Reduced turnaround times through multi-sectoral community collaboration during the first surge of SARS-CoV-2 and associated effect on patient care and hospital operations
Autor: | Stephania A. Cormier, Catherine O’Neal, Jonathan R. Schroeder, Tonya Jagneaux, Erik A. Turner, Hollis R. O’Neal, Edgardo Tenreiro, Morgan Walker, Rebecca C. Christofferson, Christi Pierce, Thaya E. Stoufflet, Anh Phan, Christine E S Walsh, Abigail I. Fish, E. Handly Mayton, Connie DeLeo, Beverly Ogden, K. Scott Wester, Luan D. Vu |
---|---|
Rok vydání: | 2020 |
Předmět: |
Male
Viral Diseases Research Facilities Critical Care and Emergency Medicine Disease Outbreaks Medical Conditions Health care Pandemic Medicine and Health Sciences Infection control Public and Occupational Health Virus Testing education.field_of_study Multidisciplinary education.school_district Hospitals East Baton Rouge Parish Infectious Diseases General partnership Medicine Engineering and Technology Female Medical emergency Safety Equipment Safety Research Laboratories Research Article Patients Science Health Personnel Population MEDLINE Equipment Research and Analysis Methods Diagnostic Medicine medicine Humans education Personal protective equipment Personal Protective Equipment Inpatients business.industry SARS-CoV-2 COVID-19 Covid 19 medicine.disease Louisiana Health Care Health Care Facilities Patient Care business Delivery of Health Care Government Laboratories |
Zdroj: | PLoS ONE PLoS ONE, Vol 16, Iss 10, p e0257302 (2021) |
ISSN: | 1932-6203 |
Popis: | Background In March 2020, an influx of admissions in COVID-19 positive patients threatened to overwhelm healthcare facilities in East Baton Rouge Parish, Louisiana. Exacerbating this problem was an overall shortage of diagnostic testing capability at that time, resulting in a delay in time-to-result return. An improvement in diagnostic testing availability and timeliness was necessary to improve the allocation of resources and ultimate throughput of patients. The management of a COVID-19 positive patient or patient under investigation requires infection control measures that can quickly consume personal protective equipment (PPE) stores and personnel available to treat these patients. Critical shortages of both PPE and personnel also negatively impact care in patients admitted with non-COVID-19 illnesses. Methods A multisectoral partnership of healthcare providers, facilities and academicians created a molecular diagnostic lab within an academic research facility dedicated to testing inpatients and healthcare personnel for SARS-CoV-2. The purpose of the laboratory was to provide a temporary solution to the East Baton Rouge Parish healthcare community until individual facilities were self-sustaining in testing capabilities. We describe the partnership and the impacts of this endeavor by developing a model derived from a combination of data sources, including electronic health records, hospital operations, and state and local resources. Findings Our model demonstrates two important principles: the impact of reduced turnaround times (TAT) on potential differences in inpatient population numbers for COVID-19 and savings in PPE attributed to the more rapid TAT. |
Databáze: | OpenAIRE |
Externí odkaz: |