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Document Type
Evidence Search Report
Review Code
LTC042401-01 ESR
Question Submitted
April 24, 2020
Date Completed
April 30, 2020
Status
3. Completed
Research Team
Long Term Care
Document Type
Evidence Search Report
Review Code
LTC042401-01 ESR
Question Submitted
April 24, 2020
Date Completed
April 30, 2020
Status
3. Completed
Research Team
Long Term Care
Category
Administration
Subject
Facilities
Decision Making
Family
Long Term Care
Population
All
Clinical Setting
ICU
Long Term Care
Medicine Unit
NICU
Oncology
Priority Level
Level 4 completed within 1 week
Cite As
Boden, C; Ellsworth, C. What are best practices for engaging family care providers during a pandemic? 2020 Apr 30; Document no.: LTC042401-01 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 32 p. (CEST evidence search report)
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Document Type
Rapid Review
Review Code
LTC042401 RR
Question Submitted
April 24, 2020
Date Completed
May 7, 2020
Status
3. Completed
Research Team
Long Term Care
Document Type
Rapid Review
Review Code
LTC042401 RR
Question Submitted
April 24, 2020
Date Completed
May 7, 2020
Status
3. Completed
Research Team
Long Term Care
Key Findings
Core concepts of family engagement include dignity and respect, information sharing, participation in care and decision making, and collaboration (Hart 2020).
A careful balance needs to be maintained between attending to patients’ physical and psychological needs and adhering to infection control guidelines, while offering psychological support to family members (Chan 2006).
The word ‘visitation’ does not adequately describe family members’ involvement. Family presence is a more suitable term as it redefines families as partners in care (Hart 2020). However, it is important to recognize that family presence is not a substitute for adequate staffing levels.
Very little guidance is provided in the literature on innovative or specific approaches engage family care providers during a pandemic. The literature mainly focuses on supporting alternate forms of communication such as telephone calls, or technology assisted communication through social media or video/voice calls.
Enhanced communication strategies that provide regular information to a primary family contact on the patient/resident condition and allow chosen care partners to contribute to decision making as much as possible are recommended (Koller 2006).
The negative impact of visitation restrictions places increased stress on patients/residents and families who are unable to provide or receive non-healthcare specific supportive care. Those with neurocognitive disorders or communication barriers are more significantly impacted.
Staff also report increased stress during family visitation restrictions due to the additional time required to take on a “familial role” for the patient/resident. These roles may include providing a supportive environment, social interaction, information sharing, and opportunities for play (Koller 2006a – pediatric hospital setting).
The search question did not specifically look at impact of visitation on infection rates; therefore, there is insufficient information to determine if visitation policies affect infection rates. However, a systematic review in pediatric hospital setting in Ontario found no connection between liberal visiting hours and increased SARS infection rates (Smith 2009).
When facilitating sibling visitation in the NICU, a pre-visit education process is recommended. Maternity settings may wish to consider a 'combination' policy, where the women's partners and/or significant other would have open visiting (all day), with restricted visiting for others. In other general hospital ward settings, open visiting with a 'quiet hour' is suggested (Smith 2009).
Category
Administration
Subject
Facilities
Decision Making
Family
Long Term Care
Population
All
Clinical Setting
ICU
Long Term Care
Medicine Unit
NICU
Oncology
Priority Level
Level 4 completed within 1 week
Cite As
Tupper, S; Ward, H; Dalidowicz, M; Boden, C; Ellsworth, C; What are best practices for engaging family care providers during a pandemic? 2020 Apr 16; Document no.: LTC042401 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 22 p. (CEST rapid review report)
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Document Type
Evidence Search Report
Review Code
EOC071001-01 ESR
Question Submitted
July 10, 2020
Date Completed
July 10, 2020
Status
3. Completed
Research Team
EOC
Document Type
Evidence Search Report
Review Code
EOC071001-01 ESR
Question Submitted
July 10, 2020
Date Completed
July 10, 2020
Status
3. Completed
Research Team
EOC
Category
Administration
Epidemiology
Subject
Disease Outbreak
Public Health
Health Planning
Decision Making
Population
All
Clinical Setting
Community
Emergency
Long Term Care
Other
All acute care.
Priority Level
Level 5 completed within 2 weeks
Cite As
Ellsworth, C; Young, C. What is the definition of an outbreak versus a cluster for COVID-19 in different clinical and community settings in Canada, the US, and the UK? 2020 Jul 10; Document no.: EOC071001-01 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 9 p. (CEST evidence search report)
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Document Type
Rapid Review
Review Code
EOC071001 RR
Question Submitted
July 10, 2020
Date Completed
July 27, 2020
Status
3. Completed
Research Team
EOC
Document Type
Rapid Review
Review Code
EOC071001 RR
Question Submitted
July 10, 2020
Date Completed
July 27, 2020
Status
3. Completed
Research Team
EOC
Key Findings
· The terms cluster and outbreak both describe the occurrence of new disease cases within a particular location and time period. The number of cases within a cluster are not necessarily greater than what is expected, however in an outbreak the number of cases does exceed the usual norm. · In an outbreak the cases are confirmed to be epidemiologically linked while in a cluster an epidemiological connection is only suspected. · Not all clusters are outbreaks, however each cluster needs to be investigated
· Understanding how to characterize COVID-19 cases based on a suspected or proven epidemiological link can better guide prevention of disease spreading
Category
Administration
Epidemiology
Subject
Disease Outbreak
Public Health
Health Planning
Decision Making
Population
All
Clinical Setting
Community
Emergency
Long Term Care
Other
All acute care.
Priority Level
Level 5 completed within 2 weeks
Cite As
Radu, L; Badea, A; Groot, G; Ellsworth, C; Young, C. What is the definition of an outbreak versus a cluster for COVID-19 in different clinical and community settings in Canada, the US, and the UK? 2020 Jul 27; Document no.: EOC071001 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 11 p. (CEST rapid review report)
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Document Type
Evidence Search Report
Review Code
CAC220101 ESR
Question Submitted
January 11, 2022
Date Completed
January 14, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Document Type
Evidence Search Report
Review Code
CAC220101 ESR
Question Submitted
January 11, 2022
Date Completed
January 14, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Category
Administration
Healthcare Services
Subject
Decision Making
Health Planning
Hospitalization
Population
All
Clinical Setting
Ambulatory
Cardiac unit
Community
Dialysis unit
Emergency
EMS
ICU
Long Term Care
Medicine Unit
NICU
Oncology
Primary care
Public Health
Other
Priority Level
Level 2 One week (7 days)
Cite As
Howell-Spooner, B; Young, C. What is the (case) definition of hospitalization for COVID-19 in similar? 2022 Jan 14. Document no.: CAC220101 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. 13 p. (CEST rapid review report).
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Document Type
Table
Review Code
CAC220101 RR Table
Question Submitted
January 11, 2022
Date Completed
February 10, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Document Type
Table
Review Code
CAC220101 RR Table
Question Submitted
January 11, 2022
Date Completed
February 10, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Category
Administration
Healthcare Services
Subject
Decision Making
Health Planning
Hospitalization
Population
All
Clinical Setting
Ambulatory
Cardiac unit
Community
Dialysis unit
Emergency
EMS
ICU
Long Term Care
Medicine Unit
NICU
Oncology
Primary care
Public Health
Other
Priority Level
Level 2 One week (7 days)
Cite As
Asamoah, G; Badea, A; Reeder, B; Groot, G; Muhajarine, N; Howell-Spooner, B; Young, C. What is the (case) definition of hospitalization for COVID-19 in similar jurisdictions? 2022 Feb 10. Document no.: CAC220101 RR Table. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. (CEST Table).
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CAC220101 RR Table

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Less detail
Document Type
Rapid Review
Review Code
CAC220101 RR
Question Submitted
January 11, 2022
Date Completed
February 10, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Document Type
Rapid Review
Review Code
CAC220101 RR
Question Submitted
January 11, 2022
Date Completed
February 10, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Key Findings
January 26, 2022
There exists some ambiguity across jurisdictions and thus there is no clear universal case definition of COVID-19 hospitalization.
Public Health Ontario measures hospitalization as “the number of confirmed COVID-19 cases that reported ever being hospitalized during their infection”- i.e., all cases reported as ever being hospitalized during their infection.
The category “incidental COVID-19 hospitalizations” has been proposed. This refers to patients who are primarily admitted for other ailments and test positive as part of routine screening.
Some jurisdictions and health agencies have started differentiating between those who were admitted for COVID-19-related illness and incidental admissions. Ontario and Saskatchewan have begun using this category in their regular reporting of COVID-19 statistics.
New data from Australia, New Zealand, the US, and Canada indicate that 30 to 50 percent of COVID-19 hospitalizations are “incidental COVID-19 hospitalization” – 46% of COVID-19 hospitalizations in Ontario (as of January 11th, 2022) and 40% in Saskatchewan (as of January 26th, 2022)
Some expert opinions caution that such binary categorization may oversimplify clinical reality, and suggests also employing an ‘indeterminate’ category
Category
Administration
Healthcare Services
Subject
Decision Making
Health Planning
Hospitalization
Population
All
Clinical Setting
Ambulatory
Cardiac unit
Community
Dialysis unit
Emergency
EMS
ICU
Long Term Care
Medicine Unit
NICU
Oncology
Primary care
Public Health
Other
Priority Level
Level 2 One week (7 days)
Cite As
Asamoah, G; Badea, A; Reeder, B; Groot, G; Muhajarine, N; Howell-Spooner, B; Young, C. What is the (case) definition of hospitalization for COVID-19 in similar jurisdictions? 2022 Feb 10. Document no.: CAC220101 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. 9 p. (CEST rapid review report).
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7 records – page 1 of 1.