Mount Sinai Hospital, University of Toronto, and the School of Nutrition, Ryerson University.
Mount Sinai Hospital, University of Toronto.
Disaster Med Public Health Prep. 2013 Jun;7(3):287-91. doi: 10.1001/dmp.2011.45.
To assess local, state, federal, and global pandemic influenza preparedness by identifying pandemic plans at the local, state, federal, and global levels, and to identify any information technology (IT) systems in these plans to support critical care triage during an influenza pandemic in the Canadian province of Ontario.
The authors used advanced MEDLINE and Google search strategies and conducted a comprehensive review of key pandemic influenza Web sites. Descriptive data extraction and analysis for IT systems were conducted on all of the included pandemic plans.
A total of 155 pandemic influenza plans were reviewed: 29 local, 62 state, 63 federal, and 1 global. We found 70 plans that examined IT systems (10 local, 33 state, 26 federal, 1 global), and 85 that did not (19 local, 29 state, 37 federal). Of the 70 plans, 64 described surveillance systems (10 local, 32 state, 21 federal, 1 global), 2 described patient data collection systems (1 state, 1 federal); 4 described other types of IT systems (4 federal), and none were intended for triage.
Although several pandemic plans have been drafted, the majority are high-level general documents that do not describe IT systems. The plans that discuss IT systems focus strongly on surveillance, which fails to recognize the needs of a health care system responding to an influenza pandemic. The best examples of the types of IT systems to guide decision making during a pandemic were found in the Kansas and the Czech Republic pandemic plans, because these systems were designed to collect both patient and surveillance data. Although Ontario has yet to develop such an IT system, several IT systems are in place that could be leveraged to support critical care triage and medical response during an influenza pandemic.
通过确定地方、州、联邦和全球各级的大流行性流感准备计划，评估地方、州、联邦和全球的大流行性流感准备情况，并确定这些计划中的任何信息技术 (IT) 系统，以支持安大略省加拿大流感大流行期间的重症监护分诊。
作者使用高级 MEDLINE 和 Google 搜索策略，并对关键大流行性流感网站进行了全面审查。对所有纳入的大流行性流感计划中的 IT 系统进行了描述性数据提取和分析。
共审查了 155 份大流行性流感计划：29 份地方、62 份州、63 份联邦和 1 份全球。我们发现有 70 份计划检查了 IT 系统（10 份地方、33 份州、26 份联邦、1 份全球），85 份没有（19 份地方、29 份州、37 份联邦）。在这 70 份计划中，有 64 份描述了监测系统（10 份地方、32 份州、21 份联邦、1 份全球），2 份描述了患者数据收集系统（1 份州、1 份联邦）；4 份描述了其他类型的 IT 系统（4 份联邦），没有一份是用于分诊的。
尽管已经起草了几份大流行性流感计划，但大多数都是高级的一般文件，没有描述 IT 系统。讨论 IT 系统的计划非常关注监测，这未能认识到应对流感大流行的医疗保健系统的需求。在堪萨斯州和捷克共和国的大流行性流感计划中发现了指导大流行期间决策的最佳 IT 系统类型示例，因为这些系统旨在收集患者和监测数据。尽管安大略省尚未开发此类 IT 系统，但已经有几个 IT 系统可以利用来支持流感大流行期间的重症监护分诊和医疗应对。
