Respirator use in a hospital setting: establishing surveillance metrics

Details

• Personal Author:
  Bruer M ; Ficken ME ; Lehmann CU ; Little SW ; McGown PW ; Oke CA ; Swift MD ; Talbot TR ; Wheaton RF ; Yarbrough MI
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Health Personnel Hospitals Occupational Health Personal Protective Equipment Preventive Medicine Respiratory Protective Devices Safety
• Keywords:
  Author Keywords: Respirator Use And Supply Guidelines Health Care Personnel Health Protection Hospital Equipment Hospital Settings Personal Protection Personal Protective Equipment PPE Surveillance System Preventive Medicine Regulations Respirators Respiratory Protection Respiratory Protective Equipment Safety Practices Surveillance

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• ISSN:
  0892-6298
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; OSHA Region 4 ; Pennsylvania ; Tennessee
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  NPPTL - National Personal Protective Technology Laboratory
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-11
• Volume:
  33
• Issue:
  1
• NIOSHTIC Number:
  nn:20048112
• Citation:
  J Int Soc Respir Prot 2016 Jan; 33(1):1-11
• Contact Point Address:
  Mary I. Yarbrough, Department of Health and Wellness, Vanderbilt University, 1211 21st Avenue South, 640 Medical Arts Building, Nashville, TN 37235
• Email:
  Mary.yarbrough@vanderbilt.edu
• Federal Fiscal Year:
  2016
• NORA Priority Area:
  Healthcare and Social Assistance
• Peer Reviewed:
  True
• Source Full Name:
  Journal of the International Society for Respiratory Protection
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b900f3d579d34925563272975e6502624e0b1ab3e1917dd9d4e6257ea42be84337b0919ebabf7a4bf022652cd68eca25186927b98c1a1ecc19e90c8adc35b6e9
• Download URL:
  https://stacks.cdc.gov/view/cdc/202973/cdc_202973_DS1.pdf
• File Type:
  [PDF - 249.91 KB ]