Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-28T11:01:12.154Z Has data issue: false hasContentIssue false
  • English
  • Français

Hospital “Self-Prophylaxis” Strategies for Efficient Protection of the Workforce in the Face of Infectious Disease Threats

Published online by Cambridge University Press:  02 January 2015

Wei Xiong ,
Eric Hollingsworth ,
Jack Muckstadt ,
Jaclyn Van Lieu Vorenkamp ,
Eliot J. Lazar ,
Nicholas V. Cagliuso Sr.  and
Nathaniel Hupert
Wei Xiong
Affiliation:
Departments of Public Health, New York
Eric Hollingsworth
Affiliation:
Departments of Public Health, New York
Jack Muckstadt
Affiliation:
New York, and the School of Operations Research and Industrial Engineering, Cornell University, Ithaca, New York
Jaclyn Van Lieu Vorenkamp
Affiliation:
Medicine, New York Weill Medical College, Cornell University, the NewYork-Presbyterian Hospital, New York
Eliot J. Lazar
Affiliation:
Medicine, New York Weill Medical College, Cornell University, the NewYork-Presbyterian Hospital, New York NewYork-Presbyterian Healthcare System, New York
Nicholas V. Cagliuso Sr.
Affiliation:
NewYork-Presbyterian Healthcare System, New York
Nathaniel Hupert*
Affiliation:
Departments of Public Health, New York Medicine, New York
*
Assistant Professor of Public Health and Medicine, Weill Medical College of Cornell University, 411 E. 69th St., New York, NY 10021 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Hospital preparedness for nosocomial or community-wide outbreaks of communicable disease includes the capability for rapid, self-reliant administration of prophylaxis to its workforce, with the goal of minimal disruption of patient care, here called hospital “self-prophylaxis.” We created a new discrete-event simulation model of a hypothetical hospital wing to compare the operational charateristics of standard single-line, “first-come, first-served” dispensing clinics with those of 2 staff management strategies that can dramatically reduce staff waiting time while centralizing dispensing around existing pharmacy-distribution points.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 5 , May 2007 , pp. 618 - 621
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. O'Toole, T, Inglesby, TV. Epidemic response scenario: decision making in a time of plague. Public Health Rep 2001;116(suppl 2):92–103.CrossRefGoogle Scholar
2. Bloem, K. Treating the sick: capacity of the US Health Care System to respond to an epidemic. Public Health Rep 2001;116(suppl 2):34–35.CrossRefGoogle Scholar
3. Pearson, ML, Bridges, CB, Harper, SA. Influenza vaccination of healthcare personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55(RR-2):1–16.Google ScholarPubMed
4. Mitka, M. National plan for pandemic flu unveiled. JAMA 2006;295:2707–2708.CrossRefGoogle ScholarPubMed
5. Simeonsson, K, Summers-Bean, C, Connolly, A. Influenza vaccination of healthcare workers: institutional strategies for improving rates. N CMed J 2004;65:323–329.Google ScholarPubMed
6. Banner, G. The Rhode Island Medical Emergency Distribution System (MEDS). Disaster Manag Response 2004;2:53–57.CrossRefGoogle ScholarPubMed
7. Esbitt, D. The Strategic National Stockpile: roles and responsibilities of health care professionals for receiving the stockpile assets. Disaster Manag Response 2003;1:68–70.CrossRefGoogle ScholarPubMed
8. Hallauer, JF, Neuschaefer-Rube, N. Influenza vaccination of hospital staff in Germany: a five-year survey on vaccination coverage and policies: identified deficits in influenza immunisation campaigns for hospital employees. Soz Praventivmed 2005;50:38–44.CrossRefGoogle Scholar
9. Sartor, C, Tissot-Dupont, H, Zandotti, C, Martin, F, Roques, P, Drancourt, M. Use of a mobile cart influenza program for vaccination of hospital employees. Infect Control Hosp Epidemiol 2004;25:918–922.CrossRefGoogle ScholarPubMed
10. Hupert, N, Cuomo, J, Callahan, M, Mushlin, A, Morse, S. Community-Based Mass Prophylaxis: A Planning Guide for Public Health Preparedness. Agency for Healthcare Research and Quality (AHRQ) publication 040044. Rockville, MD: AHRQ; 2004.Google Scholar
11. Hupert, N, Mushlin, AI, Callahan, MA. Modeling the public health response to bioterrorism: using discrete event simulation to design antibiotic distribution centers. Med Decis Making 2002; 22(suppl 5):S17–S25.CrossRefGoogle ScholarPubMed
12. Washington, ML, Mason, J, Meitzer, MI. Maxi-Vac: planning mass smallpox vaccination clinics. J Public Health Manag Pract 2005;11:542–549.CrossRefGoogle ScholarPubMed
13. Dickson, D, Ford, R, Laval, B. Managing real and virtual waits in hospitality and service organizations. Cornell Hotel Restaur Adm Q 2005;46:52–68.CrossRefGoogle Scholar
14. Koizumi, N, Kuno, E, Smith, TE. Modeling patient flows using a queuing network with blocking. Health Care Manag Sci 2005;8:49–60.CrossRefGoogle ScholarPubMed
15. Green, LV, Soares, J, Giglio, JF, Green, RA. Using queueing theory to increase the effectiveness of emergency department provider staffing. Acad Emerg Med 2006;13:61–68.CrossRefGoogle ScholarPubMed