The Impact of MERS-Cov: Service and Systems Re-design: The Creation of the Caswell – Hijazi Model
American Journal of Nursing Science
Volume 8, Issue 5, October 2019, Pages: 200-209
Received: May 11, 2019;
Accepted: Jul. 5, 2019;
Published: Aug. 5, 2019
Views 410 Downloads 98
Angela Caswell, Department of Nursing King Abdullah Specialist and Children’s Hospital, Saudi Arabia Kingdom, University of South Wales and South Bank University, United Kingdom
Raed Hijazi, Department of Emergency, Shaikh Khalifa Medical City, Abu Dhabi, George Washington University, Columbia, King Abdulaziz University, Saudi Arabia Kingdom, Seton Hall University, New Jersey
Middle Eastern Corona virus (MERS-Cov) has been acknowledged globally as a novel and evolving pathogen. First detected in 2012, approximately 1,000 confirmed cases reported by World Health Organization and linked to travel to Saudi Arabia. The declaration of an epidemic in the Arabian Peninsula gained the global attention. The summer of 2015 witnessed a MERS-Cov outbreak resulting in the closure of a major Middle Eastern university teaching hospital. Overcrowding and delays were acknowledged as contributory factors. Patient flow processes were not streamlined resulting in frustration amongst staff and patients. Lack of knowledge related to the mode of transmission of this pathogen added to the challenges faced within the Emergency Department. A complete system and service re-design took place with the introduction of the Kingdom’s first Drive Through Screening and Streaming Unit (along with secondary screening and surveillance checkpoints) using an Acute Respiratory Illness tool, to direct potentially infected patients to designated isolation areas to a flu clinic equipped to manage all suspected cases of MERS-Cov and isolated away from the main Emergency Department. This novel concept has been developed to ensure safe and efficient screening and streaming of suspected cases, The Caswell – Hijazi Model.
The Impact of MERS-Cov: Service and Systems Re-design: The Creation of the Caswell – Hijazi Model, American Journal of Nursing Science.
Vol. 8, No. 5,
2019, pp. 200-209.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Zaid, M. Abdullah, A. Rafaat, A. Suben, Y. Malak, A. Alimuddin, Z. Al-Tawfiq, J. A. Christian, D. Ali, A. Eskild, P. 2014. Middle Eastern Respiratory Corona Virus, MERSCov- Conclusions from the 2nd Scientific.
Sirkin, HL. Keenan, P. Jackson, A. The Hard Side of Change Management 2005. Harvard Business Review.
McCaig and Nawar 2006. Variation in Emergency Department Wait Times for Children by Race/Ethnicity and Payment Source, Frequent Overcrowding in U.S. Emergency Departments ACADEMIC EMERGENCY MEDICINE February 2001, Volume 8, Number 2 151.
Nadler, D. A., & Tushman, M. L. 1977. A diagnostic model for organization behavior. In J. R. Hackman, E. E. Lawler, & L. W. Porter (Eds.), Perspectives on behavior in organizations: 85-100. New York: McGraw-Hill.
David I Ben-Tovim, Jane E Bassham, Denise M Bennett, Melissa L Dougherty, Margaret A Martin, Susan J O’Neill, Jackie L Sincock and Michael G Szwarcbord. Redesigning care at the Flinders Medical Centre: clinical process redesign using “lean thinking.” Med J Aust 2008; 188 (6 Suppl): S27.
Sahin M. K. Aker S. Tuncel E. K. Knowledge, Attitudes and Practices Concerning Middle East Respiratory Syndrome Among Umrah and Hajj Pilgrims in Samsun, Turkey 2015. Advisory Board Meeting of the WHO Collaborating Centre for Mass Gathering Medicine, Riyadh. International Journal of Infectious Disease. Volume 24, pp 51-53.
Armony M. Israelit S. Mandelbaum A. Marmer Y. N. Tseytlin Y. Yom-Tov G. B. On Patient Flow in Hospitals: a data-based queueing science perspective. Stochastic Systems 2015 volume5 #1: 146-19.
Singer, A. J. Thode, H. C. Viccellio, P. Pines, J. M. The Association between Length of Emergency Department Boarding and Mortality. Academic Emergency Medicine 13th December 2011.
Beveridge, R. Clarke, B. Janes, L. Savage, N. Thompson, J. Dodd, G. Murray, H. Nijssen-Jordan, C. Warren, D. Vandebencoeur, A. Implementation Guidelines for The Canadian Emergency Department Triage and Acuity Scale (CTAS). Version 16. November 1998.
Scott, I. Vaughan, L. Bell, D. International Journal of quality Health Care (2009) 21 (6): 397-407.
Hassan, T. B. Clinical decision units in the emergency department: old concepts, new paradigm, and refining gate keeping. Emergency Medical Journal 2003: 20: 123-125.
Pearson, S. D. Goulart- Fisher, D. Lee, T. H. Clinical pathways as a strategy for improving care: problems and potential. Ann. International Med. 1995, 123: 941-8.
Scoville, R. Little, K. Comparing Lean and Quality Improvement, Cambridge, Massachusses Institute for Healthcare Improvement. 2014.
Wolf, L. 2014 Research as Problem Solving: Theoretical Frameworks as Tools. Journal of Emergency Nursing Volume 41. Issue 1 p 83-85.
Ordensson, S. Johnsson, H. Rognes, J. Lind, L. Goransson, K. Ehrenberg, A. Asplund, K. Castren, M. Farrohkina, N. 2011. A systematic review of triage-related interventions to improve patient flow in emergency departments. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 19: 43.