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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
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])

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
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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