PMID- 32941059
OWN - NLM
STAT- MEDLINE
DCOM- 20210225
LR  - 20210225
IS  - 1539-3704 (Electronic)
IS  - 0003-4819 (Print)
IS  - 0003-4819 (Linking)
VI  - 174
IP  - 2
DP  - 2021 Feb
TI  - Managing COVID-19 in a Novel, Rapidly Deployable Community Isolation Quarantine 
      Facility.
PG  - 247-251
LID - 10.7326/M20-4746 [doi]
LID - M20-4746
AB  - Singapore is one of the most densely populated small island-states in the world. 
      During the coronavirus disease 2019 (COVID-19) pandemic, Singapore implemented 
      large-scale institutional isolation units called Community Care Facilities (CCFs) 
      to combat the outbreak in the community by housing low-risk COVID-19 patients 
      from April to August 2020. The CCFs were created rapidly by converting existing 
      public spaces and used a protocolized system, augmented by telemedicine to enable 
      a low health care worker-patient ratio (98 health care workers for 3200 beds), to 
      operate these unique facilities. In the first month, a total of 3758 patients 
      were admitted to 4 halls, 4929 in-house medical consults occurred, 136 patients 
      were transferred to a hospital, 1 patient died 2 weeks after discharge, and no 
      health care workers became infected. This article shares the authors' experience 
      in operating these massive-scale isolation facilities while prioritizing safety 
      for all and ensuring holistic patient care in the face of a public health crisis 
      and lean health care resources.
FAU - Chia, Ming Li
AU  - Chia ML
AUID- ORCID: 0000-0002-1426-538X
AD  - Ministry of Health Holdings, Singapore (M.L.C.).
FAU - Him Chau, Dickson Hong
AU  - Him Chau DH
AD  - Singapore General Hospital, Singapore (D.H.H., K.S.L., C.W.Y., H.K.T., Y.R.T.).
FAU - Lim, Kheng Sit
AU  - Lim KS
AUID- ORCID: 0000-0001-8784-3489
AD  - Singapore General Hospital, Singapore (D.H.H., K.S.L., C.W.Y., H.K.T., Y.R.T.).
FAU - Yang Liu, Christopher Wei
AU  - Yang Liu CW
AUID- ORCID: 0000-0001-7807-9263
AD  - Singapore General Hospital, Singapore (D.H.H., K.S.L., C.W.Y., H.K.T., Y.R.T.).
FAU - Tan, Hiang Khoon
AU  - Tan HK
AD  - Singapore General Hospital, Singapore (D.H.H., K.S.L., C.W.Y., H.K.T., Y.R.T.).
FAU - Tan, Yan Ru
AU  - Tan YR
AD  - Singapore General Hospital, Singapore (D.H.H., K.S.L., C.W.Y., H.K.T., Y.R.T.).
LA  - eng
PT  - Journal Article
DEP - 20200917
PL  - United States
TA  - Ann Intern Med
JT  - Annals of internal medicine
JID - 0372351
SB  - IM
MH  - COVID-19/*epidemiology/*prevention & control
MH  - *Facility Design and Construction
MH  - Humans
MH  - Pandemics
MH  - *Quarantine
MH  - SARS-CoV-2
MH  - Singapore/epidemiology
MH  - Telemedicine
PMC - PMC7505018
COIS- Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed 
      at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-4746.
EDAT- 2020/09/18 06:00
MHDA- 2021/02/26 06:00
PMCR- 2020/09/21
CRDT- 2020/09/17 17:15
PHST- 2020/09/18 06:00 [pubmed]
PHST- 2021/02/26 06:00 [medline]
PHST- 2020/09/17 17:15 [entrez]
PHST- 2020/09/21 00:00 [pmc-release]
AID - aim-olf-M204746 [pii]
AID - 10.7326/M20-4746 [doi]
PST - ppublish
SO  - Ann Intern Med. 2021 Feb;174(2):247-251. doi: 10.7326/M20-4746. Epub 2020 Sep 17.