在门诊、急诊和住院环境中应对 COVID-19 大流行期间，保护医护人员的实用解决方案。
Practical Solutions for Healthcare Worker Protection During the COVID-19 Pandemic Response in the Ambulatory, Emergency, and Inpatient Settings.
机构信息
Beth Israel Deaconess Medical Center Fellowship in Disaster Medicine COVID-19 Taskforce, Beth Israel Deaconess Medical Center, Brookline, Massachusetts.
出版信息
J Occup Environ Med. 2020 Nov;62(11):e616-e624. doi: 10.1097/JOM.0000000000002008.
OBJECTIVE
Protecting healthcare workers is an essential component of a successful response to the COVID-19 pandemic. The resource intensive nature of infectious disease protection, budgetary constraints, and global shortages of personal protective equipment (PPE) make this a daunting task. Practical, easily implemented strategies for healthcare workers (HCW) protection are needed.
METHODS
We cross-reference the "Systems, Space, Staff, and Stuff" paradigm from disaster management and the "Hierarchy of Controls" approach to infection prevention from the Center for Disease Control and Prevention (CDC) to generate a narrative overview of worker protection strategies relevant to COVID-19.
RESULTS
Alternative types of PPE, management of hazards, and reorganizing how people work can optimize HCWs protection.
CONCLUSIONS
A comprehensive PPE strategy can utilize the "systems, space, staff, stuff" paradigm of disaster management to identify new or underutilized solutions to HCWs protection.
目的
保护医护人员是成功应对 COVID-19 大流行的重要组成部分。传染病防护资源密集、预算限制以及个人防护设备（PPE）的全球短缺使得这一任务变得艰巨。需要为医护人员（HCW）提供实用、易于实施的防护策略。
方法
我们交叉参考灾难管理中的“系统、空间、人员和物资”范式和疾病控制与预防中心（CDC）的感染预防“控制层次”方法，生成与 COVID-19 相关的工人保护策略的叙述性概述。
结果
替代类型的 PPE、危害管理以及重新组织人员的工作方式可以优化 HCWs 的防护。
结论
全面的 PPE 策略可以利用灾难管理的“系统、空间、人员和物资”范式来确定新的或未充分利用的 HCWs 保护解决方案。
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