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使用 N95® 过滤式面罩呼吸器型号数量作为美国医疗保健系统供应链稳定性的指标。

Using the Number of N95® Filtering Facepiece Respirator Models as an Indicator of Supply Chain Stability in a US Health-Care System.

机构信息

National Personal Protective Technology Laboratory, National Institute for Occupational Safety and Health, Pittsburgh, PA, USA.

National Personal Protective Technology Laboratory, National Institute for Occupational Safety and Health, Morgantown, WV, USA.

出版信息

Disaster Med Public Health Prep. 2024 Jan 30;18:e10. doi: 10.1017/dmp.2024.9.

Abstract

OBJECTIVES

Personal protective equipment (PPE) supply chain disruptions force US health-care entities to adopt conservation strategies such as procurement from different respirator manufacturers. This research seeks to better understand how the number of respirator models on hand can serve as an indicator of N95 filtering facepiece respirator (FFR) supply chain stability or disruption.

METHODS

Researchers looked at differences in the mean number of N95 FFR models, averaged weekly, from 10 hospitals in a health-care system over 15 wk from June 1 to September 10, 2020. Participating hospitals entered near-daily PPE inventory data by manufacturer and model number.

RESULTS

A linear mixed effect model was run in SPSS v. 26 using a random intercept for hospitals, with week as a fixed predictor and mean number of respirator models (averaged weekly) on hand as the dependent variable. Each week showed a small but significant effect compared with the past week ( < 0.001), where the average weekly number of respirator models on hand decreased.

CONCLUSIONS

The limited data may indicate a resolution of supply chain disruptions and warrant further investigation. Consequently, the number of respirator models may be applicable as an indicator of supply chain stability and be more easily ascertained and tracked by health-care entities.

摘要

目的

个人防护设备 (PPE) 供应链中断迫使美国医疗机构采取诸如从不同的呼吸器制造商采购等节约策略。本研究旨在更好地了解手头的呼吸器型号数量如何作为 N95 过滤式面罩呼吸器 (FFR) 供应链稳定性或中断的指标。

方法

研究人员观察了在 2020 年 6 月 1 日至 9 月 10 日的 15 周内,一家医疗保健系统中的 10 家医院每周平均 N95 FFR 型号数量的差异。参与医院按制造商和型号号逐日输入 PPE 库存数据。

结果

使用 SPSS v. 26 中的线性混合效应模型,在医院中使用随机截距,以周为固定预测因子,手头的平均呼吸器模型数量(每周平均)为因变量。与前一周相比,每周都显示出较小但显著的效果(<0.001),手头每周平均呼吸器模型数量减少。

结论

有限的数据可能表明供应链中断已经解决,需要进一步调查。因此,呼吸器型号数量可能适合作供应链稳定性的指标,并且更容易被医疗机构确定和跟踪。

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