{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T06:05:38Z","timestamp":1765778738175,"version":"3.48.0"},"reference-count":14,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":1709,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,30]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study analysed screening for COVID-19 before surgery and outcomes of any perioperative testing for SARS-CoV-2 infection during pandemic-restricted surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An audit was conducted with routinely collected health data before both elective and non-elective surgery at two large Melbourne hospitals during April and early May 2020. We looked for documented systematic screening for COVID-19 disease and fever (&amp;gt;38\u00b0C) and results of SARS-COV-2 testing, and proposed a minimum acceptable documenting rate of 85%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 2197 consecutive patients (1279 (58%) undergoing elective surgery, 917 (42%) undergoing non-elective surgery) across most specialities. Although 926 (72%) patients undergoing elective surgery had both systematic screening and temperature documented, approximately half that percentage undergoing non-elective surgery (n = 347; 38%) had both documented. However, 871 (95%) of non-elective surgery patients had temperature documented. Acknowledging limited screening, 85 (9.3%) non-elective surgery patients had positive screening, compared with 39 (3.0%) elective surgery patients. All 152 (7%) patients who were tested for SARS-CoV-2 were negative, and no cases were reported from external contact tracing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although \u2018not documented\u2019 does not necessarily equal \u2018not done\u2019, we found that documenting of COVID-19 screening could be improved. Better understanding of implementing screening practices in pandemics and other crises, particularly for non-elective surgery patients, is warranted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What is known about the topic?<\/jats:title>\n                    <jats:p>Little is known about routine screening for SARS-CoV-2 infection among surgical patients. However, it is well established that implementing effective uptake of safety and quality initiatives can be difficult.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What does this paper add?<\/jats:title>\n                    <jats:p>We found that although most patients had documented temperature, fewer than 75% had a documented systematic questionnaire screen for COVID, particularly patients undergoing non-elective surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What are the implications for practitioners?<\/jats:title>\n                    <jats:p>Clear documenting is important in managing patients. Pandemics and other crises can require rapid changes in practice. Implementing such measures may be less complete than anticipated and may require greater use of evidence-based implementation strategies, particularly in the less predictable care of non-elective surgery patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/ah20169","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T22:29:21Z","timestamp":1600813761000},"page":"723-727","source":"Crossref","is-referenced-by-count":6,"title":["Documenting COVID-19 screening before surgery during lockdown (COVID Screen): an audit with routinely collected health data"],"prefix":"10.1071","volume":"44","author":[{"given":"David","family":"Story","sequence":"first","affiliation":[{"name":"ACentre for Integrated Critical Care, The University of Melbourne, 151 Barry Street, Carlton, Vic. 3010, Australia. Email: sofia.sidiropoulos@unimelb.edu.au"},{"name":"BSt Vincent\u2019s Hospital Melbourne, 41 Victoria Parade, Fitzroy, Vic. 3065, Australia. Email: elizabeth.coyle@svha.org.au"},{"name":"CDepartment of Anaesthesia, Austin Health, Melbourne, Studley Road, Heidelberg, Vic. 3084, Australia. Email: bobby.ouyang@austin.org.au"},{"name":"DCorresponding author. Email: dastory@unimelb.edu.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Coyle","sequence":"additional","affiliation":[{"name":"BSt Vincent\u2019s Hospital Melbourne, 41 Victoria Parade, Fitzroy, Vic. 3065, Australia. Email: elizabeth.coyle@svha.org.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abarna","family":"Devapalasundaram","sequence":"additional","affiliation":[{"name":"BSt Vincent\u2019s Hospital Melbourne, 41 Victoria Parade, Fitzroy, Vic. 3065, Australia. Email: elizabeth.coyle@svha.org.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Sidiropoulos","sequence":"additional","affiliation":[{"name":"ACentre for Integrated Critical Care, The University of Melbourne, 151 Barry Street, Carlton, Vic. 3010, Australia. Email: sofia.sidiropoulos@unimelb.edu.au"},{"name":"CDepartment of Anaesthesia, Austin Health, Melbourne, Studley Road, Heidelberg, Vic. 3084, Australia. Email: bobby.ouyang@austin.org.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bobby","family":"Ou Yang","sequence":"additional","affiliation":[{"name":"CDepartment of Anaesthesia, Austin Health, Melbourne, Studley Road, Heidelberg, Vic. 3084, Australia. Email: bobby.ouyang@austin.org.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Coulson","sequence":"additional","affiliation":[{"name":"ACentre for Integrated Critical Care, The University of Melbourne, 151 Barry Street, Carlton, Vic. 3010, Australia. Email: sofia.sidiropoulos@unimelb.edu.au"},{"name":"CDepartment of Anaesthesia, Austin Health, Melbourne, Studley Road, Heidelberg, Vic. 3084, Australia. Email: bobby.ouyang@austin.org.au"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2020,9,23]]},"reference":[{"key":"2025121501024614100_R1","unstructured":"John Hopkins University. COVID-19 dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. 2020. Available at: https:\/\/coronavirus.jhu.edu\/map.html [verified 9 August 2020]."},{"key":"2025121501024614100_R2","unstructured":"The Department of Health. Australian Health Protection Principal Committee (AHPPC). 2020. Available at: https:\/\/www.health.gov.au\/committees-and-groups\/australian-health-protection-principal-committee-ahppc [verified 9 August 2020]."},{"key":"2025121501024614100_R3"},{"key":"2025121501024614100_R4","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/S0140-6736(20)31256-3","article-title":"Mitigating the risks of surgery during the COVID-19 pandemic.","volume":"396","author":"Myles","year":"2020","journal-title":"Lancet"},{"key":"2025121501024614100_R5"},{"key":"2025121501024614100_R6","doi-asserted-by":"crossref","first-page":"m1808","DOI":"10.1136\/bmj.m1808","article-title":"Interpreting a covid-19 test result.","volume":"369","author":"Watson","year":"2020","journal-title":"BMJ"},{"key":"2025121501024614100_R7"},{"key":"2025121501024614100_R8","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001885","article-title":"The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement.","volume":"12","author":"Benchimol","year":"2015","journal-title":"PLoS Med"},{"key":"2025121501024614100_R9","doi-asserted-by":"publisher","first-page":"986","DOI":"10.1136\/bmjqs-2015-004411","article-title":"SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.","volume":"25","author":"Ogrinc","year":"2016","journal-title":"BMJ Qual Saf"},{"key":"2025121501024614100_R10","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11646","article-title":"Global guidance for surgical care during the COVID-19 pandemic.","author":"COVIDSurg Collaborative","year":"2020","journal-title":"Br J Surg"},{"key":"2025121501024614100_R11","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/s0140-6736(20)31182-x","article-title":"Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study.","volume":"396","author":"COVIDSurg Collaborative","year":"2020","journal-title":"Lancet"},{"key":"2025121501024614100_R12","doi-asserted-by":"publisher","first-page":"1022","DOI":"10.1111\/j.1365-2044.2010.06478.x","article-title":"Complications and mortality in older surgical patients in Australia and New Zealand (the REASON study): a multicentre, prospective, observational study.","volume":"65","author":"Story","year":"2010","journal-title":"Anaesthesia"},{"key":"2025121501024614100_R13","unstructured":"Australian and New Zealand College of Anaesthetists (ANZCA). Latest PPE statement available: ANZCA statement on personal protection equipment during the SARS-CoV-2 pandemic (15 May 2020). 2020. Available at: https:\/\/www.anzca.edu.au\/news\/covid-19-news\/new-ppe-statement-released [verified 15 September 2020]."},{"key":"2025121501024614100_R14","doi-asserted-by":"publisher","first-page":"5","DOI":"10.5694\/mja2.50438","article-title":"Achieving greater clinician engagement and impact in health care improvement: a neglected imperative.","volume":"212","author":"Scott","year":"2020","journal-title":"Med J Aust"}],"container-title":["Australian Health Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/ah\/article-pdf\/44\/5\/723\/439674\/ah20169.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/ah\/article-pdf\/44\/5\/723\/439674\/ah20169.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T06:02:53Z","timestamp":1765778573000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/ah\/article\/44\/5\/723\/70955\/Documenting-COVID-19-screening-before-surgery"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,23]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,9,30]]}},"URL":"https:\/\/doi.org\/10.1071\/ah20169","relation":{},"ISSN":["0156-5788","1449-8944"],"issn-type":[{"type":"print","value":"0156-5788"},{"type":"electronic","value":"1449-8944"}],"subject":[],"published":{"date-parts":[[2020,9,23]]}}}