Frontiers in Public Health (May 2022)
A Restructured Hospital Into a One-Building Organization for COVID-19 Patients: A Resilient and Effective Response to the Pandemic
- Simon Bessis,
- Simon Bessis,
- Aurélien Dinh,
- Aurélien Dinh,
- Sylvain Gautier,
- Sylvain Gautier,
- Benjamin Davido,
- Benjamin Davido,
- Jonathan Levy,
- Jonathan Levy,
- Christine Lawrence,
- Anne-Sophie Lot,
- Djamel Bensmail,
- Djamel Bensmail,
- Célia Rech,
- Muriel Farcy-Afif,
- Frédérique Bouchand,
- Pierre de Truchis,
- Jean-Louis Herrmann,
- Jean-Louis Herrmann,
- Frédéric Barbot,
- David Orlikowski,
- David Orlikowski,
- Pierre Moine,
- Pierre Moine,
- Christian Perronne,
- Christian Perronne,
- Loïc Josseran,
- Loïc Josseran,
- Hélène Prigent,
- Hélène Prigent,
- Djillali Annane,
- Djillali Annane
Affiliations
- Simon Bessis
- Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Simon Bessis
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Aurélien Dinh
- Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Aurélien Dinh
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Sylvain Gautier
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Sylvain Gautier
- Department of Public Health, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Benjamin Davido
- Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Benjamin Davido
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Jonathan Levy
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Jonathan Levy
- Department of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Christine Lawrence
- Microbiology Laboratory and Hygiene, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Anne-Sophie Lot
- Department of Medical Informatics, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Djamel Bensmail
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Djamel Bensmail
- Department of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Célia Rech
- Department of Physical and Rehabilitation Medicine, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Muriel Farcy-Afif
- Department of Pharmacy, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Frédérique Bouchand
- Department of Pharmacy, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Pierre de Truchis
- Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Jean-Louis Herrmann
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Jean-Louis Herrmann
- Microbiology Laboratory and Hygiene, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Frédéric Barbot
- INSERM CIC1429, Clinical Investigation Center, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- David Orlikowski
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- David Orlikowski
- INSERM CIC1429, Clinical Investigation Center, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Pierre Moine
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Pierre Moine
- Intensive Care Unit, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Christian Perronne
- Department of Infectious Diseases, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Christian Perronne
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Loïc Josseran
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Loïc Josseran
- Department of Public Health, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Hélène Prigent
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Hélène Prigent
- 0Department of Physiology, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Djillali Annane
- UFR Simone Veil, Paris-Saclay University, Montigny-le-Bretonneux, France
- Djillali Annane
- Intensive Care Unit, Raymond-Poincaré Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- DOI
- https://doi.org/10.3389/fpubh.2022.709848
- Journal volume & issue
-
Vol. 10
Abstract
The COVID-19 pandemic is a unique crisis challenging healthcare institutions as it rapidly overwhelmed hospitals due to a large influx of patients. This major event forced all the components of the healthcare systems to adapt and invent new workflows. Thus, our tertiary care hospital was reorganized entirely. During the cruising phase, additional staff was allocated to a one-building organization comprising an intensive care unit (ICU), an acute care unit, a physical medicine and rehabilitation unit, and a COVID-19 screening area. The transfer of patients from a ward to another was more efficient due to these organizations and pavilion structure. The observed mortality was low in the acute care ward, except in the palliative unit. No nosocomial infection with SARS-CoV-2 was reported in any other building of the hospital since this organization was set up. This type of one-building organization, integrating all the components for comprehensive patient care, seems to be the most appropriate response to pandemics.
Keywords
