Being a good hospital manager is not an easy task, and the pandemic revealed the strengths and weaknesses of the health system in Mexico. The ravages of the pandemic began in the center of the country and the rest of the states witnessed one by one what seemed like a distant scenario. Nayarit, a provincial state, opened a hospital to respond to the pandemic, facing its staff and managers with difficulties such as insufficient human resources to provide medical care on weekends and during the night shift, lack of preadmission triage, before arriving at the hospital, insufficient ventilators (including the need for ventilator triage) the emotional state of the workers and worker protection. This article collects in the form of advice, some of the strategies that proved to be a success, such as the collaborative work of "mirror teams" to reduce the exposure of staff in the COVID area, the classification of patients according to their seriousness and those areas of hospital opportunity, such as timely management of acute kidney injury, hoping that the lost battles will be experiences to initiate and improve response protocols in the event of a contingency, they will be learning.
Iris Parrao-Alcántara
Journal of Hospital & Medical Management received 319 citations as per google scholar report