Table 1.
Safe hospital strategies in South Korea.
Individual strategy | Description | |
---|---|---|
Hospital-level strategies | Education and training of hospital staff | • Personal protective equipment (PPE) – wearing and removing process. |
• High-risk behaviors and conditions. | ||
• Environmental cleaning and disinfection. | ||
Universal masking and hand hygiene | • All visitors and staff were required to wear a mask in the hospital. | |
• Hand sanitizer was placed throughout the hospital. | ||
Inpatient monitoring for new-onset fever and respiratory symptoms | Hospitalized patients with new-onset fever or respiratory symptoms were screened and SARS-CoV-2 RT-PCR was done based on individual assessment. | |
Governmental strategies | Hospital gate screening (strengthened triage in the emergency room and at the main hospital entrance) | • A restricted number of hospital gates were opened. |
• Fever, respiratory symptoms, and epidemiological relevance were screened at the entrance; a fever detector, structured reporting form, and a mobile application were used. | ||
Specialized clinics for patients suspected to have COVID-19 | Two specialized clinics were put into operation outside the main hospital building during the COVID-19 pandemic. | |
• Clinics for patients under investigation who had an epidemiological link with COVID-19. | ||
• Clinics for patients with fever or respiratory symptoms. | ||
Preemptive isolation of pneumonia patients | All patients with pneumonia were preemptively isolated; they were released only after negative confirmation of SARS-CoV-2 RT-PCR. | |
High throughput diagnostic testing (RT-PCR) | Rapid testing enabled efficient operation of the insufficient isolation rooms. | |
Strategies to reduce the hospital workload for COVID-19 | • Patients with a mild illness were guided to take SARS-CoV-2 RT-PCR tests at public health centers, not at hospitals. | |
• Patients with mild laboratory-confirmed COVID-19 were cared for in residential treatment centers. | ||
Telemedicine | Patients from COVID-19 outbreak areas were not permitted to visit the hospitals. Instead, they were counseled and prescribed medicine via telemedicine. |
COVID-19, coronavirus disease 2019; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.