Xiong Wei, Hollingsworth Eric, Muckstadt Jack, Van Lieu Vorenkamp Jaclyn, Lazar Eliot J, Cagliuso Nicholas V, Hupert Nathaniel
Department of Public Health, , Weill Medical College of Cornell University, New York, NY 10021, USA.
Infect Control Hosp Epidemiol. 2007 May;28(5):618-21. doi: 10.1086/516659. Epub 2007 Apr 5.
Hospital preparedness for nosocomial or community-wide outbreaks of communicable disease includes the capability for rapid, self-reliant administration of prophylaxis to its workforce, with the goal of minimal disruption of patient care, here called hospital "self-prophylaxis." We created a new discrete-event simulation model of a hypothetical hospital wing to compare the operational charateristics of standard single-line, "first-come, first-served" dispensing clinics with those of 2 staff management strategies that can dramatically reduce staff waiting time while centralizing dispensing around existing pharmacy-distribution points.
医院针对医院内或社区范围内的传染病暴发所做的准备工作包括能够迅速、自主地为其工作人员进行预防给药,目的是将对患者护理的干扰降至最低,这里称之为医院“自我预防”。我们创建了一个假设医院科室的新型离散事件模拟模型,以比较标准的单线“先到先得”配药诊所与两种工作人员管理策略的运行特征,这两种策略可显著减少工作人员的等待时间,同时围绕现有的药房分发点集中配药。