Hospital "self-prophylaxis": strategies for efficient protection of the workforce in the face of infectious disease threats.
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.
Xiong
Wei
W
Department of Public Health, , Weill Medical College of Cornell University, New York, NY 10021, USA.
Hollingsworth
Eric
E
Muckstadt
Jack
J
Van Lieu Vorenkamp
Jaclyn
J
Lazar
Eliot J
EJ
Cagliuso
Nicholas V
NV
Hupert
Nathaniel
N
D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data*; D004189:Disaster Planning / Q000379:methods / Q000458:organization & administration*; D004196:Disease Outbreaks / Q000517:prevention & control*; D006739:Hospital Administration; D006801:Humans; D017053:Infection Control / Q000379:methods* / Q000458:organization & administration; D017146:Models, Organizational; D016272:Occupational Health; D009874:Operations Research; D010564:Personnel, Hospital; D017751:Safety Management / Q000379:methods / Q000458:organization & administration; D017748:Time Management; D014850:Waiting Lists