultaneously, ongoing medical training was carried out, thus providing added value to them, including two status surveys of the activities of the monovalent and polyvalent centers according to the country’s epidemiological mapping. Four additional recommendations were made, and online training was given to healthcare workers. The aforementioned regulations were first analyzed by the healthcare providers and their practical suggestions were then added to the guidelines. Results The one-off collaborative work and the actions coordinated with the National ART Program of the Ministry of Health of Argentina resulted in the development and implementation of the present COVID-19 Risk Assessment and Safety Management Operational Guidelines at a national level. SAMeR gave recommendations for the implementation of the Management Guidelines for the center reopening, providing new safety criteria against the threat of viral contagion. A new organizational culture was promoted through the awareness of all the healthcare workers and teaching responsibility. We continue working on the compliance with a new “Code of Conduct and Commitment in Healthcare” and with workplace safety measures. We helped with transforming the theoretical knowledge into practical measures for the healthcare workers in different services, with the aim to prevent, mitigate, and/or handle contingencies at the centers/services and gamete banks, in line with the actions agreed upon with the Ministry of Health. Conclusi