Health Security最新文献

The Need for a New Approach to MCI Readiness in the Era of Emergency Department and Hospital Crowding. 在急诊室和医院人满为患的时代，有必要采取新方法为 MCI 做好准备。

IF 2.1 4区医学

Health Security Pub Date : 2024-11-04 DOI: 10.1089/hs.2024.0058

Sanjana Puri, Sarah Tsay, Scott A Goldberg, Jennifer Shearer, Joshua J Baugh, Eileen F Searle, Paul D Biddinger

{"title":"The Need for a New Approach to MCI Readiness in the Era of Emergency Department and Hospital Crowding.","authors":"Sanjana Puri, Sarah Tsay, Scott A Goldberg, Jennifer Shearer, Joshua J Baugh, Eileen F Searle, Paul D Biddinger","doi":"10.1089/hs.2024.0058","DOIUrl":"https://doi.org/10.1089/hs.2024.0058","url":null,"abstract":"Emergency department (ED) visit volumes have increased since 2007, with crowding in the United States reaching its highest levels in 2022. During this same period, mass casualty incidents (MCIs) have increased dramatically, both in frequency and severity, across the United States. Resuscitation of trauma patients is a time-sensitive process that requires immediate patient assessment by coordinated clinical teams in order to successfully diagnose and manage life-threatening injuries. To make resuscitation spaces immediately available for incoming patients, typical MCI plans call for rapidly relocating ED patients from their rooms into hallways or transferring them to open inpatient areas. With current levels of crowding, however, such alternate care spaces are often already in use and traditional MCI plans are increasingly unrealistic. With ED crowding worsening and the frequency of MCIs rising, there is a worrisome risk that EDs could fail in their efforts to save patients due to insufficient resources and spaces to meet the demands of critically injured patients. Hospitals must use innovative, novel response strategies to ensure sufficient patient care spaces in a short timeframe to save the most lives possible. In this commentary, we describe the use of buffer zones to help EDs mobilize an effective response to MCIs in the current context of severe hospital crowding.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142566469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pandemic Exercises: Lessons for a New Era in Pandemic Preparedness. 大流行病演习：大流行病防备新时代的经验教训》。

IF 2.1 4区医学

Health Security Pub Date : 2024-10-24 DOI: 10.1089/hs.2023.0184

Tara Kirk Sell, Crystal R Watson, Lucia Mullen, Matthew P Shearer, Eric S Toner

{"title":"Pandemic Exercises: Lessons for a New Era in Pandemic Preparedness.","authors":"Tara Kirk Sell, Crystal R Watson, Lucia Mullen, Matthew P Shearer, Eric S Toner","doi":"10.1089/hs.2023.0184","DOIUrl":"https://doi.org/10.1089/hs.2023.0184","url":null,"abstract":"We led the last large-scale exercise conducted by the Johns Hopkins Center for Health Security before the COVID-19 pandemic. Despite COVID-19, pandemic exercises are more necessary than ever to prevent the loss of hard-fought gains achieved during COVID-19, keep policymakers from assuming all pandemics will be like COVID-19, and encourage continued engagement from policymakers in strengthening health resilience rather than returning to a cycle of panic and neglect. Pandemic exercises can also advance new solutions necessary to effectively meet the challenge of a future pandemic. Over 2 decades, the Johns Hopkins Center for Health Security has developed and conducted 6 large-scale, high-level tabletop pandemic exercises. These exercises and others were designed to increase policy focus on the most critical needs in pandemic preparedness and heighten the urgency for making these changes in the near future. Pandemic experts and policymakers alike have highlighted the importance of exercises to ensure that all key actors involved in pandemic response-including the government, healthcare, public health, emergency response, and private business and industry sectors-understand both the best practices and policies to pursue before a pandemic and what to do once a pandemic occurs. These advance efforts can enhance planning, resource allocation, and coordination ahead of time and identify unique gaps and barriers. This commentary describes the approach we have developed to create and conduct such exercises and highlights key considerations that were important to successful outcomes.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing Systematic Change in the National Disaster Medical System (NDMS): Early Implementation of the US Department of Defense NDMS Pilot Program. 推进国家灾难医疗系统（NDMS）的系统变革：美国国防部 NDMS 试点计划的早期实施。

IF 2.1 4区医学

Health Security Pub Date : 2024-09-24 DOI: 10.1089/hs.2023.0179

Eric C Deussing, Emily R Post, Clark J Lee, Adeteju A Adeniji, Allyson R Sison, Michelle M Kimball, Alison Ng, Clemia Anderson, Jeffrey D Freeman, Thomas D Kirsch

引用次数: 0

Implementation of a High-Level Isolation Unit Readiness Checklist in the Irish Setting. 在爱尔兰环境中实施高级隔离单位准备情况检查表。

IF 2.1 4区医学

Health Security Pub Date : 2024-09-01 Epub Date: 2024-08-23 DOI: 10.1089/hs.2023.0148

Samata Salim Al Dowaiki, Deirdre Morley, Iris Agreiter, Jocelyn J Herstein, Honey Vincent, James Woo

引用次数: 0

Characterizing the Private Sector in US Human Pathogen Research. 美国人类病原体研究中私营部门的特点。

IF 2.1 4区医学

Health Security Pub Date : 2024-09-01 Epub Date: 2024-10-11 DOI: 10.1089/hs.2024.0003

Daniel Greene, Audrey Cerles, Rocco Casagrande

引用次数: 0

Logistics for Rapid Isolation of Viruses From Humans. 从人类体内快速分离病毒的物流系统。

IF 2.1 4区医学

Health Security Pub Date : 2024-09-01 Epub Date: 2024-09-18 DOI: 10.1089/hs.2023.0146

Philip Bacchus, Wanda Christ, Arian Frisell, Nina Greilert-Norin, Ulrika Marking, Sebastian Havervall, Felicia Leopoldson, Anna-Clara Markström, Alexander Potapeiko, David Gisselsson, Charlotte Thålin, Jonas Klingström, Andreas Bråve, Kim Blom, Ramona Groenheit

引用次数: 0

Clinical Management of Hospitalized Patients With High-Consequence Infectious Diseases in England. 英格兰高危传染病住院病人的临床管理。

IF 2.1 4区医学

Health Security Pub Date : 2024-09-01 Epub Date: 2024-08-30 DOI: 10.1089/hs.2023.0167

Alejandra Alonso, Jonathan Cohen, Joby Cole, Marieke Emonts, Natasha Karunaharan, Chris Meadows, Geraldine O'Hara, Stephen Owens, Brendan Payne, David Porter, Libuse Ratcliffe, Andrew Riordan, Matthias Ludwig Schmid, Ruchi Sinha, Anne Tunbridge, Elizabeth Whittaker, Mike Beadsworth, Jake Dunning

{"title":"Clinical Management of Hospitalized Patients With High-Consequence Infectious Diseases in England.","authors":"Alejandra Alonso, Jonathan Cohen, Joby Cole, Marieke Emonts, Natasha Karunaharan, Chris Meadows, Geraldine O'Hara, Stephen Owens, Brendan Payne, David Porter, Libuse Ratcliffe, Andrew Riordan, Matthias Ludwig Schmid, Ruchi Sinha, Anne Tunbridge, Elizabeth Whittaker, Mike Beadsworth, Jake Dunning","doi":"10.1089/hs.2023.0167","DOIUrl":"10.1089/hs.2023.0167","url":null,"abstract":"Infectious disease physicians in England have been diagnosing and managing occasional cases of viral hemorrhagic fever since 1971, including the United Kingdom's first case of Ebola virus disease in 1976. Specialist isolation facilities to provide safe and effective care have been present since that time. Following the emergence of Middle East respiratory syndrome (MERS) in 2012, and the avian influenza A (H7N9) outbreak in 2013, and the 2014-2016 Ebola virus disease outbreak in West Africa, clinical and public health preparedness and response pathways in England have been strengthened for these types of diseases, now called high-consequence infectious diseases (HCIDs). The HCID program, led by NHS England and Public Health England between 2016 and 2018, helped to deliver these enhancements, which have since been used on multiple occasions for new UK cases and outbreaks of MERS, mpox, avian influenza, and Lassa fever. Additionally, HCID pathways were activated for COVID-19 during the first 3 months of 2020, before the pandemic had been declared and little was known about COVID-19 but HCID status had been assigned temporarily to COVID-19 as a precaution. The HCID program also led to the commissioning of a network of new airborne HCID treatment centers in England, to supplement the existing network of contact HCID treatment centers, which includes the United Kingdom's only 2 high-level isolation units. In this case study, the authors describe the airborne and contact HCID treatment center networks in England, including their formation and structures, their approach to safe and effective clinical management of patients with HCIDs in the United Kingdom, and challenges they may face going forward.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142106888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building Clinical Care Capacity for Patients With Special Pathogens in Advance of the Next Outbreak. 在下一次疫情爆发前，提高对特殊病原体患者的临床护理能力。

IF 2.1 4区医学

Health Security Pub Date : 2024-09-01 Epub Date: 2024-08-21 DOI: 10.1089/hs.2023.0163

Lauren Wiesner, Jade Flinn, Brooke Brewer, Aaron Resnick, Sharon Vanairsdale Carrasco, Brian T Garibaldi, David A Wohl, Bethany Little, Natalie A Schnell, Glenn Wortmann, Craig DeAtley, Shane B Kappler, William A Fischer

{"title":"Building Clinical Care Capacity for Patients With Special Pathogens in Advance of the Next Outbreak.","authors":"Lauren Wiesner, Jade Flinn, Brooke Brewer, Aaron Resnick, Sharon Vanairsdale Carrasco, Brian T Garibaldi, David A Wohl, Bethany Little, Natalie A Schnell, Glenn Wortmann, Craig DeAtley, Shane B Kappler, William A Fischer","doi":"10.1089/hs.2023.0163","DOIUrl":"10.1089/hs.2023.0163","url":null,"abstract":"In response to the growing number of outbreaks of emerging infectious diseases, the US Administration for Strategic Preparedness and Response (ASPR) has embarked on a plan to improve and expand special pathogen patient care capabilities. To achieve this, ASPR is developing a coordinated network of Regional Emerging Special Pathogen Treatment Centers (RESPTCs) to serve as state-of-the-art facilities staffed by a highly trained workforce to care for and manage special pathogen patients across the lifespan. The RESPTC network represents the operational arm of a broader US National Special Pathogen System of care to prevent and prepare for the next infectious disease outbreak. RESPTCs are strategically located in every region across the country and form a network linking local and regional healthcare partners to enhance national preparedness through training in best practices for detection, isolation, and treatment of individuals suspected of or known to be infected with a special pathogen. This local, regional, and national network is also designed to lead a coordinated response that includes the dissemination of accurate and trustworthy information to responders and the public. The overarching goal of the RESPTCs is to serve as a valuable resource for clinical care, training, and material support to meet current and future major infectious diseases challenges. In this case study, 2 new RESPTCs, MedStar Washington Hospital Center and the University of North Carolina, describe their experiences related to designing a biocontainment unit, creating clinical teams, building staff resiliency, receiving mentoring from regional RESPTC partners, and developing opportunities for innovation.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Global Clinical Networking to Optimize the Clinical Management of High-Consequence Infectious Diseases. 全球临床网络优化高发传染病的临床管理。

IF 3.3 4区医学

Health Security Pub Date : 2024-09-01 DOI: 10.1089/hs.2024.0067

Jocelyn J Herstein,Jake Dunning,Poh Lian Lim,Christian Herzog,Lauren M Sauer

引用次数: 0

Strengthening International Collaboration for Global Health Security: The Role of the Infectious Disease Emergency Specialist Training Program and NETEC Partnership. 加强全球卫生安全的国际合作：传染病应急专家培训计划和 NETEC 伙伴关系的作用》（The Role of the Infectious Disease Emergency Specialist Training Program and NETEC Partnership）。

IF 2.1 4区医学

Health Security Pub Date : 2024-09-01 Epub Date: 2024-08-21 DOI: 10.1089/hs.2023.0159

Hiromi Hibino, Jocelyn J Herstein, Katie L Stern, Yukimasa Matsuzawa, Shinichiro Moroika, Jun Sugihara, Teiji Takei, Norio Omagari, Adam Tewell, Richard C Hunt, Vikramjit Mukherjee, John J Lowe

引用次数: 0