Centro Hospitalar Universitário Lisboa Central
Hospital human resource allocation during a pandemic crisis: innovative reorganization in Internal Medicine and its effect in the Emergency Department
The Centro Hospitalar Universitário Lisboa Central developed a complementary emergency teams model (CETM) to cope with staff shortages brought about by the pandemic. The CETM consisted of defining a pool of 110 clinicians, who rotated full-time among units according to crisis demand. Initially, 40% of the doctors were placed in the emergency department (ED), 20% in the intensive care unit, and the other 40% were split among both COVID-dedicated and non-dedicated wards. They rotated among units every three weeks they rotated between units, taking into account their respective technical skills. In every rotation, the crisis status and distribution were reviewed.
The model combines stability and flexibility and allows the hospital to quickly adapt to changing needs brought about by the pandemic. At the same time, staff were given the opportunity to experience multidisciplinary teamwork. The CETM model improved teamwork and interpersonal relations among team members by maintaining a close interaction and communication between units.