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Zhelyazkova, Ana; Fischer, Philipp M.; Thies, Nina; Schrader-Reichling, Julia S.; Kohlmann, Thorsten; Adorjan, Kristina; Huith, Rene; Jauch, Karl-Walter und Prückner, Stephan (2022): COVID-19 management at one of the largest hospitals in Germany: Concept, evaluation and adaptation. In: Health Services Management Research, Bd. 36, Nr. 1: S. 63-74 [PDF, 836kB]

Abstract

Context: The LMU University Hospital is among the largest healthcare facilities in Germany. The measures implemented prior to and during the first pandemic wave of COVID-19, were evaluated in preparation of a second pandemic wave. This paper presents the pandemic management concept, evaluation and adaptation of LMU University Hospital. Methods: Between July and September 2020 the disaster management team of LMU University Hospital conducted a mixed-method evaluation of the hospital's pandemic management. A workshop series based on the After Action Review working group format was organized to examine the management structure, decision-making processes, documentation, and crisis preparedness response for a second COVID-19 wave. Further, the satisfaction of employees with the hospital's COVID-19 management was examined through an anonymous survey. Results: The workshop series highlighted a need for structural and operational adaptation of the COVID-19 management at LMU University Hospital. The results of the employee survey (N = 2182) provided positive feedback for the measures taken during the first pandemic wave. Specific actions were derived concerning the availability of personal protective equipment and emergency childcare services. A key outcome of both evaluation activities was the identified need for further improvement in communication between stakeholders. All changes were adopted prior to the second pandemic wave.

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