Table 4

Overall impacts of COVID-19 pandemic on service delivery

SubthemeLevelIllustrative quote
Fewer cases than expected1,2Yeah, so we, you know we did prep for a much larger surge based on the initial predictions for Washington than we ended up having. I think as a result of pretty aggressive social distancing and stay at home orders, which if you look at them, the series of prediction sort of the surge got less and less.—debriefing interview
System was prepared2,3At Harborview though, you know, we received patients from that event. It was not, it did not overwhelm us. We then, you know that sort of triggered the overall, sort of regional, you know, incident response structure that is in place today. And as we started to prepare for the surge, we were able to very easily keep up with the inflow of patients. And so, at this point the workload…you know people are still very much able to get their time off. The workload is, I mean there’s work to be done but it’s not overwhelming. And so, I think from that standpoint, we haven’t seen the fatigue, the long hours, the multiple days, that you might see where, you know, kind of the picture that’s being described in the, in New York right now.—debriefing interview
Supplies were adequate2,3So, so the provider saw the 20 patients on the unit. And got ample goggles, masks and gloves on the unit from the nursing staff.—jotting
High staff morale3,4So, it’s definitely, it’s definitely something on people’s minds. But does it affect the day-to-day performance? I have not seen that. People are absolutely willing to step in and do the work.—debriefing interview