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. 2023 Nov;12(11):2733-2737.
doi: 10.4103/jfmpc.jfmpc_1444_21. Epub 2023 Nov 21.

Management of COVID-19 during the second wave at a tertiary care public hospital in Eastern India: An experience from the administrative control room

Siddharth Mishra  1 , Ramkrishna Mondal  1 , Jawahr S K Pillai  1 , Mukunda Chandra Sahoo  1
Affiliations

Management of COVID-19 during the second wave at a tertiary care public hospital in Eastern India: An experience from the administrative control room

Siddharth Mishra et al. J Family Med Prim Care. 2023 Nov.

Abstract

Context: Though many arrangements had been made during the first wave, multiple complaints were reported regarding the arrangements made for COVID patients. The control room was set up as a 24 × 7 administrative coordination center to attend to issues after the initial setup of COVID units.

Aim: To identify the major problems reported to the control room during the second wave of COVID-19 and find the related cause for the same.

Methods and materials: Issues reported to the control room were recorded from April to June (2021). The control room residents were asked to allocate each problem into six categories. Next, the residents allotted a frequency score to each of the problems depending on how regularly it was reported. Secondary data from various reports were also considered.

Statistical analysis used: Data were analyzed using MS Excel software.

Results: Various administrative issues were identified to be due to issues in communication and coordination (23%), policy and procedures (22%), human resource and training (16%), administration and implementation (15%), infrastructure (14%), and HMIS and IT (10%).

Conclusion: Most frequent problems reported to the control room were related to infrastructure, policy implementation, and manpower training. After the initial implementation of new processes, there was a requirement for regular follow-up and coordination. This model of setting up an administrative control room and evidence-based approach will serve as a template for public hospitals to ensure coordination of hospital operations.

Keywords: COVID-19; Control room; hospital administration; hospital management; pandemic preparedness; second wave.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Stepwise increase in dedicated COVID-19 general ward beds
Figure 2
Figure 2
Stepwise increase in ICU beds
Figure 3
Figure 3
Increase in ventilator demand for COVID-19 patients
Figure 4
Figure 4
Stepwise increase in oxygen beds for COVID-19 patients against demand
Figure 5
Figure 5
Percentage wise attribution of issues to different categories
See this image and copyright information in PMC

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