Factors Impacting Readiness to Perform Secondary Population-Based Triage During the Second Wave of COVID-19 in Victoria, Australia : Pilot Study

OBJECTIVE: Pandemics generate such a significant demand for care that traditional triage methods can become saturated. Secondary population-based triage (S-PBT) overcomes this limitation. Although the coronavirus disease (COVID-19) pandemic forced S-PBT into operation internationally during the first year of the pandemic, Australian doctors were spared this responsibility. However, the second wave of COVID-19 provides an opportunity to explore the lived experience of preparing for S-PBT within the Australian context.The aim of this study is to explore the lived experience of preparing to operationalize S-PBT to allocate critical care resources during Australia's second wave of COVID-19 in 2020.

METHODS: Intensivists and emergency physicians working during the second Victorian COVID-19 surge were recruited by purposive non-random sampling. Semi-structured interviews were hosted remotely, recorded, transcribed, and coded to facilitate a qualitative phenomenological analysis.

RESULTS: Six interviews were conducted with an equal mix of intensivists and emergency doctors. Preliminary findings from a thematic analysis revealed 4 themes: (1) threat of resources running; (2) informed decision requiring information; (3) making decisions as we always do; and (4) a great burden to carry.

CONCLUSION: This is the first description of this novel phenomenon within Australia and, in doing so, it identified a lack of preparedness to operationalize S-PBT during the second wave of COVID-19 in Australia.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Disaster medicine and public health preparedness - 17(2023) vom: 09. März, Seite e371

Sprache:

Englisch

Beteiligte Personen:

Horn, Zachary B [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Crisis resource management
Disaster planning
Journal Article
Population-based triage
Resource allocation

Anmerkungen:

Date Completed 06.04.2023

Date Revised 26.04.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1017/dmp.2023.41

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35397675X