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Brief report
Providing uninterrupted care during COVID-19 pandemic: experience from Beijing Tiantan Hospital
  1. Xiaoyan Wang1,2,
  2. Yu Chen1,2,
  3. Zixiao Li1,2,
  4. David Wang3,
  5. Yongjun Wang1,2
  1. 1 China National Clinical Research Center for Neurological Diseases, Beijing, China
  2. 2 Beijing Tiantan Hospital, Capital Medical University, Beijing, China
  3. 3 Neurovascular Division, Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA
  1. Correspondence to Dr Yongjun Wang; yongjunwang{at}ncrcnd.org.cn

Abstract

Background The COVID-19 pandemic has already stressed the healthcare system in the world. Many hospitals have been overwhelmed by the large number of patients with COVID-19. Due to the shortage of equipment and personnel and the highly contagious nature of COVID-19, many other healthcare services are on hold. However, at Beijing Tiantan Hospital, a rapid response system has been in place so that routine care is not interrupted. We, therefore, would like to share our hospital-wide prevention and management policy during this pandemic to help other healthcare systems to function in this crisis.

Method Tiantan hospital is one of the leading neuroscience institutions in the world. With 1650 beds, its annual inpatient admission exceeds 30 000 patients. Its COVID-19 rapid response policy was reviewed for its functionality.

Results There are nine key components of this policy: an incident management system; a comprehensive infection prevention and control, outpatient triage and flow system; a designated fever clinic; patient screening and administration; optimised surgical operations, enhanced nucleic acid testing; screening of returning employees; and a supervision and feedback system. In addition, a specific protocol was designed for treating patients with acute stroke.

Conclusion A comprehensive policy is helpful to protect the employee from infection and to provide quality and uninterrupted care to all who need these, including patients with acute ischaemic stroke.

  • standards
  • infection
  • stroke
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/svn-2020-000400

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    Footnotes

    • Contributors YW and DW designed the concept. XW and YC wrote the paper. DW and ZL contributed to the conception, drafting and revision of the paper.

    • Funding This work was supported by Ministry of Science and Technology of the People’s Republic of China (National Key R&D Programme of China, GRANT NO: 2016YFC0901002, 2017YFC1310901, 2017YFC1307905, 2015BAI12B00).

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.