Containing SARS-CoV-2 in hospitals facing finite PPE, limited testing, and physical space variability: Navigating resource constrained enhanced traffic control bundling

Journal of Microbiology, Immunology and Infection

Julia M. De Georgeo¹  Heather Bye-Kollbaum²  Kristi P. Klee³  Andrew J. Kinser⁴  Toby M. Egan⁵  Michael R. De Georgeo⁶  Michael S. Schwemm⁷ 

[1] Corresponding author. Medtronic PRO

[2] CV - Cardiac and Vascular Group, Medtronic, Inc. 710 Medtronic Parkway Minneapolis, Minnesota 55482 USA. Fax: [phone].;Robert H. Smith School of Business, University of Maryland, College Park, MD 20740, USA;Sciences, University of Wisconsin, Madison, WI 53706, USA;Allina Health System, PO Box 43, Minneapolis, MN 55440, USA;;College of Letters &Medtronic PRO

[3] CV - Cardiac and Vascular Group, Medtronic, Inc., Minneapolis, MN, 55482, USA;;School of Public Policy &

关键词: Enhanced traffic control bundling;    COVID-19;    Health care workers;    Nosocomial infection control;    Pandemic;    Mitigation;   

DOI  :  

来源: DOAJ

【 摘 要 】

The COVID-19 outbreak has led to a focus by public health practitioners and scholars on ways to limit spread while facing unprecedented challenges and resource constraints. Recent COVID-19-specific enhanced Traffic Control Bundling (eTCB) recommendations provide a cogent framework for managing patient care pathways and reducing health care worker (HCW) and patient exposure to SARS-CoV-2. eTCB has been applied broadly and has proven to be effective in limiting fomite and droplet transmissions in hospitals and between hospitals and the surrounding community. At the same time, resource constrained conditions involving limited personal protective equipment (PPE), low testing availability, and variability in physical space can require modifications in the way hospitals implement eTCB. While eTCB has come to be viewed as a standard of practice, COVID-19 related resource constraints often require hospital implementation teams to customize eTCB solutions. We provide and describe a cross-functional, collaborative on-the-ground adaptive application of eTCB initially piloted at two hospitals and subsequently reproduced at 16 additional hospitals and health systems in the US to date. By effectively facilitating eTCB deployment, hospital leaders and practitioners can establish clearer ‘zones of risk’ and related protective practices that prevent transmission to HCWs and patients. We outline key insights and recommendations gained from recent implementation under the aforementioned constraints and a cross-functional team process that can be utilized by hospitals to most effectively adapt eTCB under resource constraints.

【 授权许可】

Unknown