Lessons in cognitive unloading, skills mixing, flattened hierarchy and organisational agility from the Nightingale Hospital London during the first wave of the SARS-CoV-2 pandemic

BMJ Open Quality

article

George Benjamin Collins¹  Nikhil Ahluwalia²  Lynne Arrol⁴  Natalie Forrest⁵  Alan McGlennan⁷  Ben O'Brien⁹  Alastair Proudfoot^1,11  Matthew Trainer^1,13  Richard Schilling³  Eamonn Sullivan^1,14  Mark Westwood^1,16  Andrew Wragg^1,12  Charles Knight^1,12 

[1] Division of Medicine , University College London;Department of Cardiology , Barts Health NHS Trust;Department of Cardiac Electrophysiology , Barts Health NHS Trust;Department of Clinical Governance , Barts Health NHS Trust;Senior Responsible Owner, New Hospital Programme , Department of Health and Social Care;Chief Executive , Barnet and Chase Farm Hospitals NHS Trust;Department of Anaesthetics , Royal Free London NHS Foundation Trust;Medical Director , Barnet and Chase Farm Hospitals NHS Trust;Department of Intensive Care Medicine , Barts Health NHS Trust;Department of Anaesthetics , German Heart Center, Charité Medical Faculty;Department of Intensive Care , Barts Health NHS Trust;Queen Mary University of London;Chief Executive , Oxleas NHS Foundation Trust;Chief Nurse ,(testing), NHS Test and Trace , Department of Health and Social Care;Chief Nurse , Royal Berkshire NHS Foundation Trust;Department of Cardiac Imaging , Barts Health NHS Trust;Department of Interventional Cardiology , Barts Health NHS Trust

关键词: clinical governance;    continuous quality improvement;    COVID-19;    healthcare quality improvement;    organisational culture;   

DOI  :  10.1136/bmjoq-2021-001415

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

The Nightingale Hospital London (NHL)was the first of seven new UK NationalHealth Service (NHS) hospitals designed toaddress the potential shortfall in critical carecapacity caused by the rapidly escalating firstwave of the SARS-CoV-2 pandemic. Whenscenes of hospitals at risk of saturation werebeing broadcast internationally, the initialNHL mandate was to deliver a large-scaleintensive care unit (ICU) for up to 4000ventilated patients to increase the capacityof London’s existing hospitals. Before this,ICU bed capacity in London and Englandwas 839 and 3766, respectively.

【 授权许可】

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