The Role of Hospitalists in Biocontainment Units: A Perspective

Frank, Maria G.; Croyle, Caroline; Beitscher, Adam; Price, Connie S.

doi:10.12788/jhm.3402

Cited by 9 publications

(8 citation statements)

References 9 publications

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“…HLIU staff compositions are relatively consistent globally, with some variation related to admission roles and patient management. Some units rely on specialised staff (eg, infectious diseases, critical care) to admit, manage and oversee clinical care during patient admission, while others primarily use hospitalists 12 25 27…”

Section: Resultsmentioning

confidence: 99%

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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%

“…HLIU clinical teams are usually from the HLIU’s hospital 1 3 6 11 24 25 27. Some units contract non-medical staff through an external entity, although this is still not a particularly common practice as hospitals often have these resources onsite 24.…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2023

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“…Though descriptions of "surge planning" have been published, few publications describe workforce modifications across the broad landscape of hospital medicine. [1][2][3][4][5][6] We sought to understand clinician workforce adaptations employed by AMCs from the start of the pandemic through mid-May 2020, to inform responses to future surges of COVID-19 or other epidemics.…”

Section: Introductionmentioning

confidence: 99%

Bracing for the Wave: a Multi-Institutional Survey Analysis of Inpatient Workforce Adaptations in the First Phase of COVID-19

et al. 2021

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BACKGROUND: Medical centers across the country have had to rapidly adapt clinician staffing strategies to accommodate large influxes of patients with the coronavirus disease 2019 . OBJECTIVE: We sought to understand the adaptations and staffing strategies that US academic medical centers employed in the inpatient setting early in the spread of COVID-19, and to assess whether those changes were sustained during the first phase of the pandemic. DESIGN: Cross-sectional survey assessing organizationlevel, team-level, and clinician-level inpatient workforce adaptations. PARTICIPANTS: Hospital medicine leadership at 27 academic medical centers in the USA. KEY RESULTS: Twenty-seven of 36 centers responded to the survey (75%). Widespread practices included frequent staffing reassessment, organization-level changes such as geographic cohorting and redeployment of nonhospitalists, and exempting high-risk healthcare workers from direct care of patients with COVID-19. Several practices were implemented but discontinued, such as reduction of non-essential services, indicating that they were less sustainable for large centers. CONCLUSION: These findings provide guidance for inpatient leaders seeking to identify sustainable practices for COVID-19 inpatient workforce planning.

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“…Starting with preparedness models outlined by Persoff et al, 10 Frank et al, 8 the CHEST consensus statement, 11 , 12 and our existing disaster plans, we developed a modified framework for hospital operations management and staffing, anticipating a massive influx of acutely ill, medically complex, and highly contagious patients with COVID-19.…”

Section: Introductionmentioning

confidence: 99%

“…6 Hospitalists have been at the forefront of the COVID-19 response, helping to lead frontline work, orchestrating complex and dynamic clinical operational plans, and partnering with clinicians and leaders from many different specialties. [7][8][9] Much of the hospital disaster planning in the USA focuses on rapid intake of a large number of trauma patients in response to a time-limited event such as a natural disaster or a mass casualty incident. Prior pandemics such as the influenza H1N1 epidemic in 2009 directed attention to the importance of emergency preparedness for potentially large pandemics but failed to motivate sustained attention in the wake of a successful vaccine.…”

Section: Introductionmentioning

confidence: 99%

Harnessing the Power of Hospitalists in Operational Disaster Planning: COVID-19

et al. 2020

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Hospitalists are well poised to serve in key leadership roles and in frontline care in particular when facing a pandemic such as the SARS-CoV-2 (COVID-19) infection. Much of the disaster planning in hospitals around the country addresses overcrowded emergency departments and decompressing these locations; however, in the case of COVID-19, intensive care units, emergency departments, and medical wards ran the risk of being overwhelmed by a large influx of patients needing high-level medical care. In a matter of days, our Division of Hospital Medicine, in partnership with our hospital, health system, and academic institution, was able to modify and deploy existing disaster plans to quickly care for an influx of medically complex patients. We describe a scaled approach to managing hospitalist clinical operations during the COVID-19 pandemic.

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The Role of Hospitalists in Biocontainment Units: A Perspective

Cited by 9 publications

References 9 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

Bracing for the Wave: a Multi-Institutional Survey Analysis of Inpatient Workforce Adaptations in the First Phase of COVID-19

Harnessing the Power of Hospitalists in Operational Disaster Planning: COVID-19

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