Abstract
To describe the reorganization of Belo Horizonte's Mobile Emergency Care Service during the new coronavirus pandemic using the Plan Do-Check-Act quality tool. Descriptive study, of the experience report type, on the reorganization of care in a mobile pre-hospital care service during the new coronavirus pandemic, from March to July 2020. The Plan-Do-Check-Act quality tool was applied for the process. Preparation of care protocol, meetings, training, addition of ambulances, hiring of professionals, and other actions were carried out, with subsequent evaluation and monitoring. When failures or new needs were identified, actions and changes were implemented while keeping monitoring and evaluation during the work routine. The reorganization of the service through the construction of a protocol and using the Plan-Do-Check-Act as a management tool was essential to promote safe care for professionals and patients.
Highlights
The discovery of a new type of coronavirus (SARS-CoV-2), after cases of pneumonia in Wuhan, China, left the world on alert, as this virus quickly spread to several countries
Due to its high transmissibility, the World Health Organization (WHO) declared that the outbreak of the disease caused by this virus and called Coronavirus Disease 2019 (COVID-19) constituted a public health emergency, a pandemic[1]
The first confirmed case of COVID-19 in Brazil officially occurred on February 26, 2020, at a time in which countries already facing the pandemic were experiencing health facilities overcrowding, lack of care equipment, and even scarcity or inadequate personal protective equipment use for health professionals, leading to contamination, illness, and even death of these professionals[2]
Summary
The discovery of a new type of coronavirus (SARS-CoV-2), after cases of pneumonia in Wuhan, China, left the world on alert, as this virus quickly spread to several countries. Insufficient knowledge about SARS-CoV-2, its high virulence, associated with the possibility of causing death in infected individuals generate uncertainties about this pandemic, especially among health professionals susceptible to contamination and working in the care of patients with the new coronavirus[3,4]. This reality has caused serious impacts on public health, which led to abrupt changes in the organization of health institutions, as well as in the way of assisting people infected by this disease[2]. With a focus on the safety of professionals and patients, all actions were planned based on available technical and scientific evidence, which is frequently evaluated and adjusted, as it is known that the evolution of the pandemic is dynamic, and adaptations will probably be necessary
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