TY  - JOUR
A1  - Flemming, S.
A1  - Hankir, M.
A1  - Ernestus, R.-I.
A1  - Seyfried, F.
A1  - Germer, C.-T.
A1  - Meybohm, P.
A1  - Wurmb, T.
A1  - Vogel, U.
A1  - Wiegering, A.
T1  - Surgery in times of COVID-19 — recommendations for hospital and patient management
JF  - Langenbeck's Archives of Surgery
N2  - Background
The novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2), has escalated rapidly to a global pandemic stretching healthcare systems worldwide to their limits. Surgeonshave had to immediately react to this unprecedented clinical challenge by systematically repurposing surgical wards.

Purpose
To provide a detailed set of guidelines developed in a surgical ward at University Hospital Wuerzburg to safelyaccommodate the exponentially rising cases of SARS-CoV-2 infected patients without compromising the care of emergencysurgery and oncological patients or jeopardizing the well-being of hospital staff.

Conclusions
The dynamic prioritization of SARS-CoV-2 infected and surgical patient groups is key to preserving life whilemaintaining high surgical standards. Strictly segregating patient groups in emergency rooms, non-intensive care wards andoperating areas prevents viral spread while adequately training and carefully selecting hospital staff allow them to confidentlyand successfully undertake their respective clinical duties.
KW  - SARS-CoV-2
KW  - COVID-19
KW  - Surgery
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-231766
SN  - 1435-2443
VL  - 405
ER  - 
TY  - JOUR
A1  - Grundgeiger, T.
A1  - Albert, M.
A1  - Reinhardt, D.
A1  - Happel, O.
A1  - Steinisch, A.
A1  - Wurmb, T.
T1  - Real-time tablet-based resuscitation documentation by the team leader: evaluating documentation quality and clinical performance
JF  - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
N2  - Background
Precise and complete documentation of in-hospital cardiopulmonary resuscitations is important but data quality can be poor. In the present study, we investigated the effect of a tablet-based application for real-time resuscitation documentation used by the emergency team leader on documentation quality and clinical performance of the emergency team.

Methods
Senior anaesthesiologists either used the tablet-based application during the simulated resuscitation for documentation and also used the application for the final documentation or conducted the full documentation at the end of the scenario using the local hospital information system. The latter procedure represents the current local documentation method. All scenarios were video recorded. To assess the documentation, we compared the precision of intervention delivery times, documentation completeness, and final documentation time. To assess clinical performance, we compared adherence to guidelines for defibrillation and adrenaline administration, the no-flow fraction, and the time to first defibrillation.

Results
The results showed significant benefits for the tablet-based application compared to the hospital information system for precision of the intervention delivery times, the final documentation time, and the no-flow fraction. We observed no differences between the groups for documentation completeness, adherence to guidelines for defibrillation and adrenaline administration, and the time to first defibrillation.

Discussion
In the presented study, we observed that a tablet-based application can improve documentation data quality. Furthermore, we demonstrated that a well-designed application can be used in real-time by a member of the emergency team with possible beneficial effects on clinical performance.

Conclusion
The present evaluation confirms the advantage of tablet-based documentation tools and also shows that the application can be used by an active member of an emergency team without compromising clinical performance.
KW  - cardiac arrest documentation
KW  - cardiopulmonary resuscitation
KW  - simulation
KW  - no-flow fraction
Y1  - 2016
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-146582
VL  - 24
IS  - 51
ER  -