Table 2.
Strengths, weaknesses, opportunities, and threats (SWOT) analysis of the AMU-ED strategy
Strengths | Weaknesses | Opportunities | Threats |
---|---|---|---|
Ability to provide emergency care within the same area and within the hospital’s walls. | AMU staff does not usually care for ED patients. Therefore, they have to be supervised/assisted by ED staff. | Avoiding the need for an external shelter facility may reduce costs and possible waste of resources. | Maximum capacity of the conjoined AMU-ED may not be sufficient during a pandemic. |
Staff is familiar with AMU and ED area and its processes. | ED staff has to be distributed over 2 departments, but not in the extend required for an external facility. | Applying the AMU-ED strategy does not exclude the set up of an external shelter facility if indicated. | Unsure whether segregation of cases with pretriage screening is actually safe. |
The AMU has successfully served as a temporary ED in the past. | Unstable patients cannot be treated in the AMU area. | The set up of an external shelter facility may lead to social anxiety (“the hospital is not in control anymore”), whilst the AMU-ED strategy is not visible on the outside. | Triage criteria continue to evolve. |
Climate control issues are not expected. | Clinical AMU capacity (both staff and space) cannot be used for admissions. | ||
AMU-ED can be dynamically deployed and used for future waves of this pandemic. |