Navigating an Intravenous Fluid Shortage Crisis: A Health System's Response to a Hurricane-Induced Supply Disruption.

IF 0.9 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal for Healthcare Quality Pub Date : 2025-06-13 DOI:10.1097/JHQ.0000000000000484

Thomas A Nahass, Payal D Parikh, Christopher Gilligan, Stephen O'Mahony, Michael L Loftus, Nancy E Holecek, Ruric Andy Anderson, Kenneth M Granet

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引用次数: 0

Abstract

Introduction: Hurricane Helene's disruption of Baxter's North Carolina manufacturing facility in September 2024 created significant supply disruptions and an urgent need to reduce intravenous fluid (IVF) usage across our 12 acute care hospital health system.

Methods: Our approach combined an integrated informatics and operational response that included real-time electronic health record monitoring, clinical decision support tools, and hospital-level operational interventions.

Results: We achieved and sustained a peak 44% reduction in IVF usage while maintaining quality metrics.

Conclusions: Analysis of 68,430 patient encounters demonstrated no significant changes in acute kidney injury or mortality rate, although demonstrating a reduction in length of stay. This study describes the rationale and impact of our approach and provides a framework for healthcare systems facing similar supply chain disruptions.

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导航静脉输液短缺危机：卫生系统对飓风引起的供应中断的反应。

简介：2024年9月，飓风“海伦”（Helene）破坏了百特在北卡罗来纳州的生产设施，造成了严重的供应中断，迫切需要减少我们12家急症护理医院卫生系统中的静脉输液（IVF）使用。方法：我们的方法结合了综合信息学和操作响应，包括实时电子健康记录监测、临床决策支持工具和医院级操作干预。结果：在保持质量指标的同时，我们实现并维持了试管婴儿使用率峰值44%的降低。结论：对68,430例患者的分析表明，急性肾损伤或死亡率没有显著变化，尽管住院时间缩短了。本研究描述了我们的方法的基本原理和影响，并为面临类似供应链中断的医疗保健系统提供了一个框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform