The pandemic influenza planning process in Ontario acute care hospitals
Identifieur interne : 000909 ( Pmc/Curation ); précédent : 000908; suivant : 000910The pandemic influenza planning process in Ontario acute care hospitals
Auteurs : Dick E. Zoutman [Canada] ; B. Douglas Ford [Canada] ; Matt Melinyshyn [Canada] ; Brian Schwartz [Canada]Source :
- American Journal of Infection Control [ 0196-6553 ] ; 2009.
Abstract
There will be little time to prepare when an influenza pandemic strikes; hospitals need to develop and test pandemic influenza plans beforehand.
Acute care hospitals in Ontario were surveyed regarding their pandemic influenza preparedness plans.
The response rate was 78.5%, and 95 of 121 hospitals participated. Three quarters (76.8%, 73 of 95) of hospitals had pandemic influenza plans. Only 16.4% (12 of 73) of hospitals with plans had tested them. Larger (χ2 = 6.7,
Important challenges were identified in pandemic planning: one quarter of hospitals did not have a plan, few plans were tested, key players were not involved, plans were frequently incomplete, funding was inadequate, and small and rural hospitals were especially disadvantaged. If these problems are not addressed, the result may be increased morbidity and mortality when a virulent influenza pandemic hits.
Url:
DOI: 10.1016/j.ajic.2009.10.002
PubMed: 20022406
PubMed Central: 7132733
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The pandemic influenza planning process in Ontario acute care hospitals</title><author><name sortKey="Zoutman, Dick E" sort="Zoutman, Dick E" uniqKey="Zoutman D" first="Dick E." last="Zoutman">Dick E. Zoutman</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Pathology and Molecular Medicine, Queen's University and Infection Control Service, Kingston General Hospital, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pathology and Molecular Medicine, Queen's University and Infection Control Service, Kingston General Hospital, Kingston, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Ford, B Douglas" sort="Ford, B Douglas" uniqKey="Ford B" first="B. Douglas" last="Ford">B. Douglas Ford</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Pathology and Molecular Medicine, Queen's University, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pathology and Molecular Medicine, Queen's University, Kingston, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Melinyshyn, Matt" sort="Melinyshyn, Matt" uniqKey="Melinyshyn M" first="Matt" last="Melinyshyn">Matt Melinyshyn</name><affiliation wicri:level="1"><nlm:aff id="aff3">Matthew J. Melinyshyn Consulting Services, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Matthew J. Melinyshyn Consulting Services, Kingston, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Schwartz, Brian" sort="Schwartz, Brian" uniqKey="Schwartz B" first="Brian" last="Schwartz">Brian Schwartz</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Family and Community Medicine, University of Toronto and Ontario Agency for Health Protection and Promotion, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Family and Community Medicine, University of Toronto and Ontario Agency for Health Protection and Promotion, Kingston, Ontario</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20022406</idno><idno type="pmc">7132733</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132733</idno><idno type="RBID">PMC:7132733</idno><idno type="doi">10.1016/j.ajic.2009.10.002</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">000909</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000909</idno><idno type="wicri:Area/Pmc/Curation">000909</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000909</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The pandemic influenza planning process in Ontario acute care hospitals</title><author><name sortKey="Zoutman, Dick E" sort="Zoutman, Dick E" uniqKey="Zoutman D" first="Dick E." last="Zoutman">Dick E. Zoutman</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Pathology and Molecular Medicine, Queen's University and Infection Control Service, Kingston General Hospital, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pathology and Molecular Medicine, Queen's University and Infection Control Service, Kingston General Hospital, Kingston, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Ford, B Douglas" sort="Ford, B Douglas" uniqKey="Ford B" first="B. Douglas" last="Ford">B. Douglas Ford</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Pathology and Molecular Medicine, Queen's University, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pathology and Molecular Medicine, Queen's University, Kingston, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Melinyshyn, Matt" sort="Melinyshyn, Matt" uniqKey="Melinyshyn M" first="Matt" last="Melinyshyn">Matt Melinyshyn</name><affiliation wicri:level="1"><nlm:aff id="aff3">Matthew J. Melinyshyn Consulting Services, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Matthew J. Melinyshyn Consulting Services, Kingston, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Schwartz, Brian" sort="Schwartz, Brian" uniqKey="Schwartz B" first="Brian" last="Schwartz">Brian Schwartz</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Family and Community Medicine, University of Toronto and Ontario Agency for Health Protection and Promotion, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Family and Community Medicine, University of Toronto and Ontario Agency for Health Protection and Promotion, Kingston, Ontario</wicri:regionArea></affiliation></author></analytic><series><title level="j">American Journal of Infection Control</title><idno type="ISSN">0196-6553</idno><idno type="eISSN">1527-3296</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>There will be little time to prepare when an influenza pandemic strikes; hospitals need to develop and test pandemic influenza plans beforehand.</p></sec><sec><title>Methods</title><p>Acute care hospitals in Ontario were surveyed regarding their pandemic influenza preparedness plans.</p></sec><sec><title>Results</title><p>The response rate was 78.5%, and 95 of 121 hospitals participated. Three quarters (76.8%, 73 of 95) of hospitals had pandemic influenza plans. Only 16.4% (12 of 73) of hospitals with plans had tested them. Larger (χ<sup>2</sup> = 6.7, <italic>P</italic> = .01) and urban hospitals (χ<sup>2</sup> = 5.0, <italic>P</italic> = .03) were more likely to have tested their plans. 70.4% (50 of 71) Of respondents thought the pandemic influenza planning process was not adequately funded. No respondents were “very satisfied” with the completeness of their hospital's pandemic plan, and only 18.3% were “satisfied.”</p></sec><sec><title>Conclusion</title><p>Important challenges were identified in pandemic planning: one quarter of hospitals did not have a plan, few plans were tested, key players were not involved, plans were frequently incomplete, funding was inadequate, and small and rural hospitals were especially disadvantaged. If these problems are not addressed, the result may be increased morbidity and mortality when a virulent influenza pandemic hits.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="O Sullivan, T L" uniqKey="O Sullivan T">T.L. O'Sullivan</name></author><author><name sortKey="Amaratunga, C A" uniqKey="Amaratunga C">C.A. Amaratunga</name></author><author><name sortKey="Hardt, J" uniqKey="Hardt J">J. Hardt</name></author><author><name sortKey="Gibson, D" uniqKey="Gibson D">D. Gibson</name></author><author><name sortKey="Phillips, K" uniqKey="Phillips K">K. Phillips</name></author><author><name sortKey="Corneil, W" uniqKey="Corneil W">W. Corneil</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bartlett, J G" uniqKey="Bartlett J">J.G. Bartlett</name></author><author><name sortKey="Borio, L" uniqKey="Borio L">L. Borio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rebmann, T" uniqKey="Rebmann T">T. Rebmann</name></author><author><name sortKey="Wilson, R" uniqKey="Wilson R">R. Wilson</name></author><author><name sortKey="Lapointe, S" uniqKey="Lapointe S">S. LaPointe</name></author><author><name sortKey="Russell, B" uniqKey="Russell B">B. Russell</name></author><author><name sortKey="Moroz, D" uniqKey="Moroz D">D. Moroz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stricof, R L" uniqKey="Stricof R">R.L. Stricof</name></author><author><name sortKey="Schabses, K A" uniqKey="Schabses K">K.A. Schabses</name></author><author><name sortKey="Tserenpuntsag, B" uniqKey="Tserenpuntsag B">B. Tserenpuntsag</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stevenson, K B" uniqKey="Stevenson K">K.B. Stevenson</name></author><author><name sortKey="Murphy, C L" uniqKey="Murphy C">C.L. Murphy</name></author><author><name sortKey="Samore, M H" uniqKey="Samore M">M.H. Samore</name></author><author><name sortKey="Hannah, E L" uniqKey="Hannah E">E.L. Hannah</name></author><author><name sortKey="Moore, J W" uniqKey="Moore J">J.W. Moore</name></author><author><name sortKey="Barbera, J" uniqKey="Barbera J">J. Barbera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zoutman, D E" uniqKey="Zoutman D">D.E. Zoutman</name></author><author><name sortKey="Ford, B D" uniqKey="Ford B">B.D. Ford</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cunney, R" uniqKey="Cunney R">R. Cunney</name></author><author><name sortKey="Humphreys, H" uniqKey="Humphreys H">H. Humphreys</name></author><author><name sortKey="Murphy, N" uniqKey="Murphy N">N. Murphy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oh, H S" uniqKey="Oh H">H.S. Oh</name></author><author><name sortKey="Chung, H W" uniqKey="Chung H">H.W. Chung</name></author><author><name sortKey="Kim, J S" uniqKey="Kim J">J.S. Kim</name></author><author><name sortKey="Cho, S L" uniqKey="Cho S">S.L. Cho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moro, M L" uniqKey="Moro M">M.L. Moro</name></author><author><name sortKey="Petrosillo, N" uniqKey="Petrosillo N">N. Petrosillo</name></author><author><name sortKey="Gandin, C" uniqKey="Gandin C">C. Gandin</name></author><author><name sortKey="Bella, A" uniqKey="Bella A">A. Bella</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Infect Control</journal-id><journal-id journal-id-type="iso-abbrev">Am J Infect Control</journal-id><journal-title-group><journal-title>American Journal of Infection Control</journal-title></journal-title-group><issn pub-type="ppub">0196-6553</issn><issn pub-type="epub">1527-3296</issn><publisher><publisher-name>Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20022406</article-id><article-id pub-id-type="pmc">7132733</article-id><article-id pub-id-type="publisher-id">S0196-6553(09)00890-6</article-id><article-id pub-id-type="doi">10.1016/j.ajic.2009.10.002</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>The pandemic influenza planning process in Ontario acute care hospitals</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Zoutman</surname><given-names>Dick E.</given-names></name><degrees>MD, FRCPC</degrees><email>zoutmand@kgh.kari.net</email><xref rid="aff1" ref-type="aff">a</xref><xref rid="cor1" ref-type="corresp">∗</xref></contrib><contrib contrib-type="author" id="au2"><name><surname>Ford</surname><given-names>B. Douglas</given-names></name><degrees>MA</degrees><xref rid="aff2" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au3"><name><surname>Melinyshyn</surname><given-names>Matt</given-names></name><degrees>MSc</degrees><xref rid="aff3" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="au4"><name><surname>Schwartz</surname><given-names>Brian</given-names></name><degrees>MD</degrees><xref rid="aff4" ref-type="aff">d</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Department of Pathology and Molecular Medicine, Queen's University and Infection Control Service, Kingston General Hospital, Kingston, Ontario, Canada</aff><aff id="aff2"><label>b</label>Department of Pathology and Molecular Medicine, Queen's University, Kingston, Ontario, Canada</aff><aff id="aff3"><label>c</label>Matthew J. Melinyshyn Consulting Services, Kingston, Ontario, Canada</aff><aff id="aff4"><label>d</label>Department of Family and Community Medicine, University of Toronto and Ontario Agency for Health Protection and Promotion, Kingston, Ontario, Canada</aff><author-notes><corresp id="cor1"><label>∗</label>Address correspondence to Dick E. Zoutman, MD, FRCPC, Department of Pathology and Molecular Medicine, Queen's University and Infection Control Service, Kingston General Hospital, 76 Stuart Street, Kingston, Ontario, K7L 2V7, Canada. <email>zoutmand@kgh.kari.net</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>22</day><month>12</month><year>2009</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>2</month><year>2010</year></pub-date><pub-date pub-type="epub"><day>22</day><month>12</month><year>2009</year></pub-date><volume>38</volume><issue>1</issue><fpage>3</fpage><lpage>8</lpage><permissions><copyright-statement>Copyright © 2010 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.</copyright-statement><copyright-year>2010</copyright-year><copyright-holder>Association for Professionals in Infection Control and Epidemiology, Inc.</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract><sec><title>Background</title><p>There will be little time to prepare when an influenza pandemic strikes; hospitals need to develop and test pandemic influenza plans beforehand.</p></sec><sec><title>Methods</title><p>Acute care hospitals in Ontario were surveyed regarding their pandemic influenza preparedness plans.</p></sec><sec><title>Results</title><p>The response rate was 78.5%, and 95 of 121 hospitals participated. Three quarters (76.8%, 73 of 95) of hospitals had pandemic influenza plans. Only 16.4% (12 of 73) of hospitals with plans had tested them. Larger (χ<sup>2</sup> = 6.7, <italic>P</italic> = .01) and urban hospitals (χ<sup>2</sup> = 5.0, <italic>P</italic> = .03) were more likely to have tested their plans. 70.4% (50 of 71) Of respondents thought the pandemic influenza planning process was not adequately funded. No respondents were “very satisfied” with the completeness of their hospital's pandemic plan, and only 18.3% were “satisfied.”</p></sec><sec><title>Conclusion</title><p>Important challenges were identified in pandemic planning: one quarter of hospitals did not have a plan, few plans were tested, key players were not involved, plans were frequently incomplete, funding was inadequate, and small and rural hospitals were especially disadvantaged. If these problems are not addressed, the result may be increased morbidity and mortality when a virulent influenza pandemic hits.</p></sec></abstract><kwd-group><title>Key Words</title><kwd>Pandemic influenza</kwd><kwd>pandemic preparedness</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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