Investigation of healthcare-associated SARS-CoV-2 infection: Learning outcomes from an investigative process in the initial phase of the pandemic.

Pub Date : 2022-09-01 Epub Date: 2022-05-16 DOI:10.1177/17571774221092553

Isobel Ramsay, Katherine Sharrocks, Ben Warne, Nyarie Sithole, Pooja Ravji, Rachel Bousfield, Nick Jones, Clare E Leong, Mohamed Suliman, Rachel Tsui, Michelle S Toleman, Christine Moody, Richard Smith, James Whitehorn, Theodore Gouliouris, Florentina Penciu, Christian Hofling, Chris Cunningham, David A Enoch, Elinor Moore

{"title":"Investigation of healthcare-associated SARS-CoV-2 infection: Learning outcomes from an investigative process in the initial phase of the pandemic.","authors":"Isobel Ramsay, Katherine Sharrocks, Ben Warne, Nyarie Sithole, Pooja Ravji, Rachel Bousfield, Nick Jones, Clare E Leong, Mohamed Suliman, Rachel Tsui, Michelle S Toleman, Christine Moody, Richard Smith, James Whitehorn, Theodore Gouliouris, Florentina Penciu, Christian Hofling, Chris Cunningham, David A Enoch, Elinor Moore","doi":"10.1177/17571774221092553","DOIUrl":null,"url":null,"abstract":"Background: Healthcare-associated (HCA) SARS-CoV-2 infection is a significant contributor to the spread of the 2020 pandemic. Timely review of HCA cases is essential to identify learning to inform infection prevention and control (IPC) policies and organisational response.Aim: To identify key areas for improvement through rapid investigation of HCA SARS-CoV-2 cases and to implement change.Methods: Cases were identified based on date of first positive SARS-CoV-2 PCR sample in relation to date of hospital admission. Cases were reviewed using a structured gap analysis tool to identify key learning points. These were discussed in weekly multidisciplinary meetings to gain consensus on learning outcomes, level of harm incurred by the patient and required actions. Learning was then promptly fed back to individual teams and the organisation.Findings: Of the 489 SARS-CoV-2 cases admitted between 10th March and 23rd June 2020, 114 suspected HCA cases (23.3%) were reviewed; 58/489 (11.8%) were ultimately deemed to be HCA. Five themes were identified: individual patient vulnerability, communication, IPC implementation, policy issues and organisational response. Adaptations to policies based on these reviews were completed within the course of the initial phase of the pandemic.Conclusion: This approach enabled timely learning and implementation of control measures and policy development.","PeriodicalId":0,"journal":{"name":"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9117956/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17571774221092553","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/5/16 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Healthcare-associated (HCA) SARS-CoV-2 infection is a significant contributor to the spread of the 2020 pandemic. Timely review of HCA cases is essential to identify learning to inform infection prevention and control (IPC) policies and organisational response.

Aim: To identify key areas for improvement through rapid investigation of HCA SARS-CoV-2 cases and to implement change.

Methods: Cases were identified based on date of first positive SARS-CoV-2 PCR sample in relation to date of hospital admission. Cases were reviewed using a structured gap analysis tool to identify key learning points. These were discussed in weekly multidisciplinary meetings to gain consensus on learning outcomes, level of harm incurred by the patient and required actions. Learning was then promptly fed back to individual teams and the organisation.

Findings: Of the 489 SARS-CoV-2 cases admitted between 10^th March and 23^rd June 2020, 114 suspected HCA cases (23.3%) were reviewed; 58/489 (11.8%) were ultimately deemed to be HCA. Five themes were identified: individual patient vulnerability, communication, IPC implementation, policy issues and organisational response. Adaptations to policies based on these reviews were completed within the course of the initial phase of the pandemic.

Conclusion: This approach enabled timely learning and implementation of control measures and policy development.

Abstract Image

查看原文

卫生保健相关SARS-CoV-2感染调查:大流行初期调查过程的学习成果

背景:医疗保健相关(HCA) SARS-CoV-2感染是2020年大流行传播的重要因素。及时审查HCA病例对于确定为感染预防和控制(IPC)政策和组织反应提供信息的学习至关重要。目的:通过对HCA SARS-CoV-2病例的快速调查，找出需要改进的重点领域并实施变革。方法:根据首次SARS-CoV-2 PCR阳性标本的时间与入院时间的关系进行病例鉴定。使用结构化差距分析工具对案例进行审查，以确定关键的学习点。这些在每周的多学科会议上进行讨论，以就学习成果、患者造成的伤害程度和所需的行动达成共识。然后，学习成果会迅速反馈给各个团队和组织。结果:在2020年3月10日至6月23日收治的489例SARS-CoV-2病例中，审查了114例疑似HCA病例(23.3%);58/489例(11.8%)最终被认为是HCA。确定了五个主题:患者个体脆弱性、沟通、IPC实施、政策问题和组织反应。根据这些审查对政策的调整是在大流行初期阶段完成的。结论:该方法有助于及时学习和实施控制措施和制定政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文