Chapter 6. Protection of patients and staff during a pandemic
Identifieur interne : 000E66 ( Istex/Checkpoint ); précédent : 000E65; suivant : 000E67Chapter 6. Protection of patients and staff during a pandemic
Auteurs : Bruce L. Taylor [Royaume-Uni] ; Hugh E. Montgomery [Royaume-Uni] ; Andrew Rhodes [Royaume-Uni] ; Charles L. Sprung [Israël]Source :
- Intensive Care Medicine [ 0342-4642 ] ; 2010.
Abstract
Abstract: Purpose: To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on protection of patients and staff. Methods: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including protection of patients and staff. Results: Key recommendations include: (1) prepare infection control and occupational health policies for clinical risks relating to potential disease transmission; (2) decrease clinical risks and provide adequate facilities through advanced planning to maximise capacity by increasing essential equipment, drugs, supplies and encouraging staff availability; (3) create robust systems to maintain staff confidence and safety by minimising non-clinical risks and maintaining or escalating essential services; (4) prepare formal reassurance plans for legal protection; (5) provide assistance to staff working outside their normal domains. Conclusions: Judicious planning and adoption of protocols for protection of patients and staff are necessary to optimise outcomes during a pandemic.
Url:
DOI: 10.1007/s00134-010-1764-1
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Taylor</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital, Cosham, PO63LY, Portsmouth, Hants</wicri:regionArea><wicri:noRegion>Hants</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Royaume-Uni</country></affiliation></author><author><name sortKey="Montgomery, Hugh E" sort="Montgomery, Hugh E" uniqKey="Montgomery H" first="Hugh E." last="Montgomery">Hugh E. Montgomery</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Intensive Care Medicine, University College of London, Whittington Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Critical Care, St George’s Healthcare NHS Trust, SW17 0QT, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L." last="Sprung">Charles L. Sprung</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Israël</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Intensive Care Medicine</title><title level="j" type="abbrev">Intensive Care Med</title><idno type="ISSN">0342-4642</idno><idno type="eISSN">1432-1238</idno><title level="j" type="issue">Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster</title><imprint><publisher ref="https://scientific-publisher.data.istex.fr/ark:/67375/H02-SWLMH5L1-1">Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="2010">2010</date><biblScope unit="vol" from="36" to="36">36</biblScope><biblScope unit="issue" from="1" to="1">1</biblScope><biblScope unit="page" from="45">45</biblScope><biblScope unit="page" to="54">54</biblScope></imprint><idno type="ISSN">0342-4642</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0342-4642</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Purpose: To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on protection of patients and staff. Methods: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including protection of patients and staff. Results: Key recommendations include: (1) prepare infection control and occupational health policies for clinical risks relating to potential disease transmission; (2) decrease clinical risks and provide adequate facilities through advanced planning to maximise capacity by increasing essential equipment, drugs, supplies and encouraging staff availability; (3) create robust systems to maintain staff confidence and safety by minimising non-clinical risks and maintaining or escalating essential services; (4) prepare formal reassurance plans for legal protection; (5) provide assistance to staff working outside their normal domains. Conclusions: Judicious planning and adoption of protocols for protection of patients and staff are necessary to optimise outcomes during a pandemic.</div></front></TEI><affiliations><list><country><li>Israël</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Taylor, Bruce L" sort="Taylor, Bruce L" uniqKey="Taylor B" first="Bruce L." last="Taylor">Bruce L. Taylor</name></noRegion><name sortKey="Montgomery, Hugh E" sort="Montgomery, Hugh E" uniqKey="Montgomery H" first="Hugh E." last="Montgomery">Hugh E. Montgomery</name><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name><name sortKey="Taylor, Bruce L" sort="Taylor, Bruce L" uniqKey="Taylor B" first="Bruce L." last="Taylor">Bruce L. Taylor</name></country><country name="Israël"><noRegion><name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L." last="Sprung">Charles L. Sprung</name></noRegion><name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L." last="Sprung">Charles L. Sprung</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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