College of Nursing and Health Professions, Drexel University, United States.
J Pediatr Nurs. 2022 Jul-Aug;65:29-32. doi: 10.1016/j.pedn.2022.04.001. Epub 2022 Apr 18.
The failure of the global supply chain became rapidly apparent at the beginning of the COVID-19 pandemic when healthcare organizations were left without supplies needed to care for patients. The supply chain failure is one downstream effect of the pandemic and indirectly impacts patient morbidity and mortality. This column presents a case study of one staff nurse's experience working in a pediatric intensive care unit at a rural children's hospital two years into the pandemic and the toll the global supply chain failure continues to take on patients and healthcare professionals. Central Line Blood Stream Infections (CLABSIs) are used to showcase the severity of the supply chain failure at the point of care. Standardized central line insertion and care bundles have proven to be effective in reducing the incidence of CLABSI; however, they are dependent on the availability of materials and supplies. Health care providers face a "wicked problem" in preventing CLABSIs. The failure of the global supply chain must be examined by healthcare organizations, manufacturers, and government officials so that new systems can be put into place, so we are prepared for a public health emergency.
在 COVID-19 大流行初期，全球供应链的失败变得显而易见，当时医疗机构缺乏照顾患者所需的用品。供应链的失败是大流行的一个下游影响，间接地影响了患者的发病率和死亡率。本专栏介绍了大流行两年后，一名在农村儿童医院儿科重症监护病房工作的护士的经历，以及全球供应链的失败对患者和医疗保健专业人员的持续影响。中心静脉导管血流感染 (CLABSI) 被用来展示护理点供应链失败的严重程度。已证明标准化的中心静脉导管插入和护理包在降低 CLABSI 的发生率方面非常有效；然而，它们依赖于材料和供应品的可用性。医疗保健提供者在预防 CLABSI 方面面临着一个“棘手的问题”。医疗保健组织、制造商和政府官员必须检查全球供应链的失败，以便建立新的系统，以便我们为公共卫生紧急情况做好准备。
