PMC:7536903 / 3173-6790 JSONTXT 7 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T27 0-46 Sentence denotes Overall goals of HITH during COVID‐19 pandemic
T28 47-176 Sentence denotes To provide safe, effective patient‐centred care at home for all HITH patients, while managing increased demand for HITH services.
T29 177-241 Sentence denotes To plan for new clinical pathways to care for COVID‐19 patients.
T30 242-284 Sentence denotes To minimise the impact of staff shortages.
T31 285-351 Sentence denotes To minimise the risk of SARS‐CoV‐2 exposure to staff and patients.
T32 353-405 Sentence denotes Issues to consider in planning for HITH preparedness
T33 406-594 Sentence denotes It is recommended that all home care services consider what is achievable within current capacity, and the responses to increased demand for HITH services with potentially decreased staff.
T34 595-663 Sentence denotes A checklist of issues to consider can support this process (Fig. 1).
T35 664-760 Sentence denotes Figure 1 Checklist for optimising hospital‐in‐the‐home (HITH) service during COVID‐19 pandemic.
T36 762-779 Sentence denotes Managing staffing
T37 780-883 Sentence denotes Workforce planning: resources required for projected increases in patient numbers, and impact of leave.
T38 884-1012 Sentence denotes Workforce flexibility: changing shift times, teleconferencing from home, especially for those with increased risk from COVID‐19.
T39 1014-1058 Sentence denotes Managing HITH equipment use and availability
T40 1059-1235 Sentence denotes HITH equipment use: minimising the risk as a source of infection through determining what needs to be in the home, cleaning requirements and lifespan of PPE stored in hot cars.
T41 1236-1405 Sentence denotes Equipment stock availability and cars: ensuring sufficient stock or supply chain of usual and additional (PPE, flocked swabs) equipment for the duration of the pandemic.
T42 1406-1566 Sentence denotes Telehealth equipment: ensuring good connection; access to videoconferencing is not universal in patients' homes, and may need to be replaced by telephone calls.
T43 1568-1593 Sentence denotes Managing patient workload
T44 1594-1728 Sentence denotes Measures to decrease current HITH workload will maximise the number of patients that can be transferred home to free up hospital beds.
T45 1729-1928 Sentence denotes Managing interventions: minimising simple referrals, frequency of interventions and duration on HITH; 10 education and support of patients remotely in their own care; deferral of elective referrals.
T46 1929-2194 Sentence denotes Managing need for in‐home visits: replacement of some in‐home visits with telehealth; 11 use of home observation kits (thermometer, oximeter) with remote monitoring; decreased driving distance, and if too far, engaging local services or rehousing patients locally.
T47 2196-2257 Sentence denotes Minimising risk of exposure to and transmission of SARS‐CoV‐2
T48 2258-2346 Sentence denotes Staff should follow current health department guidelines for screening, testing and PPE.
T49 2347-2418 Sentence denotes Risk factor screening script use: at referral and prior to every visit.
T50 2419-2562 Sentence denotes Education and training staff for PPE use: guidance on donning, doffing and waste disposal, because every visit is in an unfamiliar environment.
T51 2563-2712 Sentence denotes Limiting exposure during visits: family members should be limited in number, physically distanced and if unwell, not in the room with visiting staff.
T52 2713-2825 Sentence denotes Decreasing risk for staff at increased risk (co‐morbidities, increased age): telehealth and non‐clinical duties.
T53 2827-2841 Sentence denotes Communications
T54 2842-2932 Sentence denotes Communication is critical in ensuring that staff and patients feel informed and supported.
T55 2933-3063 Sentence denotes HITH staff: to provide updates and support, emphasise the importance of hand hygiene and other measures and provide moral support.
T56 3064-3176 Sentence denotes Hospital staff: to remind referrers of the role and capacity of HITH in ongoing institutional pandemic planning.
T57 3177-3358 Sentence denotes General practitioners, community physicians and other healthcare workers: to ensure care is co‐ordinated with other healthcare workers providing supportive care to patients at home.
T58 3359-3557 Sentence denotes Patients: to ensure they feel safe receiving home care; development of information for all patients receiving care via HITH during the pandemic and additional information for patients with COVID‐19.
T59 3558-3617 Sentence denotes 12 This may include child‐orientated language or pictures.