Safe Hospital Preparedness in the Era of COVID-19: The Swiss Cheese Model

Int J Infect Dis. 2020 Jun 30;S1201-9712(20)30529-4. doi: 10.1016/j.ijid.2020.06.094. Online ahead of print.


Since the first emergence in December 2019, COVID-19 rapidly spread out worldwide. During the pandemic of an emerging infectious disease, it is very important to prevent nosocomial outbreak and operate hospitals safely to maintain their functions. In this article, we presented the strategies for safe hospital operation based on the experiences of the Republic of Korea during early COVID-19 pandemic. Each hospital should keep multiple layered defenses to prevent even small cracks in the hospital's quarantine system.

Keywords: COVID-19; SARS-CoV-2; health personnel; hospital planning; infection control.