281 The Impact of Incivility on Well-Being of Emergency Department Staff

BACKGROUND As the number of COVID-19 cases in the US continues to increase and hospitals experience shortage of personal protective equipment (PPE), health care workers have been disproportionately affected. However, since COVID-19 testing is now easily available, there is a need to evaluate whether routine testing should be performed for asymptomatic health care workers. OBJECTIVE This study aimed to provide a quantitative analysis of the predicted impact that regular testing of health care workers for COVID-19 may have on the prevention of the disease among emergency department patients and staff. METHODS Using publicly available data on COVID-19 cases and emergency department visits, as well as internal hospital staffing information, we developed a mathematical model to predict the impact of periodic COVID-19 testing of asymptomatic staff members of the emergency department in COVID-19–affected regions. We calculated various transmission constants based on the Diamond Princess cruise ship data, used a logistic model to calculate new infections, and developed a Markov model based on the average incubation period for COVID-19. RESULTS Our model predicts that after 180 days, with a transmission constant of 1.219e-4 new infections/person2, weekly COVID-19 testing of health care workers would reduce new health care worker and patient infections by approximately 3%-5.9%, and biweekly testing would reduce infections in both by 1%-2.1%. At a transmission constant of 3.660e-4 new infections/person2, weekly testing would reduce infections by 11%-23% and biweekly testing would reduce infections by 5.5%-13%. At a lower transmission constant of 4.067e-5 new infections/person2, weekly and biweekly COVID-19 testing for health care workers would result in an approximately 1% and 0.5%-0.8% reduction in infections, respectively. CONCLUSIONS Periodic COVID-19 testing for emergency department staff in regions that are heavily affected by COVID-19 or are facing resource constraints may significantly reduce COVID-19 transmission among health care workers and previously uninfected patients.

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Saddened Not Amused

PEDIATRICS ◽

10.1542/peds.91.3.680 ◽

1993 ◽

Vol 91 (3) ◽

pp. 680-680

Author(s):

SANDRA JO HAMMER

Keyword(s):

Emergency Department ◽

Emergency Departments ◽

Well Being ◽

Emergency Department Staff ◽

Department Staff

To the Editor.— I am writing to express my outrage at your publication of the paper by D.S. Nelson (Pediatrics 1992;89:1089-1090) which I read with interest as the title was intriguing. Although humor and good stress reducing mechanisms are vitally important to the healthy maintenance and well-being of staff in emergency departments, this paper described what is in effect a derision of patients and parents, first by the emergency department staff and then by the author's bold affectation of this as research and a "fertile source of medical humor."

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The impact of violence on emergency department staff

Emergency Medicine ◽

10.1111/j.1442-2026.1997.tb00367.x ◽

2009 ◽

Vol 9 (2) ◽

pp. 117-121

Author(s):

Jennifer G Brookes

Keyword(s):

Emergency Department ◽

Emergency Department Staff ◽

Department Staff ◽

The Impact

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Evaluating the Need for Routine COVID-19 Testing of Emergency Department Staff: Quantitative Analysis

JMIR Public Health and Surveillance ◽

10.2196/20260 ◽

2020 ◽

Vol 6 (4) ◽

pp. e20260

Author(s):

Yuemei Zhang ◽

Sheng-Ru Cheng

Keyword(s):

Health Care ◽

Emergency Department ◽

Quantitative Analysis ◽

Health Care Workers ◽

Resource Constraints ◽

Emergency Department Visits ◽

Emergency Department Staff ◽

Department Staff ◽

Care Workers ◽

The Impact

Background As the number of COVID-19 cases in the US continues to increase and hospitals experience shortage of personal protective equipment (PPE), health care workers have been disproportionately affected. However, since COVID-19 testing is now easily available, there is a need to evaluate whether routine testing should be performed for asymptomatic health care workers. Objective This study aimed to provide a quantitative analysis of the predicted impact that regular testing of health care workers for COVID-19 may have on the prevention of the disease among emergency department patients and staff. Methods Using publicly available data on COVID-19 cases and emergency department visits, as well as internal hospital staffing information, we developed a mathematical model to predict the impact of periodic COVID-19 testing of asymptomatic staff members of the emergency department in COVID-19–affected regions. We calculated various transmission constants based on the Diamond Princess cruise ship data, used a logistic model to calculate new infections, and developed a Markov model based on the average incubation period for COVID-19. Results Our model predicts that after 180 days, with a transmission constant of 1.219e-4 new infections/person2, weekly COVID-19 testing of health care workers would reduce new health care worker and patient infections by approximately 3%-5.9%, and biweekly testing would reduce infections in both by 1%-2.1%. At a transmission constant of 3.660e-4 new infections/person2, weekly testing would reduce infections by 11%-23% and biweekly testing would reduce infections by 5.5%-13%. At a lower transmission constant of 4.067e-5 new infections/person2, weekly and biweekly COVID-19 testing for health care workers would result in an approximately 1% and 0.5%-0.8% reduction in infections, respectively. Conclusions Periodic COVID-19 testing for emergency department staff in regions that are heavily affected by COVID-19 or are facing resource constraints may significantly reduce COVID-19 transmission among health care workers and previously uninfected patients.

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Burnout on the frontline: the impact of COVID-19 on emergency department staff wellbeing

Irish Journal of Medical Science (1971 -) ◽

10.1007/s11845-021-02795-w ◽

2021 ◽

Author(s):

Oisín Sheehan ◽

Micheal Sheehan ◽

Raluca Ileana Rau ◽

Iomhar O. Sullivan ◽

Geraldine McMahon ◽

...

Keyword(s):

Emergency Department ◽

Emergency Department Staff ◽

Department Staff ◽

Staff Wellbeing ◽

The Impact

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Sick leave in the emergency department: Staff attitudes and the impact of job designation and psychosocial work conditions

Emergency Medicine Australasia ◽

10.1111/j.1742-6723.2010.01372.x ◽

2011 ◽

Vol 23 (1) ◽

pp. 39-45 ◽

Cited By ~ 12

Author(s):

Mark J Rugless ◽

David McD Taylor

Keyword(s):

Emergency Department ◽

Sick Leave ◽

Work Conditions ◽

Staff Attitudes ◽

Psychosocial Work ◽

Emergency Department Staff ◽

Department Staff ◽

The Impact

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Periodic COVID-19 Testing in Emergency Department Staff

10.1101/2020.04.28.20084053 ◽

2020 ◽

Cited By ~ 1

Author(s):

Yuemei Zhang ◽

Sheng-Ru Cheng

Keyword(s):

Emergency Department ◽

Healthcare Workers ◽

Resource Constraints ◽

Emergency Department Visits ◽

Emergency Department Staff ◽

Department Staff ◽

The Us ◽

Lower Transmission ◽

Hospital Staffing ◽

The Impact

Background: As the number of COVID-19 cases in the US continues to rise and hospitals are experiencing personal protective equipment (PPE) shortages, healthcare workers have been disproportionately affected by COVID-19 infection. Since COVID-19 testing is now available, some have raised the question of whether we should be routinely testing asymptomatic healthcare workers. Methods: Using publicly available data on COVID-19 infections and emergency department visits, as well as internal hospital staffing information, we generated a mathematical model to predict the impact of periodic COVID-19 testing in asymptomatic members of the emergency department staff in regions affected by COVID-19 infection. We calculated various transmission constants based on the Diamond Princess cruise ship data, used a logistic model to calculate new infections, and we created a Markov model according to average COVID-19 incubation time. Results: Our model predicts that after 30 days, with a transmission constant of 1.219e-4 new infections per person2, weekly COVID-19 testing of healthcare workers (HCW) would reduce new HCW and patient infections by 5.1% and bi-weekly testing would reduce both by 2.3%. At a transmission constant of 3.660e-4 new infections per person,2 weekly testing would reduce infections by 21.1% and bi-weekly testing would reduce infections by 9.7-9.8%. For a lower transmission constant of 4.067e-5 new infections per person2, weekly and biweekly HCW testing would result in a 1.54% and 0.7% reduction in infections respectively. Conclusion: Periodic COVID-19 testing for emergency department staff in regions that are heavily-affected by COVID-19 and/or facing resource constraints may reduce COVID-19 transmission significantly among healthcare workers and previously-uninfected patients.

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