Background Coronavirus disease 2019 has demanded enormous adjustments to National Health Service provisions. Non-urgent out-patient work was initially postponed or performed virtually, but is now being re-established. In ENT surgery, aerosol-generating procedures pose a particular challenge in out-patient settings. Objective A rapid restructuring of ENT out-patient services is required, to safely accommodate aerosol-generating procedures and increase in-person attendances, whilst coronavirus disease 2019 persists. Methods Data were collected prospectively over four consecutive cycles. Two surveys were conducted. Results were analysed and disseminated, with recommendations for service restructuring implemented at cycle end-points. Results Out-patient activity increased four-fold, associated with a significant rise in aerosol-generating procedures during the study period. Mean aerosol-generating procedure duration dropped weekly, implying a learning curve. Service restructuring occurred at cycle end-points. Conclusion Iterative data gathering, results analysis and outcome dissemination enabled a swift, data-driven approach to the restructuring of ENT out-patient services. Patient and staff safety was ensured, whilst out-patient capacity was optimised.
【저자키워드】 coronavirus, otolaryngology, Pandemics, outpatients, Otorhinolaryngologic Surgical Procedures, 【초록키워드】 coronavirus disease, Coronavirus disease 2019, aerosol-generating procedure, outcome, dissemination, Analysis, National Health Service, study period, service, recommendation, approach, objective, data-driven, Result, performed, collected, occurred, required, conducted, analysed, dropped, persists, 【제목키워드】 coronavirus disease, pandemic, restructuring, approach, iterative,