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
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