PMID- 27594764
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220321
IS  - 0892-6298 (Print)
IS  - 0892-6298 (Linking)
VI  - 33
IP  - 1
DP  - 2016
TI  - Respirator Use in a Hospital Setting: Establishing Surveillance Metrics.
PG  - 1-11
AB  - Information that details use and supply of respirators in acute care hospitals is 
      vital to prevent disease transmission, assure the safety of health care 
      personnel, and inform national guidelines and regulations. OBJECTIVE: To develop 
      measures of respirator use and supply in the acute care hospital setting to aid 
      evaluation of respirator programs, allow benchmarking among hospitals, and serve 
      as a foundation for national surveillance to enhance effective Personal 
      Protective Equipment (PPE) use and management. METHODS: We identified existing 
      regulations and guidelines that govern respirator use and supply at Vanderbilt 
      University Medical Center (VUMC). Related routine and emergency hospital 
      practices were documented through an investigation of hospital administrative 
      policies, protocols, and programs. Respirator dependent practices were 
      categorized based on hospital workflow: Prevention (preparation), patient care 
      (response), and infection surveillance (outcomes). Associated data in information 
      systems were extracted and their quality evaluated. Finally, measures 
      representing major factors and components of respirator use and supply were 
      developed. RESULTS: Various directives affecting multiple stakeholders govern 
      respirator use and supply in hospitals. Forty-seven primary and secondary 
      measures representing factors of respirator use and supply in the acute care 
      hospital setting were derived from existing information systems associated with 
      the implementation of these directives. CONCLUSION: Adequate PPE supply and 
      effective use that limit disease transmission and protect health care personnel 
      are dependent on multiple factors associated with routine and emergency hospital 
      practices. We developed forty-seven measures that may serve as the basis for a 
      national PPE surveillance system, beginning with standardized measures of 
      respirator use and supply for collection across different hospital types, sizes, 
      and locations to inform hospitals, government agencies, manufacturers, and 
      distributors. Despite involvement of multiple hospital stakeholders, regulatory 
      guidance prescribes workplace practices that are likely to result in similar 
      workflows across hospitals. Future work will explore the feasibility of 
      implementing the collection and reporting of standardized measures in multiple 
      facilities.
FAU - Yarbrough, Mary I
AU  - Yarbrough MI
AD  - Department of Health and Wellness, Vanderbilt University, 1211 21 Avenue South, 
      640 Medical Arts Building, Nashville, TN.
FAU - Ficken, Meredith E
AU  - Ficken ME
AD  - InfoWorks, Inc., 102 Woodmont Blvd., Suite 500, Nashville, TN.
FAU - Lehmann, Christoph U
AU  - Lehmann CU
AD  - Department of Health and Wellness, Vanderbilt University, 1211 21 Avenue South, 
      640 Medical Arts Building, Nashville, TN.
FAU - Talbot, Thomas R
AU  - Talbot TR
AD  - Department of Health and Wellness, Vanderbilt University, 1211 21 Avenue South, 
      640 Medical Arts Building, Nashville, TN.
FAU - Swift, Melanie D
AU  - Swift MD
AD  - Department of Health and Wellness, Vanderbilt University, 1211 21 Avenue South, 
      640 Medical Arts Building, Nashville, TN.
FAU - McGown, Paula W
AU  - McGown PW
AD  - Department of Health and Wellness, Vanderbilt University, 1211 21 Avenue South, 
      640 Medical Arts Building, Nashville, TN.
FAU - Wheaton, Robert F
AU  - Wheaton RF
AD  - Department of Health and Wellness, Vanderbilt University, 1211 21 Avenue South, 
      640 Medical Arts Building, Nashville, TN.
FAU - Bruer, Michele
AU  - Bruer M
AD  - Department of Health and Wellness, Vanderbilt University, 1211 21 Avenue South, 
      640 Medical Arts Building, Nashville, TN.
FAU - Little, Steven W
AU  - Little SW
AD  - InfoWorks, Inc., 102 Woodmont Blvd., Suite 500, Nashville, TN.
FAU - Oke, Charles A
AU  - Oke CA
AD  - National Institute for Occupational Safety and Health, National Personal 
      Protective Technology Laboratory, Pittsburgh, PA.
LA  - eng
GR  - CC999999/Intramural CDC HHS/United States
PT  - Journal Article
PL  - United States
TA  - J Int Soc Respir Prot
JT  - Journal of the International Society for Respiratory Protection
JID - 9514024
PMC - PMC5008688
MID - NIHMS778744
OTO - NOTNLM
OT  - Hospital settings
OT  - PPE Surveillance System
OT  - Personal Protective Equipment
OT  - Respirator use and supply
EDAT- 2016/09/07 06:00
MHDA- 2016/09/07 06:01
PMCR- 2016/09/01
CRDT- 2016/09/06 06:00
PHST- 2016/09/06 06:00 [entrez]
PHST- 2016/09/07 06:00 [pubmed]
PHST- 2016/09/07 06:01 [medline]
PHST- 2016/09/01 00:00 [pmc-release]
PST - ppublish
SO  - J Int Soc Respir Prot. 2016;33(1):1-11.