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. |