scholarly journals Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic

2020 ◽  
Author(s):  
Matteo Scopetti ◽  
Alessandro Santurro ◽  
Riccardo Tartaglia ◽  
Paola Frati ◽  
Vittorio Fineschi
Keyword(s):  
Risk Management ◽  
Nursing Homes ◽  
Prevention And Control ◽  
Control Measures ◽  
Local Health ◽  
Term Care ◽  
Contact Person ◽  
Care Plans ◽  
Residential Structures ◽  
And Control

Abstract Background Nursing homes provide long-term care and have residential-oriented hospitalizations characterized by medical, nursing and social-care treatments for a typically geriatric population. In the current emergency phase, the problem of infections in residential structures for the elderly is taking on considerable importance in relation to the significant prevalence rates of coronavirus disease 2019 (COVID-19). Safety improvement strategies Prevention and control measures for severe acute respiratory syndrome coronavirus 2 infection in nursing homes should be planned before a possible outbreak of COVID-19 occurs and should be intensified during any exacerbation of the same. Each facility should identify a properly trained contact person—also external—for the prevention and control of infections, who can refer to a multidisciplinary support committee and who is in close contact with the local health authorities. The contact person should collaborate with professionals in order to prepare a prevention and intervention plan that considers national provisions and scientific evidence, the requirements for reporting patients with symptoms compatible with COVID-19 and the indications for the management of suspected, probable or confirmed cases of COVID-19. Discussion Adequate risk management in residential structures implies the establishment of a coordination committee with dedicated staff, the implementation of a surveillance program for the rapid recognition of the outbreaks, the identification of suitable premises and equipment, the application of universal precautions, the adaptation of care plans to reduce the possibility of contagion among residents and the protection of operators and staff training initiatives.

scholarly journals Associations of infection prevention and control measures with COVID-19 cases and deaths in nursing homes

2021 ◽  
pp. 1-6
Author(s):  
V. GUION ◽  
L. HE ◽  
H. BLAIN ◽  
H. VILLARS ◽  
G. DUREL ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Health Care Professionals ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Linear Regression Models ◽  
Term Care ◽  
Incidence And Mortality ◽  
And Control

Background/Objectives: To identify which infection prevention and control (IPC) precautions in long-term care facilities (LTCF) were associated with reduced COVID-19 incidence and mortality among residents and reduced COVID-19 incidence in health care professionals (HCP). Design: Retrospective data on self-assessment of adherence to 101 IPC measures collected via an online questionnaire sent to 825 nursing homes in France in December 2020. Setting and participants: Medical and administrative staff jointly reported data on IPC measures, characteristics of LTCF, counts of residents’ COVID-19 deaths and cases, and counts of HCP cases. Measurements: Random forest models were used to identify the most important IPC measures associated with reduced number of COVID-19 deaths and cases in residents and cases in HCP. The identified variables were then included in linear regression models to estimate the association between levels of adherence to each selected IPC measure and COVID-19 deaths and cases. No data on time of IPC measures implementation were collected. Results: Data from 307 LTCF (37.2%) were collected, accounting for 22,214 residents. A higher number of COVID-19 deaths in residents was associated with a better adherence to physical distancing in group activity rooms. A better adherence by HCP to physical distancing during their mealtimes and break times was associated with fewer COVID-19 cases among residents and HCP. Other IPC measures were not significantly associated with COVID-19 cases or deaths. Conclusion: Physical distancing between residents was more implemented when LTCF had been confronted with COVID-19 deaths. Physical distancing between HCP was associated with fewer COVID-19 cases in residents and HCP, suggesting it may prevent significantly COVID-19 spreading in LTCF. HCP should particularly adhere to physical distancing measures during their mealtimes and break times. A higher adherence to such preventive measures does not require extra material or human resources and may be easily achievable.

scholarly journals Risk factors analyses and preventive measures of immersed tunnel engineering

2021 ◽  
Vol 236 ◽  
pp. 02025
Author(s):  
Jiao Zhang ◽  
Sainan Fu ◽  
Jianping Zhu ◽  
Jiancheng Wang
Keyword(s):  
Risk Factors ◽  
Risk Management ◽  
Theoretical Basis ◽  
Prevention And Control ◽  
Preventive Measures ◽  
Control Measures ◽  
Tunnel Engineering ◽  
Immersed Tunnel ◽  
Prevention And Control Measures ◽  
And Control

Based on the comprehensive analyses of many risk factors leading to accidents in immersed tunnel engineering, it is concluded that the risk factors leading to accidents in immersed tunnel engineering are very large and must be paid attention to in all aspects at all stages of the project. This paper classifies and identifies the risk factors in immersed tunnel engineering by investigating and visiting the relevant investigation, design and construction units of immersed tunnel, and then puts forward prevention and control measures to provide theoretical basis for the prevention of risk factors in Immersed Tunnel Engineering in the future and the risk management of the whole project.

scholarly journals Are preventive measures adequate? An evaluation of the implementation of COVID-19 prevention and control measures in nursing homes in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meihong Shi ◽  
Fengying Zhang ◽  
Xinxin He ◽  
Siyuan Huang ◽  
Mingfeng Zhang ◽  
...  
Keyword(s):  
Transformational Leadership ◽  
Nursing Home ◽  
Nursing Homes ◽  
Medical Staff ◽  
Prevention And Control ◽  
Control Measures ◽  
Self Report ◽  
Implementation Rate ◽  
Prevention And Control Measures ◽  
And Control

Abstract Background The novel coronavirus disease 2019 (COVID-19) pandemic has become a challenge for nursing homes in China. Nursing homes are particularly dangerous places in terms of the spread of COVID-19 given that they house vulnerable, high-risk populations. As such, several useful guidelines for coping with COVID-19 in nursing homes have been provided. However, the actual implementation rates of such guidelines are unknown. This study aims to document the adherence of nursing homes to the Ministry of Civil Affairs guidelines for COVID-19 prevention and control in nursing homes. Methods A cross-sectional study was conducted among 484 nursing homes in 136 cities of 28 provinces in China. A self-report questionnaire was created based on the Ministry of Civil Affairs guidelines for COVID-19 prevention and control in nursing homes (first edition). The questionnaire and the Transformational Leadership in the Public Sector Scale were sent to nursing home managers via the Wenjuanxing app online from February 7 to 29, 2020. Ultimately, 461 of 960 nursing homes participated, for a response rate of 48.0%. Results The average overall implementation rate of COVID-19 prevention and control measures was 80.0% (143.97/180). The average implementation rates for hygienic behaviour management and access management were lower, at 75.3 and 78.7%, respectively. Number of medical staff and transformational leadership score of nursing home’s manager were associated with total implementation score (p < 0.05). A total of 69.8% (322/461) of the nursing home managers had serious resource problems, and inadequate protective supplies (72.0%) and staff shortages (47.7%) were the two primary problems. The nursing homes that located in urban, with large nursing home size, had hospital-nursing home cooperation and the transformational leadership score of manager> 60, had a lower risk of having serious resource problems. Conclusions Overall, the implementation of prevention and control measures by nursing homes are insufficient during the epidemic in China. More medical staff, adequate resource, cooperation with hospitals, and higher transformational leadership of manager are required to improve the implementation rate. It is urgent for nursing homes to maintain the safety of residents and staff.

scholarly journals Are preventive measures adequate? An evaluation of the implementation of COVID-19 prevention and control measures in nursing homes in China

2020 ◽  
Author(s):  
Meihong Shi ◽  
Fengying Zhang ◽  
Xinxin He ◽  
Siyuan Huang ◽  
MingFeng Zhang ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Medical Staff ◽  
Prevention And Control ◽  
Further Education ◽  
Control Measures ◽  
Self Report ◽  
Implementation Rate ◽  
Prevention And Control Measures ◽  
And Control

Abstract BackgroundThe COVID-19 pandemic has been a challenge for nursing homes in China. Nursing homes are particularly dangerous places regarding the spread of COVID-19 given that they house vulnerable, high-risk populations. As such, several useful guidelines for coping with COVID-19 in nursing homes have been provided. However, the actual implementation rates of such guidelines are unknown. This study aims to document the adherence of nursing homes to the Ministry of Civil Affairs guidelines for COVID-19 prevention and control in nursing homes.MethodsA cross-sectional study was conducted among 484 nursing homes in 136 cities of 28 provinces in China. A self-report questionnaire was created based on the Ministry of Civil Affairs guidelines for COVID-19 prevention and control in nursing homes (first edition). The questionnaire was sent to nursing home managers via the Wenjuanxing app online from February 7 to 29, 2020. A total of 461 responses were included in the analysis. ResultsThe implementation rates of COVID-19 prevention and control measures in nursing homes were moderate, with an average rate of 80.0%. The average implementation rates for hygienic behaviour management, access management, and environmental disinfection management were 75.3%, 78.7%, and 79.9%, respectively. Nursing homes that did not have hospital-nursing home cooperation, did not have medical staff, and had not established a quarantine unit (room) had low implementation rates (p < 0.01). The number of medical staff, education level of the manager, nursing home size, and establishment of quarantine room/unit were found to be strongly positively associated with the total implementation rate (p < 0.01).ConclusionOverall, the implementation of prevention and control measures by nursing homes are insufficient during the epidemic in China. Further education for staff and cooperation with hospitals are required to improve the implementation rate. It is urgent for nursing homes to improve the management system to ensure the safety and effectiveness of the emergency.

scholarly journals Reflections on the Cluster Epidemic of COVID-19; Lessons Learned from Wuhan’s Experience: A Brief Review

2020 ◽  
Author(s):  
Quan ZHOU ◽  
Sufang HUANG ◽  
Yaru XIAO ◽  
Miqi LI ◽  
Zhiran GUO
Keyword(s):  
Prevention And Control ◽  
Virus Transmission ◽  
Lessons Learned ◽  
Control Measures ◽  
Chinese Government ◽  
Local Health ◽  
Health Authorities ◽  
Prevention And Control Measures ◽  
Local Health Authorities ◽  
And Control

At present, new coronavirus pneumonia (COVID-19) is circulating worldwide. The pathogen of this coronavirus pneumonia is named SARS-CoV-2. The virus has a long incubation period and is highly contagious. There is currently no specific targeted drug treatment. The focus of anti-epidemic work should be more on prevention and control while cutting off the virus transmission route while treating infected patients, and protecting healthy people. In order to protect the safety and health of the Chinese citizens and to maintain the safety of world public health, the Chinese government and people have made unprecedented efforts to control the epidemic. Many people in the international community have joined in limiting the spread of COVID-19. This article combines the development of COVID-19 epidemic situation in Wuhan, the relevant prevention and control measures of the Wuhan government and local health authorities to share Wuhan’s experience on control the cluster epidemic and provide new suggestions and ideas for epidemic prevention and control.

scholarly journals Are preventive measures adequate? An evaluation of the implementation of COVID-19 prevention and control measures in nursing homes in China

2021 ◽  
Author(s):  
Meihong Shi ◽  
Fengying Zhang ◽  
Xinxin He ◽  
Siyuan Huang ◽  
MingFeng Zhang ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Medical Staff ◽  
Prevention And Control ◽  
Control Measures ◽  
Self Report ◽  
Three Dimensions ◽  
Implementation Rate ◽  
Prevention And Control Measures ◽  
And Control

Abstract Background: The novel coronavirus disease 2019 (COVID-19) pandemic has become a challenge for nursing homes in China. Nursing homes are particularly dangerous places regarding the spread of COVID-19 given that they house vulnerable, high-risk populations. As such, several useful guidelines for coping with COVID-19 in nursing homes have been provided. However, the actual implementation rates of such guidelines are unknown. This study aims to document the adherence of nursing homes to the Ministry of Civil Affairs guidelines for COVID-19 prevention and control in nursing homes.Methods: A cross-sectional study was conducted among 484 nursing homes in 136 cities of 28 provinces in China. A self-report questionnaire was created based on the Ministry of Civil Affairs guidelines for COVID-19 prevention and control in nursing homes (first edition). The questionnaire and the Transformational Leadership in the Public Sector Scale were sent to nursing home managers via the Wenjuanxing app online from February 7 to 29, 2020. A total of 461 responses were included in the analysis. Results: The average overall implementation rate of COVID-19 prevention and control measures was 80.0% (143.97/180). The average implementation rates for hygienic behaviour management, access management were lower, with 75.3% and 78.7% respectively. The number of medical staff, established a quarantine unit (room), leadership’s three dimensions included intellectual stimulation, individualized consideration, and idealized influence were found to affect the prevention and control implementation (p<0.05). Nursing homes that did not have hospital-nursing home cooperation, did not have medical staff, and had not established a quarantine unit (room) had low implementation rates (p<0.01). 69.8% (332/461) of nursing home managers reported they had serious resource problems, inadequate of protective supplies (72.0%) and staff shortage (47.7%) were two primary problems. Conclusion: Overall, the implementation of prevention and control measures by nursing homes are insufficient during the epidemic in China. Further education for staff, provide support to staff, supply adequate protective resources, and cooperation with hospitals are required to improve the implementation rate. It is urgent for nursing homes keep the safety of the residents and staff.

Knowledge and Awareness of Dengue Fever

2018 ◽  
pp. 219-222
Author(s):  
Y. Arockia Suganthi ◽  
Chitra K. ◽  
J. Magelin Mary
Keyword(s):  
Dengue Fever ◽  
Prevention And Control ◽  
Control Measures ◽  
Infection Transmission ◽  
Standard Guideline ◽  
The World ◽  
Different Types ◽  
Prevention And Control Measures ◽  
Dengue Prevention ◽  
And Control

Dengue fever is a painful mosquito-borne infection caused by different types of virus in various localities of the world. There is no particular medicine or vaccine to treat person suffering from dengue fever. Dengue viruses are transmitted by the bite of female Aedes (Ae) mosquitoes. Dengue fever viruses are mainly transmitted by Aedes which can be active in tropical or subtropical climates. Aedes Aegypti is the key step to avoid infection transmission to save millions of people in all over the world. This paper provides a standard guideline in the planning of dengue prevention and control measures. At the same time gives the priorities including clinical management and hospitalized dengue patients have to address essentially.

An evaluation model of 2019-nCoV prevention effectiveness based on immigration data in China (Preprint)

2020 ◽  
Author(s):  
Qiangsheng Huang
Keyword(s):  
Prevention And Control ◽  
Time Window ◽  
Evaluation Model ◽  
Control Measures ◽  
Related Data ◽  
The Face ◽  
Prevention And Control Measures ◽  
And Control ◽  
Best Fit

BACKGROUND As of the end of February 2020, 2019-nCoV is currently well controlled in China. However, the virus is now spreading globally. OBJECTIVE This study aimed to evaluate the effectiveness of outbreak prevention and control measures in a region. METHODS A model is built for find the best fit for two sets of data (the number of daily new diagnosed, and the risk value of incoming immigration population). The parameters (offset and time window) in the model can be used as the evaluation of effectiveness of outbreak prevention and control. RESULTS Through study, it is found that the parameter offset and time window in the model can accurately reflect the prevention effectiveness. Some related data and public news confirm this result. And this method has advantages over the method using R0 in two aspects. CONCLUSIONS If the epidemic situation is well controlled, the virus is not terrible. Now the daily new diagnosed patients in most regions of China is quickly reduced to zero or close to zero. Chinese can do a good job in the face of huge epidemic pressure. Therefore, if other countries can do well in prevention and control, the epidemic in those places can also pass quickly.

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