Survey of North Carolina Hospital Policies Regarding Visitor Use of Personal Protective Equipment for Entering the Rooms of Patients under Isolation Precautions

2014 ◽  
Vol 35 (3) ◽  
pp. 259-264 ◽  
Author(s):  
JaHyun Kang ◽  
David J. Weber ◽  
Barbara A. Mark ◽  
William A. Rutala
Keyword(s):  
North Carolina ◽  
Acute Care ◽  
Personal Protective Equipment ◽  
Online Survey ◽  
Public Awareness ◽  
Acute Care Hospitals ◽  
Protective Equipment ◽  
Study Results ◽  
Hospital Policies ◽  
Visitor Use

Objective.To explore the range of hospital policies for visitor use of personal protective equipment (PPE) when entering the room of patients under isolation precautions.Design.Survey using an online questionnaire.Setting.Acute care hospitals registered in the North Carolina Statewide Program for Infection Control and Epidemiology (SPICE).Methods.A total of 136 North Carolina hospitals were invited to participate in an online survey. The survey questionnaire was developed, reviewed, and pilot tested, and then it was distributed through SPICE listserv registered e-mail addresses. The survey was conducted from February 6 to March 30, 2012.Results.Among 93 respondent hospitals (response rate, 68.4%), 82 acute care hospitals (60.3%) were included in the analyses. Substantial variation was observed with regard to hospital policies for visitor PPE use when visiting patients under isolation precautions. A total of 71% of hospitals had a hospital visitor policy, and 96% of respondents agreed that hospitals should have a visitor policy. Only 14% of hospitals monitored visitor compliance with PPE. Reported compliance rates varied from “very low” to 97%. Many hospitals (28%) reported difficulties related to visitor compliance with isolation precautions, including hostility and refusal to comply.Conclusions.Our study results illuminated hospital policy variations for visitor isolation precautions. Reported problems with hospital visitor policies (eg, different policies across departments or facilities) suggest the need for standard guidelines and for enhanced public awareness about the importance of visitor compliance with isolation precautions.

scholarly journals A model to estimate demand for personal protective equipment for Ontario acute care hospitals during the COVID-19 pandemic

2020 ◽  
Author(s):  
Kali A Barrett ◽  
Yoshiko Nakamachi ◽  
Terra Ierasts ◽  
Yasin Khan ◽  
Stephen Mac ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
New York ◽  
Acute Care ◽  
Health Care System ◽  
Personal Protective Equipment ◽  
Acute Care Hospitals ◽  
Protective Equipment ◽  
Healthcare Resources ◽  
Health Measures

In addition to instituting public health measures for COVID-19, managing healthcare resources is important for outcomes. The experiences in Italy and New York have shown that personal protective equipment (PPE) shortages can cause increased morbidity and mortality. We demonstrate a method to predict PPE demand across a health care system.

scholarly journals Impact of the COVID-19 Pandemic on Physicians Working in the Head and Neck Field

2021 ◽  
Vol 25 (01) ◽  
pp. e150-e159
Author(s):  
Rui Imamura ◽  
Ricardo F. Bento ◽  
Leandro L. Matos ◽  
William N. William ◽  
Gustavo N. Marta ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Head And Neck ◽  
Personal Protective Equipment ◽  
Outpatient Care ◽  
Online Survey ◽  
Family Income ◽  
Protective Equipment ◽  
Psychological Burden ◽  
The Public ◽  
The Third

Abstract Background With the COVID-19 pandemic, the clinical practice of physicians who work in the head and neck field in Brazil dropped dramatically. The sustained impact of the pandemic is not known. Methods An anonymous online survey was distributed to Brazilian otolaryngologists, head and neck surgeons, medical and radiation oncologists, asking about their clinical practice in the third to fourth months of the pandemic. Results The survey was completed by 446 specialists. About 40% reported reduction of more than 75% in outpatient care. A reduction of 90% to 100% in airway endoscopies was reported by 50% of the responders, and the same rate of reduction regarding surgeries (pediatric or nasosinusal) was reported by 80% of them. Family income decreased by 50%, and the psychological burden on physicians was considerable. The availability of personal protective equipment and safety precautions were limited, especially in the public sector. Conclusion COVID-19 is still impacting the head and neck field, and safety concerns may hinder the prompt resumption of elective care.

scholarly journals Knowledge, Attitude and Practice of Personal Safety Measures Adopted by Medical Practioners during the Covid-19 Pandemic

2021 ◽  
Vol 10 (12) ◽  
pp. 883-887
Author(s):  
Hemapriya L ◽  
Maureen Prativa Tigga ◽  
Anil Kumar M.R ◽  
Prathap T ◽  
Neha Wali ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Urban Areas ◽  
Healthcare Workers ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Well Being ◽  
World Health ◽  
Protective Equipment ◽  
Personal Safety ◽  
Safety Measures

BACKGROUND A novel coronavirus (now termed as SARS-CoV-2) was detected as the causative agent of severe pneumonia in Wuhan, Hubei Province, China, in December 2019. Declared by the World Health Organization (WHO) as a global pandemic in March 2020, it has created profound changes in global economy and healthcare systems. This study evaluates the knowledge and practice with regard to various personal safety measures used by the healthcare professionals. METHODS We conducted a questionnaire study after obtaining approval, from the Institutional ethical committee. An online survey was conducted using a preformatted questionnaire consisting of multiple-choice questions which assessed the knowledge and practices adopted by various healthcare professionals. The survey was done between 1st and 30th of June 2020 and a total of 536 responses was analysed. RESULTS 58.4 % of the participants were females, 66 % of the healthcare workers worked at a private hospital / private medical college with 82.1 % being located in urban areas. Of the 536 respondents, 90.1 % practiced bathing immediately after returning home and 86.8 % sanitized their accessories. 86.9 % of the professionals used frequent sanitization with use of mask and gloves whereas only 12.3 % used full personal protective equipment. 58 % of females had used hydroxychloroquine as prophylaxis whereas only 41 % of males used it (statistically significant, P = 0.005). Healthcare workers in younger age group (23 - 40 years) were more likely to maintain distance with family members, and government doctors were significantly more likely to do so (P < 0.001) as compared to private practitioners. CONCLUSIONS With the medical professionals being at high risk for contracting the infection, the need to provide the healthcare professionals with adequate personal protective equipment is of utmost importance. There is also a need to maintain the well-being of the healthcare professionals as they are the weakest link in the chain. KEY WORDS Medical Practitioners, Personal Protective Equipment, Safety Measures

scholarly journals Statewide costs of health care-associated infections: Estimates for acute care hospitals in North Carolina

2013 ◽  
Vol 41 (9) ◽  
pp. 764-768 ◽  
Author(s):  
Deverick J. Anderson ◽  
Deborah G. Pyatt ◽  
David J. Weber ◽  
William A. Rutala
Keyword(s):  
Health Care ◽  
North Carolina ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Health Care Associated Infections

scholarly journals Nurses’ Safety in Caring for Tuberculosis Patients at a Teaching Hospital in South West Nigeria

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Risikat Idowu Fadare ◽  
Oluwaseyi Abiodun Akpor ◽  
Ifeanyi Goodness Ifechukwude ◽  
Agbana Richard D ◽  
Cecilia Bukola Bello
Keyword(s):  
Teaching Hospital ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Semistructured Interview ◽  
Tuberculosis Patients ◽  
South West ◽  
Hospital Policies ◽  
Data Saturation ◽  
Southwest Nigeria ◽  
Professional Nurses

Background. Tuberculosis remains the leading cause of death due to infectious diseases worldwide ranking above HIV/AIDS, and Nigeria is rated as the 7th worldwide and the 2nd in Africa among the 30 countries highly burdened with tuberculosis worldwide. Aim. To investigate the challenges encountered by nurses in the care of TB patients in a Federal Teaching Hospital in Nigeria. Setting. Ekiti State, Southwest Nigeria. Methods. A qualitative contextual method was utilized with the sample size determined by data saturation. Data collection was done through an audiotaped, semistructured interview. The study sample consisted of 20 professional nurses working in the medical and paediatric wards of a selected Federal Teaching Hospital in South West, Nigeria. Data was analysed using Tesch’s content analysis approach. Results. The majority of the participants were females within the age group of 31–40 years. Challenges included inadequate availability of personal protective equipment (PPE), lack of isolation wards, delegating the care of tuberculosis patients to young inexperienced nurses, long process in diagnosing patients with tuberculosis, lack of policies protecting the nurses from exposure to tuberculosis, and inadequate training. The major concern was the fear of contracting tuberculosis. Conclusion. The study suggested that there should be a provision of adequate personal protective equipment; tuberculosis designated wards and provision of periodic training to update the nurses on care of tuberculosis patients. Establishment and execution of hospital policies and practices along with support are equally essential in facilitating a safe workplace for nurses.

Employer Provision of Personal Protective Equipment to Latino Workers in North Carolina Residential Construction

2012 ◽  
Vol 22 (2) ◽  
pp. 175-190 ◽  
Author(s):  
Joseph G. Grzywacz ◽  
Sara A. Quandt ◽  
Thomas Mills ◽  
Antonio Marín ◽  
Phillip Summers ◽  
...  
Keyword(s):  
North Carolina ◽  
Personal Protective Equipment ◽  
Residential Construction ◽  
Protective Equipment ◽  
Latino Workers

scholarly journals A decade of commitment to hospital quality of care: overview of and perceptions on multicomponent quality improvement policies involving accreditation, public reporting, inspection and pay-for-performance

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Astrid Van Wilder ◽  
Jonas Brouwers ◽  
Bianca Cox ◽  
Luk Bruyneel ◽  
Dirk De Ridder ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Acute Care ◽  
Government Policy ◽  
Online Survey ◽  
Pay For Performance ◽  
Acute Care Hospitals ◽  
Public Reporting ◽  
Hospital Quality

Abstract Background Quality improvement (QI) initiatives such as accreditation, public reporting, inspection and pay-for-performance are increasingly being implemented globally. In Flanders, Belgium, a government policy for acute-care hospitals incorporates aforementioned initiatives. Currently, questions are raised on the sustainability of the present policy. Objective First, to summarise the various initiatives hospitals have adopted under government encouragement between 2008 and 2019. Second, to study the perspectives of healthcare stakeholders on current government policy. Methods In this multi-method study, we collected data on QI initiative implementation from governmental and institutional sources and through an online survey among hospital quality managers. We compiled an overview of QI initiative implementation for all Flemish acute-care hospitals between 2008 (n = 62) and 2019 (n = 53 after hospital mergers). Stakeholder perspectives were assessed via a second survey available to all healthcare employees and a focus group with healthcare policy experts was consulted. Variation between professions was assessed. Results QI initiatives have been increasingly implemented, especially from 2016 onwards, with the majority (87%) of hospitals having obtained a first accreditation label and all hospitals publicly reporting performance indicators, receiving regular inspections and having entered the pay-for-performance initiative. On the topic of external international accreditation, overall attitudes within the survey were predominantly neutral (36.2%), while 34.5% expressed positive and 29.3% negative views towards accreditation. In examining specific professional groups in-depth, we learned 58% of doctors regarded accreditation negatively, while doctors were judged to be the largest contributors to quality according to the majority of respondents. Conclusions Hospitals have demonstrated increased efforts into QI, especially since 2016, while perceptions on currently implemented QI initiatives among healthcare stakeholders are heterogeneous. To assure quality of care remains a top-priority for acute-care hospitals, we recommend a revision of the current multicomponent quality policy where the adoption of all initiatives is streamlined and co-created bottom-up.

scholarly journals UNDERSTANDING THE IMPACT OF COVID-19 PANDEMIC ON POST-GRADUATES IN MEDICAL EDUCATION IN THE STATES OF TELANGANA & ANDHRA PRADESH, INDIA

2021 ◽  
pp. 99-101
Author(s):  
Hema Praharaju ◽  
Shyam Sunder Indukuri ◽  
Venakata Madhav Makineni
Keyword(s):  
Medical Education ◽  
Personal Protective Equipment ◽  
Andhra Pradesh ◽  
Online Survey ◽  
Administrative Support ◽  
Protective Equipment ◽  
Postgraduate Students ◽  
Education In India ◽  
Graduate Trainees ◽  
The Impact

Post-graduate trainees in medical education in India have acted as key frontline healthcare staff during the COVID-19 pandemic,which has had a profound effect on them.This study used an online survey including 144 responses from postgraduate students in the states of Telangana and Andhra Pradesh, India, to understand the impact of the pandemic on them.The survey contained question on personal protective equipment,psychological challenges being faced,clinical & administrative support received, effect on teaching & training, and perception of their services by patients & community. Personal protective equipment was deemed to be adequate by 21%. High levels of stress were described by 75%. Inadequate level of clinical and administrative support was reported by 39% and 46%, respectively. 72% felt that their training has been severely restricted.The majority of the respondents have had either verbal or physical abuse from patients or their attendants.This study highlighted the major problems and the difficult environment being faced by the trainees during the pandemic,and the necessity to address their concerns.

scholarly journals Impact of the COVID-19 Pandemic on Radiology in Inpatient and Outpatient Care in Germany: A Nationwide Survey Regarding the First and Second Wave

2021 ◽  
Author(s):  
Simon Bernatz ◽  
Saif Afat ◽  
Ahmed E. Othman ◽  
Konstantin Nikolaou ◽  
Malte Sieren ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Outpatient Care ◽  
Financial Support ◽  
Online Survey ◽  
Nationwide Survey ◽  
Protective Equipment ◽  
Likert Scales ◽  
Key Points ◽  
Inpatient And Outpatient Care ◽  
Second Wave

Objectives To find out the opinion of radiological inpatient and outpatient medical staff regarding the measures taken in relation to the COVID-19 pandemic during the first and second waves and to identify the measures that are still perceived as needing improvement. Materials and Methods We conducted an anonymous online survey among more than 10 000 radiologists/technicians in Germany from January 5 to January 31, 2021. A total of 862 responses (head physicians, n = 225 [inpatient doctors, n = 138; outpatient doctors, n = 84; N/A, n = 3]; radiologic personnel, n = 637 [inpatient doctor, n = 303; outpatient doctor, n = 50; inpatient technician, n = 217; outpatient technician, n = 26; N/A, n = 41]) were received. Questions of approximation, yes/no questions, and Likert scales were used. Results During the first/second wave, 70 % (86/123)/43 % (45/104) of inpatient and 26 % (17/66)/10 % (5/52) of outpatient head physicians agreed that they received financial support from the authorities but the majority rated the financial support as insufficient. During the first and second wave, 33 % (8/24) and 80 % (16/20) of outpatient technicians agreed that they were adequately provided with personal protective equipment. The perceived lack of personal protective equipment improved for all participants during the second wave. Inpatient [outpatient] technicians perceived an increased workload in the first and second wave: 72 % (142/198) [79 % (19/24)] and 84 % (146/174) [80 % (16/20)]. Conclusion: Technicians seem increasingly negatively affected by the COVID-19 pandemic in Germany. Financial support by the competent authorities seems to be in need of improvement. Key Points:  Citation Format

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