Abstract
COVID-19 was identified in Wuhan, China, in December of 2019. Afterwards, it spreads all over the World and causes many difficulties in health management in many countries. Many risk analysis methods have been applied to control and minimize contamination risks.This study aims to understand the COVID-19 management process in health care facilities using the Functional Resonance Analysis Method (FRAM) to facilitate the safety analysis, taking account of the system response to different operating conditions and various risks.The hospital process of COVID-19 patient is examined in three public and one private hospital in Istanbul/Turkey. The information is taken with teleconference meetings over 34 hours with 16 doctors and 12 nurses during a month. The model is applied by "FRAM Model Visualizer" to determine potential couplings between the functions and their potential impact on the hospital process. Fourteen functions are identified to analyze the hospital process of a patient, and multiple scenarios are developed with consideration for the progress conditions of the system. It has been concluded that FRAM does not remain at the conceptual level with application studies, but it is very suitable for many complex systems such as case analyzes such as pandemic and disaster scenarios. Keywords: COVID-19, pandemic, Functional resonance analysis method, Health care facilities DOI: 10.7176/JHMN/80-13 Publication date: September 30 th 2020
Highlights
Coronavirus outbreak is an ongoing pandemic and over 12,1 million people across the two hundred countries have been infected according to the last updates of the World Health Organization (WHO, 2020a)
Many risk analysis methods have been applied to control and minimize contamination risks.This study aims to understand the COVID-19 management process in health care facilities using the Functional Resonance Analysis Method (FRAM) to facilitate the safety analysis, taking account of the system response to different operating conditions and various risks.The hospital process of COVID-19 patient is examined in three public and one private hospital in Istanbul/Turkey
The hospital processes of COVID-19 patients in Istanbul/Turkey were examined after the announcement of the pandemic
Summary
Coronavirus outbreak is an ongoing pandemic and over 12,1 million people across the two hundred countries have been infected according to the last updates of the World Health Organization (WHO, 2020a). Humanity has faced a severe pandemic through the history that spreads rapidly all over the earth. If a defined brand new virüs is able to spread from person to person while infecting the contacts quickly with a sustained and efficient way, it is called a pandemic (WHO, 2020). The novel coronavirus (2019-nCoV) fulfils all those definitions strongly. At the end of the year 2019, Wuhan city of Chine cradled the first case of the novel coronavirus. 2019-nCoV is a new member of the Severe Acute Respiratory Syndrome coronavirus family (SARS-CoV) and labelled as SARS-CoV-2 (WHO, 2020b) The WHO named the 2019-nCoV epidemic disease on February 11, 2020, as coronavirus disease (Covid-19). 2019-nCoV is a new member of the Severe Acute Respiratory Syndrome coronavirus family (SARS-CoV) and labelled as SARS-CoV-2 (WHO, 2020b)
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