Application of the Incident Command System to the Hospital Biocontainment Unit Setting

Sauer, Lauren; Romig, Mark; Andonian, Jennifer; Flinn, Jade; Hynes, Noreen A.; Maloney, Robert C.; Maragakis, Lisa L.; Garibaldi, Brian T.

doi:10.1089/hs.2019.0006

Cited by 9 publications

(13 citation statements)

References 7 publications

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“…This alignment and coordination are important for HLIU activation, regardless of whether the activation occurs due to aeromedical transport with time for preplanning, or because of a local case presentation. Critical sectors within the emergency management domain, including the ICS for HLIU settings, have seen significant benefits and will continue to evolve in parallel with the maturation of HLIU facilities and networks 35…”

Section: Resultsmentioning

confidence: 99%

A narrative review of high-level isolation unit operational and infrastructure features

et al. 2023

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High-level isolation units (HLIUs) are specially designed facilities for care and management of patients with suspected or confirmed high-consequence infectious diseases (HCIDs), equipped with unique infrastructure and operational features. While individual HLIUs have published on their experiences caring for patients with HCIDs and two previous HLIU consensus efforts have outlined key components of HLIUs, we aimed to summarise the existing literature that describes best practices, challenges and core features of these specialised facilities. A narrative review of the literature was conducted using keywords associated with HLIUs and HCIDs. A total of 100 articles were used throughout the manuscript from the literature search or from alternate methods like reference checks or snowballing. Articles were sorted into categories (eg, physical infrastructure, laboratory, internal transport); for each category, a synthesis of the relevant literature was conducted to describe best practices, experiences and operational features. The review and summary of HLIU experiences, best practices, challenges and components can serve as a resource for units continuing to improve readiness, or for hospitals in early stages of developing their HLIU teams and planning or constructing their units. The COVID-19 pandemic, a global outbreak of mpox, sporadic cases of viral haemorrhagic fevers in Europe and the USA, and recent outbreaks of Lassa fever, Sudan Ebolavirus, and Marburg emphasise the need for an extensive summary of HLIU practices to inform readiness and response.

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Section: Resultsmentioning

confidence: 99%

A narrative review of high-level isolation unit operational and infrastructure features

et al. 2023

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“…Furthermore, team co-location, and tiles, which provide a global view, in combination with predictive analytics, and clear protocols allow for a proactive management of operations. [11] These systems integrate multiple services into the day-to-day operation [13,14,16,17] and improve communication and coordination [13,16–18,20–22] as well as employment of prediction and early warning systems. [23–31]…”

Section: Discussionmentioning

confidence: 99%

Can we improve healthcare with centralized management systems, supported by information technology, predictive analytics, and real-time data?: A review

Grosman-Rimon,

Li,

Collins

et al. 2023

Medicine

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This narrative review discusses the effects of implementing command centers, centralized management systems, supported by information technology, predictive analytics, and real-time data, as well as small-scale centralized operating systems, on patient outcomes, operation, care delivery, and resource utilization. Implementations of command centers and small-scale centralized operating systems have led to improvement in 3 areas: integration of both multiple services into the day-to-day operation, communication and coordination, and employment of prediction and early warning system. Additional studies are required to understand the full impact of command centers on the healthcare system.

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“…The incident command structure model was used in BCU fully functional exercises with great success and became a model for the health system in terms of the utilization of incident command principles in the response to preparedness emergencies including mass casualty events and infectious disease outbreaks. 13…”

Section: Patient Care and Unit Operations Prior To Covid-19mentioning

confidence: 99%

The role of dedicated biocontainment patient care units in preparing for COVID-19 and other infectious disease outbreaks

Flinn

Hynes

Sauer

et al. 2020

Infect. Control Hosp. Epidemiol.

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In response to the Ebola outbreak of 2014-2016, the US Office of the Assistant Secretary for Preparedness and Response (ASPR) established 10 regional treatment centers, called biocontainment units (BCUs) to prepare and provide care for patients infected with high consequence pathogens. Many of these BCUs were among the first units to activate for COVID-19 patient care. The activities of the Johns Hopkins BCU in the three domains of containment care ---(1) preparedness planning, education and training, (2) patient care and unit operations, and (3) research and innovation---helped prepare the Johns Hopkins Health System for COVID-19. Here we describe the role of the JH BCU in the Hopkins COVID-19 response to illustrate the value of BCUs in the current pandemic and their potential role in preparing healthcare facilities and health systems for future infectious disease threats.

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Application of the Incident Command System to the Hospital Biocontainment Unit Setting

Cited by 9 publications

References 7 publications

A narrative review of high-level isolation unit operational and infrastructure features

A narrative review of high-level isolation unit operational and infrastructure features

Can we improve healthcare with centralized management systems, supported by information technology, predictive analytics, and real-time data?: A review

The role of dedicated biocontainment patient care units in preparing for COVID-19 and other infectious disease outbreaks

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