tetano
Editor, Senior Moderator
Disaster Med Public Health Prep
. 2025 Feb 20:19:e42.
doi: 10.1017/dmp.2025.4. The COVID-19 Pandemic and the Hospital Surge Preparedness and Response Index: A Retrospective Study in an Italian Hospital
Paolo Rodi[SUP] 1 2 [/SUP], Eric S Weinstein[SUP] 2 3 [/SUP], Francesco Foti[SUP] 2 4 [/SUP], Roberta Somaschini[SUP] 4 [/SUP], Marco Claus[SUP] 4 [/SUP], Johan von Schreeb[SUP] 5 [/SUP]
Affiliations
Objective: To quantitatively assess key performance indicator changes between selected pre-pandemic and pandemic periods at the Sant'Anna Hospital emergency department (ED) in Como, Italy through the retrospective use of Hospital Surge Preparedness and Response index (HSPRI).
Methods: This study collected the average length of stay (LOS), time-to-physician initial assessment (TPIA), and left-without-being seen (LWBS) rates for 2 pre-pandemic (control group) and 3 pandemic periods (study group) in the COVID ED (C-ED) dedicated to treat COVID-19 patients and the non-COVID ED (NC-ED) dedicated to non-COVID cases. Quantitative analysis was based on hypothesis testing. A retrospective qualitative theme and subtheme analysis based on the HSPRI was conducted on baseline strategies before each pandemic period and on the actions implemented thereafter.
Results: LOS increased across all pandemic periods. TPIA decreased in the first 2 pandemic periods in comparison to pre-pandemic. LWBS decreased between pre-pandemic and pandemic periods. Of the 22 action items listed in the HSPRI, 8 were implemented in the first pandemic period, 8 in the second and 1 in the third, for a total of 17 items.
Conclusions: The HSPRI demonstrated value as a tool for a hospital staff to actively utilize during a pandemic to identify KPI triggers to formulate actions to maintain pre-pandemic care or ameliorate the deterioration of care during the pandemic.
Keywords: Hospital Surge Preparedness and Response Index; key performance indicators; pandemic; surge capacity.
. 2025 Feb 20:19:e42.
doi: 10.1017/dmp.2025.4. The COVID-19 Pandemic and the Hospital Surge Preparedness and Response Index: A Retrospective Study in an Italian Hospital
Paolo Rodi[SUP] 1 2 [/SUP], Eric S Weinstein[SUP] 2 3 [/SUP], Francesco Foti[SUP] 2 4 [/SUP], Roberta Somaschini[SUP] 4 [/SUP], Marco Claus[SUP] 4 [/SUP], Johan von Schreeb[SUP] 5 [/SUP]
Affiliations
- PMID: 39973164
- DOI: 10.1017/dmp.2025.4
Objective: To quantitatively assess key performance indicator changes between selected pre-pandemic and pandemic periods at the Sant'Anna Hospital emergency department (ED) in Como, Italy through the retrospective use of Hospital Surge Preparedness and Response index (HSPRI).
Methods: This study collected the average length of stay (LOS), time-to-physician initial assessment (TPIA), and left-without-being seen (LWBS) rates for 2 pre-pandemic (control group) and 3 pandemic periods (study group) in the COVID ED (C-ED) dedicated to treat COVID-19 patients and the non-COVID ED (NC-ED) dedicated to non-COVID cases. Quantitative analysis was based on hypothesis testing. A retrospective qualitative theme and subtheme analysis based on the HSPRI was conducted on baseline strategies before each pandemic period and on the actions implemented thereafter.
Results: LOS increased across all pandemic periods. TPIA decreased in the first 2 pandemic periods in comparison to pre-pandemic. LWBS decreased between pre-pandemic and pandemic periods. Of the 22 action items listed in the HSPRI, 8 were implemented in the first pandemic period, 8 in the second and 1 in the third, for a total of 17 items.
Conclusions: The HSPRI demonstrated value as a tool for a hospital staff to actively utilize during a pandemic to identify KPI triggers to formulate actions to maintain pre-pandemic care or ameliorate the deterioration of care during the pandemic.
Keywords: Hospital Surge Preparedness and Response Index; key performance indicators; pandemic; surge capacity.