Journal of Emergencies, Trauma, and Shock
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Year : 2020  |  Volume : 13  |  Issue : 4  |  Page : 239-245

Infection control measures, in situ simulation, and failure modes and effect analysis to fine-tune change management during COVID-19

1 Department of Emergency Medicine, Singapore General Hospital, Singapore
2 Department of Research and Innovation, St. Luke’s University Health Network, Bethlehem, Pennsylvania, USA
3 Department of Emergency Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
4 Department of Emergency Medicine, Florida State University, Sarasota Memorial Hospital, Sarasota, Florida, USA

Correspondence Address:
Prof. Fatimah Lateef
Department of Emergency Medicine, Singapore General Hospital
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JETS.JETS_119_20

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Coronavirus disease 2019 (COVID-19) was an impetus for a multitude of transformations – from the ever-changing clinical practice frameworks, to changes in our execution of education and research. It called for our decisiveness, innovativeness, creativity, and adaptability in many circumstances. Even as care for our patients was always top priority, we tried to integrate, where possible, educational and research activities in order to ensure these areas continue to be harnessed and developed. COVID-19 provided a platform that stretched our ingenuity in all these domains. One of the mnemonics we use at SingHealth in responding to crisis is PACERS: P: Preparedness (in responding to any crisis, this is critical) A: Adaptability (needed especially with the ever-changing situation) C: Communications (the cornerstone in handling any crisis) E: Education (must continue, irrespective of what) R: Research (new opportunities to share and learn) S: Support (both physical and psychological). This article shares our experience integrating the concept of simulation-based training, quality improvement, and failure mode analysis.

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