Abstract

This article focuses towards the measures taken during the last three pandemic waves, caused by the SARS-CoV-2 virus. It highlights the adaptation both in the strategic approach and the different organizational aspects, focusing on security for patients who required surgical intervention.

Keywords: COVID-19 Pandemic; SARS-CoV-2 Infection; Safety Management; Surgery

References

1. Perez-Holanda S. “Organizational Aspects of Clinical Safety in Surgical Patients during the Covid-19 Pandemic in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System12 (2020): 08-21.
2. Perez-Holanda S. “Different Strategical Lines in Clinical Safety for Surgical Patients during the Two COVID-19 Pandemic Waves in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System2 (2021): 86-98.
3. Government of the Principality of Asturias. "Decree 34/2020, of December 11, by which measures are adopted to contain the spread of infections caused by SARS-CoV-2 within the framework of the state of alarm, during the Christmas Time". Official Gazette of the Principality of Asturias (BOPA) 238 (2020).
4. Government of the Principality of Asturias. "Decree 29/2020, of November 3, second modification of Decree 27/2020 of October 26, by which measures are adopted to contain the spread of infections caused by SARS-CoV-2 within the framework of the state of alarm". Official Gazette of the Principality of Asturias (BOPA) 212 (2020).
5. L. "Health Authorities attribute the rebound of the pandemic to the relaxation of the Regions". La Nueva España. Commentary in newspaper (2020).
6. Martinez M. "Vaccinate 100,000 asturians a month, a great challenge to achieve a calm summer". La Nueva España. Commentary in newspaper (2020).
7. Managing Director of the Health Service of the Principality of Asturias (SESPA). Medical Device Directorate for Coordination between Health Care Areas. "Regional monitoring COVID-19 Hospitals (date)". Daily reports in electronic spreadsheet format (2021).
8. Ordóñez L. "Asturias, the sixth world community in vaccination". La Voz de Asturias. Commentary in newspaper (2021).
9. Palicio M., et al. "The Government of the Principality of Asturias closes today the municipalities of Avilés, Castrillón and Corvera, and on Thursday the municipalities of Oviedo, Llanes and Cangas del Narcea will close". La Nueva España. Commentary in newspaper (2021).
10. Government of Spain. "Royal Decree 1039/2011, of July 15, which establishes the framework criteria to guarantee a maximum time of access to the health benefits of the National Health System". Official Gazette of Spain (BOE) 207 (2011).
11. Jimenez Idoeta J., et al. "Así se hizo la UCI 9 del HUCA" ["This is how the UCI 9 of HUCA was made"]. (2020).
12. National Statistics Institute. "Guía de las restricciones y medidas contra el coronavirus por comunidad autónoma y municipios". Technical (2021).
13. General Directorate of Public Health. "Instruction number 04/2021, to update the Vaccination Strategy against COVID-19 in Asturias in relation to Update number 4 of the National Strategy". Government of the Principality of Asturias (Oviedo, Asturias, Spain). Technical Document (2021).
14. Balibrea JM., et al. “Surgical management of patients with COVID-19 infection. Recommendations of the Spanish Association of Surgeons”. Cirugía Española5 (2020): 251-259.
15. Escudero D., et al. “Analysis of SARS-CoV-2 in the air of an ICU dedicated to COVID-19 patients”. Medicina Intensiva (2020).
16. Zapico L., et al. “HUCA and HMN Assistance Indicators Dashboards”. Management Control Service, Central University Hospital of Asturias (HUCA)”. Technical Document (2021).
17. Managing Director of Health Care Area IV. Medical Subdirectorate for Basic Services, including Department of Clinical Analysis. "Regional COVID-19 RNA cycles and depending on the Health Area of origin of the request". Daily reports in electronic spreadsheet format (2021).
18. Managing Director of the Health Service of the Principality of Asturias (SESPA). Medical Device Directorate for Coordination between Health Care Areas. "Dynamic Contingency Plan according to incidence in SESPA hospitals. version 04 (preview version)". Technical Document (2020).
19. Government of Spain. Ministry of Health and Consumption. “Handbook of Major Ambulatory Surgery Units: Standards and Recommendations”. Ministry Publications Center (Madrid, Spain). NIPO: 351-08-088-0. Technical Document (2008).