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Prediction of personal protective equipment use in hospitals during COVID-19

Demand for Personal Protective Equipment (PPE) such as surgical masks, gloves, and gowns has increased significantly since the onset of the COVID-19 pandemic. In hospital settings, both medical staff and patients are required to wear PPE. As these facilities resume regular operations, staff will be...

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Autores principales: Furman, Eugene, Cressman, Alex, Shin, Saeha, Kuznetsov, Alexey, Razak, Fahad, Verma, Amol, Diamant, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038877/
https://www.ncbi.nlm.nih.gov/pubmed/33843005
http://dx.doi.org/10.1007/s10729-021-09561-5
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author Furman, Eugene
Cressman, Alex
Shin, Saeha
Kuznetsov, Alexey
Razak, Fahad
Verma, Amol
Diamant, Adam
author_facet Furman, Eugene
Cressman, Alex
Shin, Saeha
Kuznetsov, Alexey
Razak, Fahad
Verma, Amol
Diamant, Adam
author_sort Furman, Eugene
collection PubMed
description Demand for Personal Protective Equipment (PPE) such as surgical masks, gloves, and gowns has increased significantly since the onset of the COVID-19 pandemic. In hospital settings, both medical staff and patients are required to wear PPE. As these facilities resume regular operations, staff will be required to wear PPE at all times while additional PPE will be mandated during medical procedures. This will put increased pressure on hospitals which have had problems predicting PPE usage and sourcing its supply. To meet this challenge, we propose an approach to predict demand for PPE. Specifically, we model the admission of patients to a medical department using multiple independent [Formula: see text] queues. Each queue represents a class of patients with similar treatment plans and hospital length-of-stay. By estimating the total workload of each class, we derive closed-form estimates for the expected amount of PPE required over a specified time horizon using current PPE guidelines. We apply our approach to a data set of 22,039 patients admitted to the general internal medicine department at St. Michael’s hospital in Toronto, Canada from April 2010 to November 2019. We find that gloves and surgical masks represent approximately 90% of predicted PPE usage. We also find that while demand for gloves is driven entirely by patient-practitioner interactions, 86% of the predicted demand for surgical masks can be attributed to the requirement that medical practitioners will need to wear them when not interacting with patients.
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spelling pubmed-80388772021-04-12 Prediction of personal protective equipment use in hospitals during COVID-19 Furman, Eugene Cressman, Alex Shin, Saeha Kuznetsov, Alexey Razak, Fahad Verma, Amol Diamant, Adam Health Care Manag Sci Article Demand for Personal Protective Equipment (PPE) such as surgical masks, gloves, and gowns has increased significantly since the onset of the COVID-19 pandemic. In hospital settings, both medical staff and patients are required to wear PPE. As these facilities resume regular operations, staff will be required to wear PPE at all times while additional PPE will be mandated during medical procedures. This will put increased pressure on hospitals which have had problems predicting PPE usage and sourcing its supply. To meet this challenge, we propose an approach to predict demand for PPE. Specifically, we model the admission of patients to a medical department using multiple independent [Formula: see text] queues. Each queue represents a class of patients with similar treatment plans and hospital length-of-stay. By estimating the total workload of each class, we derive closed-form estimates for the expected amount of PPE required over a specified time horizon using current PPE guidelines. We apply our approach to a data set of 22,039 patients admitted to the general internal medicine department at St. Michael’s hospital in Toronto, Canada from April 2010 to November 2019. We find that gloves and surgical masks represent approximately 90% of predicted PPE usage. We also find that while demand for gloves is driven entirely by patient-practitioner interactions, 86% of the predicted demand for surgical masks can be attributed to the requirement that medical practitioners will need to wear them when not interacting with patients. Springer US 2021-04-12 2021 /pmc/articles/PMC8038877/ /pubmed/33843005 http://dx.doi.org/10.1007/s10729-021-09561-5 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Furman, Eugene
Cressman, Alex
Shin, Saeha
Kuznetsov, Alexey
Razak, Fahad
Verma, Amol
Diamant, Adam
Prediction of personal protective equipment use in hospitals during COVID-19
title Prediction of personal protective equipment use in hospitals during COVID-19
title_full Prediction of personal protective equipment use in hospitals during COVID-19
title_fullStr Prediction of personal protective equipment use in hospitals during COVID-19
title_full_unstemmed Prediction of personal protective equipment use in hospitals during COVID-19
title_short Prediction of personal protective equipment use in hospitals during COVID-19
title_sort prediction of personal protective equipment use in hospitals during covid-19
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8038877/
https://www.ncbi.nlm.nih.gov/pubmed/33843005
http://dx.doi.org/10.1007/s10729-021-09561-5
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