Background
The emergency mode of public hospitals
Existing and potential problems
Increased risk of exposure and cross-contamination in hospitals
COVID-19–related patient fears may lead to treatment delays
Increased workload and psychological stress of the medical staff
Passive decline in the quality of health care
The transitional stage between the emergency mode and regular mode of hospitals
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The normalization of hospitals cannot be accomplished in a single step; rather, it should be phased to ensure progressive recovery. An online pre-registration system based on identification cards may be useful for limiting the “compensatory expansion” of outpatients and decreasing surgical volumes.
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Continue to control personnel access and reduce crowd gathering. It is recommended to hire professional nurses and reduce visits from family and friends. Administrators should institute fever screening at hospital entrances and only afebrile individuals wearing face masks should be permitted into and out of hospitals. Furthermore, setting up eye-catching signs to remind people to maintain social distancing while waiting for medical examinations, treatments, and doctor’s reports could serve as a useful method.
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Designate specific hospitals and departments within hospitals to continue the treatment of patients who are suspected cases or those diagnosed with COVID-19. Other hospitals should be instructed to no longer accept patients diagnosed with COVID-19; however, fever clinics and isolation wards should be retained in these hospitals.
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Pacify the patients’ fear of COVID-19 and encourage them to actively co-operate during the treatment of primary diseases.
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Ensure that patients and staff implement hand sanitation measures at the entrance of the hospital as well as the ward.
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Nucleic acid testing especially in the respiratory, geriatric, and infectious disease departments should be implemented. In addition, nucleic acid testing should be performed on all patients prior to surgery, if conditions permit.
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More attention should be paid to the physical and mental health of all medical staff. Hospitals should implement a temporary rotation plan to allow medical staff to rest fully and adequately. Moreover, access to mental health services, such as establishing an online or offline psychological counseling platform, should be made available for front-line workers on high priority.
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Retain and improve the ability to quickly find, test, isolate, and treat symptomatic individuals or groups. Increase the ability to provide sufficient personal protective equipment and critical medical equipment. Increase the ICU capacity of hospitals to handle a dramatic surge in critical patients.