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Pandemic influenza extension areas in an urban pediatric hospital.

Identifieur interne : 000B95 ( PubMed/Checkpoint ); précédent : 000B94; suivant : 000B96

Pandemic influenza extension areas in an urban pediatric hospital.

Auteurs : Rachel L. Charney [États-Unis] ; Eric S. Armbrecht ; Brian R. Kennedy ; Robert G. Flood

Source :

RBID : pubmed:22575276

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English descriptors

Abstract

The 2009 H1N1 influenza pandemic created a surge of patients with low-acuity influenza-like-illness (ILI) to hospital Emergency Departments (EDs). The development and results of a tiered surge plan to care for these patients at a Pediatric Emergency Department (PED) were studied.

DOI: 10.1017/S1049023X12000301
PubMed: 22575276


Affiliations:


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pubmed:22575276

Le document en format XML

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<title xml:lang="en">Pandemic influenza extension areas in an urban pediatric hospital.</title>
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<name sortKey="Charney, Rachel L" sort="Charney, Rachel L" uniqKey="Charney R" first="Rachel L" last="Charney">Rachel L. Charney</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri 63104, USA. rcharney@slu.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri 63104</wicri:regionArea>
<wicri:noRegion>Missouri 63104</wicri:noRegion>
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<name sortKey="Armbrecht, Eric S" sort="Armbrecht, Eric S" uniqKey="Armbrecht E" first="Eric S" last="Armbrecht">Eric S. Armbrecht</name>
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<name sortKey="Kennedy, Brian R" sort="Kennedy, Brian R" uniqKey="Kennedy B" first="Brian R" last="Kennedy">Brian R. Kennedy</name>
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<name sortKey="Flood, Robert G" sort="Flood, Robert G" uniqKey="Flood R" first="Robert G" last="Flood">Robert G. Flood</name>
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<term>Algorithms</term>
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<term>Female</term>
<term>Hospital Planning</term>
<term>Hospitals, Pediatric (organization & administration)</term>
<term>Hospitals, Urban (organization & administration)</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (therapy)</term>
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<term>Pandemics</term>
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<term>Algorithmes</term>
<term>Analyse de variance</term>
<term>Capacité de gestion de crise</term>
<term>Durée du séjour ()</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (diagnostic)</term>
<term>Humains</term>
<term>Hôpitaux pédiatriques (organisation et administration)</term>
<term>Hôpitaux urbains (organisation et administration)</term>
<term>Missouri</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Planification hospitalière</term>
<term>Qualité des soins de santé</term>
<term>Satisfaction du patient</term>
<term>Service hospitalier d'urgences (organisation et administration)</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Études rétrospectives</term>
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<term>Missouri</term>
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<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Grippe humaine</term>
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<term>Hôpitaux pédiatriques</term>
<term>Hôpitaux urbains</term>
<term>Service hospitalier d'urgences</term>
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<term>Emergency Service, Hospital</term>
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<term>Hospitals, Urban</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Length of Stay</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Influenza, Human</term>
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<term>Algorithms</term>
<term>Analysis of Variance</term>
<term>Child</term>
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<term>Hospital Planning</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Male</term>
<term>Pandemics</term>
<term>Patient Satisfaction</term>
<term>Quality of Health Care</term>
<term>Retrospective Studies</term>
<term>Surge Capacity</term>
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<term>Analyse de variance</term>
<term>Capacité de gestion de crise</term>
<term>Durée du séjour</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Humains</term>
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<term>Pandémies</term>
<term>Planification hospitalière</term>
<term>Qualité des soins de santé</term>
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<front>
<div type="abstract" xml:lang="en">The 2009 H1N1 influenza pandemic created a surge of patients with low-acuity influenza-like-illness (ILI) to hospital Emergency Departments (EDs). The development and results of a tiered surge plan to care for these patients at a Pediatric Emergency Department (PED) were studied.</div>
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<DateCompleted>
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<Month>09</Month>
<Day>20</Day>
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<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>06</Day>
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<ISSN IssnType="Print">1049-023X</ISSN>
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<Title>Prehospital and disaster medicine</Title>
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<ArticleTitle>Pandemic influenza extension areas in an urban pediatric hospital.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The 2009 H1N1 influenza pandemic created a surge of patients with low-acuity influenza-like-illness (ILI) to hospital Emergency Departments (EDs). The development and results of a tiered surge plan to care for these patients at a Pediatric Emergency Department (PED) were studied.</AbstractText>
<AbstractText Label="HYPOTHESIS/PROBLEM" NlmCategory="OBJECTIVE">By providing standard assessment and treatment algorithms within physically separate ILI Extension Areas, it was hypothesized that patient care could be streamlined and the quality of care maintained.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Hospital administrators created the tiered H1N1 surge plan within the framework of the existing emergency operations plan (EOP). After the initial expansion of space and staff utilization within the existing PED footprint, ILI Extension Areas were opened and staffed by non-ED physicians and nursing to provide care rapidly for ILI patients after Registered Nurse (RN) screening. Volumes, length of stay (LOS), left without being seen (LWBS) rates, patient satisfaction, and costs were tracked and measured.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Significantly elevated volumes of patients were seen in the months of September and October of 2009 (42.0% and 32.7% increase over 2008). During this time, 612 patients were triaged to the ILI Extension Areas. The LOS was similar to that experienced in prior years. The LWBS rates in September (4.8%) and October (3.4%) were slightly elevated over the 2009 yearly average (3.2%), but remained lower than during a prior, high-volume month. Satisfaction, measured as patients' "likelihood to recommend," remained within the range observed during other parts of the year. Cost estimates indicate favorable financial performance for the institution.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The tiered surge response plan represented a success in managing large volumes of low-acuity patients during an extended period of time. This design can be utilized effectively in the future during times of patient surge.</AbstractText>
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<ForeName>Rachel L</ForeName>
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