Al Dowaiki Samata Salim, Morley Deirdre, Agreiter Iris, Herstein Jocelyn J, Vincent Honey, Woo James
Samata Salim Al Dowaiki, MD, MRCP (UK), is an Internist and Infectious Diseases Specialist, Royal College of Physicians of Ireland, Dublin, Ireland.
Deirdre Morley, MBBCh, JFICMI, EDIC, is a Clinical Lead, National Isolation Unit, and a Consultant in Infectious Disease and Intensive Care Medicine.
Health Secur. 2024 Sep;22(S1):S122-S130. doi: 10.1089/hs.2023.0148. Epub 2024 Aug 23.
A high-level isolation unit (HLIU) is a specially designed biocontainment unit for suspected or confirmed high-consequence infectious diseases. For most HLIUs, maintaining readiness during times of inactivity is a challenge. In this case study, we describe a checklist approach to assess HLIU readiness to rapidly operate upon activation. This checklist includes readiness criteria in several domains, such as infrastructure, human resources, and material supplies, that are required to safely activate the unit at any time. The checklist audit tool was derived from a novel activation readiness checklist published by the biocontainment unit at The Johns Hopkins Hospital in Baltimore, Maryland. It was then adapted for the Irish healthcare setting and implemented at the Mater Misericordiae University Hospital, Ireland's current isolation facility. Results from the audit were also used to inform recommendations for the construction of a new HLIU to open in 2025. The audit tool is user friendly, practical, and focuses on the essential elements of readiness to ensure a successful rapid operation.
高级隔离单元（HLIU）是一种专门设计的生物安全隔离单元，用于疑似或确诊的高后果传染病。对于大多数高级隔离单元而言，在非活动期间保持随时可用状态是一项挑战。在本案例研究中，我们描述了一种清单方法，用于评估高级隔离单元在激活时快速运行的准备情况。该清单包括多个领域的准备标准，如基础设施、人力资源和物资供应，这些都是随时安全激活该单元所必需的。该清单审核工具源自马里兰州巴尔的摩市约翰·霍普金斯医院生物安全隔离单元发布的一份全新的激活准备清单。随后，它被改编以适用于爱尔兰的医疗环境，并在爱尔兰目前的隔离设施仁慈大学医院实施。审核结果还被用于为2025年启用的新高级隔离单元的建设提供建议。该审核工具用户友好、实用，且侧重于准备工作的关键要素，以确保快速运行取得成功。
