Orthopaedic Walk-In Clinics: A model to lessen the burden on Emergency Departments during the COVID-19 pandemic
- PMID: 32476778
- PMCID: PMC7235590
- DOI: 10.1016/j.jor.2020.05.014
Orthopaedic Walk-In Clinics: A model to lessen the burden on Emergency Departments during the COVID-19 pandemic
Erratum in
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Erratum regarding missing Declaration of Competing Interest statements in previously published articles.J Orthop. 2020 Dec 15;24:293. doi: 10.1016/j.jor.2020.12.006. eCollection 2021 Mar-Apr. J Orthop. 2020. PMID: 33994702 Free PMC article.
Abstract
Objective: Operating duties for orthopaedic surgeons decreased during the COVID-19 pandemic, while Emergency Department (ED) cases surged. Orthopaedic Walk-In Clinics (OWICs) were implemented to manage urgent musculoskeletal cases.
Methods: OWICs, organized in three days, were staffed by one orthopaedic surgeon, one triage person, three medical assistants, and a physician assistant/nurse practitioner.
Results: Musculoskeletal non-emergency ED referrals decreased by 40.6% (p < 0.001) after initiation of the OWICs, allowing optimal use of resources to address the COVID-19 surge.
Conclusion: This paper describes the OWIC model and its preliminary impact. The OWICs could serve as a template for other orthopaedic departments during the pandemic.
© 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.
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References
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- World Health Organization (Who) Coronavirus disease 2019 (COVID-19) situation report – 51. https://www.who.int/
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- American College of Surgeons Covid 19: elective case triage guidelines for surgical care. Orthopaedics. March 24, 2020 https://www.facs.org/covid-19/clinical-guidance/elective-case/orthopaedics
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- Center for Medicare and Medicaid Services Non-emergent, elective medical services, and treatment recommendations. April 7, 2020. https://www.cms.gov/files/document/cms-non-emergent-elective-medical-rec...
