{"id":2889,"date":"2020-05-29T12:42:45","date_gmt":"2020-05-29T12:42:45","guid":{"rendered":"\/?p=2889"},"modified":"2020-05-29T12:42:45","modified_gmt":"2020-05-29T12:42:45","slug":"flexible-solutions-for-increasing-green-zone-capacity","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/sv_se\/flexible-solutions-for-increasing-green-zone-capacity\/","title":{"rendered":"Flexibla l\u00f6sningar f\u00f6r att \u00f6ka Green zone-kapaciteten"},"content":{"rendered":"

N\u00e4r antalet fall av Covid-19 minskar har sjukhus och husl\u00e4karmottagningar b\u00f6rjat f\u00f6rbereda sig f\u00f6r att \u00e5teruppta rutinbes\u00f6k och planerade ingrepp, s\u00e5som elektiv kirurgi, endoskopi, diagnostiska tester och skanningar. Men saker och ting \u00e4r fortfarande l\u00e5ngt ifr\u00e5n "business as usual".<\/p>\n

\u00c4ven om den mest omedelbara krisen kan vara \u00f6ver, forts\u00e4tter m\u00e5nga sjukhus att ta hand om ett stort antal Covid-19-patienter, med rapporter som s\u00e4ger att cirka 25% intensivv\u00e5rdss\u00e4ngar m\u00e5ste beh\u00e5llas f\u00f6r detta \u00e4ndam\u00e5l. Det finns ocks\u00e5 en verklig utsikt till en andra v\u00e5g, som \u2013 enligt ett antal experter, inklusive Englands medicinska chef,Professor Chris Whitty<\/a> \u2013 har potential att bli \u00e4nnu mer d\u00f6dlig \u00e4n den f\u00f6rsta.<\/p>\n

Samtidigt \u00f6kar v\u00e4ntelistorna f\u00f6r elektiva ingrepp och kommer sannolikt att forts\u00e4tta att byggas upp \u00e4ven n\u00e4r planerad operation \u00e5terinf\u00f6rs, eftersom m\u00e5nga sjukhus inte s\u00e4kert kommer att omedelbart kunna \u00e5terg\u00e5 till samma aktivitetsniv\u00e5 som f\u00f6re krisen. Vissa rapporter tyder p\u00e5 att v\u00e4ntelistorna f\u00f6r valbara f\u00f6rfaranden skulle kunna toppa 10 miljoner i slutet av detta \u00e5r. Som ett resultat \u00e4r sjukhusen under \u00f6kande press att \u00e5teruppta denna typ av v\u00e5rd s\u00e5 snart som m\u00f6jligt.<\/p>\n

Sj\u00e4lva termen "elektiva f\u00f6rfaranden" blir alltmer missvisande. Det inneb\u00e4r att patienterna kan v\u00e4lja om de ska genomf\u00f6ra en operation eller inte. Verkligheten \u00e4r att m\u00e5nga av dessa patienter kommer att uppleva alltmer kronisk sm\u00e4rta och f\u00f6rs\u00e4mring av sina liv, och majoriteten kommer inte att betrakta deras ingrepp som ett val, utan en \u00f6kande n\u00f6dv\u00e4ndighet.<\/p>\n

En viktig utmaning som sjukhusen nu st\u00e5r inf\u00f6r n\u00e4r de f\u00f6rbereder sig f\u00f6r att \u00e5teruppta elektiv v\u00e5rd \u00e4r hur man kan skydda b\u00e5de patienter och personal fr\u00e5n riskerna f\u00f6rknippade med exponering f\u00f6r Covid-19, s\u00e4rskilt med tanke p\u00e5 att m\u00e5nga av patienterna som beh\u00f6ver operation eller behandling \u00e4r fler s\u00e5rbara f\u00f6r sjukdom p\u00e5 grund av andra h\u00e4lsotillst\u00e5nd. Det finns ocks\u00e5 risk f\u00f6r att patienter eller bes\u00f6kare utifr\u00e5n kommer att f\u00f6ra viruset in i rena omr\u00e5den p\u00e5 sjukhuset, liksom l\u00e4kare som beh\u00f6ver resa mellan platser.<\/p>\n

Tillg\u00e5ng till tester f\u00f6r personal och patienter innan ingrepp \u00e4ger rum kommer att vara viktig, men de l\u00e5nga behandlingstider som f\u00f6r n\u00e4rvarande upplevs f\u00f6r att analysera tester kan ytterligare \u00f6ka v\u00e4ntetiderna och riskera att operationen st\u00e4lls in om resultaten inte kommer tillbaka i tid.<\/p>\n

Att hantera trycket p\u00e5 det fysiska utrymmet kan ocks\u00e5 vara sv\u00e5rt, eftersom det kommer att finnas ett behov av att uppr\u00e4tth\u00e5lla s\u00e4ker social distansering i kliniska omr\u00e5den. I m\u00e5nga fall har sjukhusanl\u00e4ggningar \u00e4ndrats eller gjorts om f\u00f6r att hantera krisen, och det interna utrymmet kan delas upp i "gr\u00f6na" och "r\u00f6da" zoner, som kommer att beh\u00f6va f\u00f6rbli fixerade under en tid \u00e4nnu. Detta, i kombination med den \u00f6kade tiden som kr\u00e4vs f\u00f6r att byta personlig skyddsutrustning och att genomf\u00f6ra fullst\u00e4ndig reng\u00f6ring av procedurrum mellan operationerna, kommer att avsev\u00e4rt minska produktiviteten p\u00e5 de sjukhus som startar om elektiva procedurer.<\/p>\n

M\u00e5nga sjukhus kommer att ha tillr\u00e4ckligt med l\u00e4kare och personal f\u00f6r att \u00e5terg\u00e5 till aktivitetsniv\u00e5er f\u00f6re COVID, men med den minskade produktiviteten kommer de inte att kunna g\u00f6ra det utan ytterligare fysisk kapacitet. Var kommer denna ytterligare kapacitet ifr\u00e5n och hur kommer patientresan f\u00f6r elektiv kirurgi att p\u00e5verka befintlig personal och patientfl\u00f6den?<\/p>\n

En potentiell l\u00f6sning skulle kunna vara att titta p\u00e5 flexibla v\u00e5rdinfrastrukturalternativ. En mobil operationssal skulle kunna uppskala sjukhusens gr\u00f6na zoner genom att tillhandah\u00e5lla ett s\u00e4kert utrymme borta fr\u00e5n Covid-19 r\u00f6da zoner inom sj\u00e4lva sjukhuset. I kombination med en mobil eller modul\u00e4r avdelning, som \u00e4ven skulle kunna hysa personalomr\u00e5den, skulle detta kunna ge en komplett frist\u00e5ende gr\u00f6n zon d\u00e4r ingrepp kan utf\u00f6ras p\u00e5 ett s\u00e4kert s\u00e4tt, utan att l\u00e4gga ytterligare press p\u00e5 andra delar av sjukhuset.<\/p>\n

Dr Hans Kluge, som \u00e4r chef f\u00f6r WHO:s europeiska region, sa nyligen i en intervju med The Daily Telegraph att det nu \u00e4r "tid f\u00f6r f\u00f6rberedelser, inte firande". Han betonade att \u00e4ven om antalet fall av Covid-19 i l\u00e4nder som Storbritannien, Frankrike och Italien b\u00f6rjade minska, betydde det inte att pandemin var p\u00e5 v\u00e4g att ta slut, och att l\u00e4nder borde anv\u00e4nda denna tid f\u00f6r att b\u00f6rja bygga kapacitet p\u00e5 sjukhus, prim\u00e4rv\u00e5rd och intensivv\u00e5rdsavdelningar.<\/p>\n

Eftersom pandemin och den resulterande eftersl\u00e4pningen har lett till ett behov av tillf\u00e4llig ytterligare kapacitet, \u00e4r det vettigt att \u00f6verv\u00e4ga flexibla v\u00e5rdalternativ som g\u00f6r det m\u00f6jligt f\u00f6r sjukhus att uppgradera baserat p\u00e5 deras behov. Mobila och modul\u00e4ra anl\u00e4ggningar kan anv\u00e4ndas antingen tillf\u00e4lligt eller semipermanent, efter behov.<\/p>\n

Vanguard Healthcare Solutions tillhandah\u00e5ller tillf\u00e4lliga anl\u00e4ggningar<\/a> att st\u00f6dja v\u00e5rdgivare n\u00e4r ytterligare kapacitet beh\u00f6vs f\u00f6r att sk\u00e4ra ner v\u00e4ntelistor, dekantera en befintlig teater eller som svar p\u00e5 en krissituation, och har varit en p\u00e5litlig partner till NHS i \u00f6ver 20 \u00e5r.<\/p>","protected":false},"excerpt":{"rendered":"

\u00c4ven om den mest omedelbara krisen kan vara \u00f6ver, forts\u00e4tter m\u00e5nga sjukhus att ta hand om ett stort antal Covid-19-patienter, med rapporter som s\u00e4ger att cirka 25% intensivv\u00e5rdss\u00e4ngar m\u00e5ste beh\u00e5llas f\u00f6r detta \u00e4ndam\u00e5l. <\/p>","protected":false},"author":1,"featured_media":1345,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[5,4],"class_list":["post-2889","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-mobile","tag-modular"],"acf":[],"yoast_head":"\nFlexible solutions for increasing Green zone capacity - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Flexible solutions for increasing green zone capacity to return to Pre-COVID levels of activity in hospitals\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vanguardhealthcare.co.uk\/sv_se\/flexible-solutions-for-increasing-green-zone-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Flexible solutions for increasing Green zone capacity - 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