Implementation and Evaluation of an IPAC SWAT Team Mobilized to Long-Term Care and Retirement Homes During the COVID-19 Pandemic: A Pragmatic Health System Innovation
| Autor: | Anthony La Delfa, Kevin Katz, Monakshi Sawhney, James Schembri, Diana Adams, Karoleen Abdel-Shahied, Michael J. Lamb, Tamara Belfer |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) media_common.quotation_subject Pneumonia Viral coronavirus Audit 03 medical and health sciences 0302 clinical medicine Nursing Acute care Pandemic Medicine Infection control Homes for the Aged Humans 030212 general & internal medicine Pandemics General Nursing media_common Aged Ontario Infection Control outbreak business.industry SARS-CoV-2 Health Policy IPAC COVID-19 General Medicine Long-Term Care Organizational Innovation Long-term care Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Preparedness Feasible New Practical Products or Approaches Intended to Improve Outcomes or Processes in Post-Acute or Long-Term Care Female champion Geriatrics and Gerontology business 030217 neurology & neurosurgery Autonomy |
| Zdroj: | Journal of the American Medical Directors Association |
| ISSN: | 1538-9375 1525-8610 |
| Popis: | Long-term care facilities (LTCFs), retirement homes (RHs), and other congregate care settings in Canada and worldwide have experienced significant COVID-19 outbreaks. As a health system response, our acute care hospital in Toronto, Ontario, Canada, developed and mobilized an onsite Infection Prevention and Control (IPAC) SWAT team (IPAC-SWAT) to regional settings on outbreak and implemented a strategy of support through education, training, and engagement. Between April 28, 2020, and June 30, 2020, IPAC-SWAT assessed 7 LTCFs and 10 RHs for IPAC preparedness and actively managed 10 of 13 COVID-19 outbreaks (LTCF n=5; RH n=5). IPAC-SWAT strategies were multi-interventional and intended to mitigate further viral transmission or prevent outbreaks. Dedicated training of local "IPAC champions" was facilitated at 7 sites (LTCF = 5; RH = 2) using a "train-the-trainer" approach to promote local knowledge, autonomy, and site-led audits and feedback. |
| Databáze: | OpenAIRE |
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