Strategic Surge Responses in the COVID-19 era: Operational Themes, Innovative Solutions and Lessons Learned by Three Freestanding Pediatric Emergency Departments

Author:

Tan Yongtian TinaORCID,Braund Cortney,Carney Kevin P,Gill Natasha,Goldberg Bradley,Hartford Emily AORCID,Johnson Bernadette K,Keilman Ashley,Stone Kimberly,Yoshida Hiromi,Liu Deborah R

Abstract

Abstract The prolonged COVID-19 pandemic has created unique and complex challenges in operational and capacity planning for pediatric emergency departments, as initial low pediatric patient volumes gave way to unpredictable patient surges during Delta and Omicron variants. Compounded by widespread hospital supply chain issues, staffing shortages due to infection and attrition, and a concurrent pediatric mental health crisis, the surges have pushed pediatric emergency department leaders to re-examine traditionally defined clinical processes, and adopt innovative operational strategies. This study describes the strategic surge response and lessons learned by 3 major freestanding academic pediatric emergency departments in the western United States to help inform current and future pediatric pandemic preparedness.

Publisher

Cambridge University Press (CUP)

Subject

Public Health, Environmental and Occupational Health

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