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Case Study of an Outbreak: Resident, Staff, and Community Indicators

Outbreak investigation is not infection control. We present a self-study of factors influencing outcomes inside a single nursing home during the early stage of the outbreak - February to May 2020. We examine 3 sources of influence: Practice / Operations; Local, State & Federal Policies; Uncontro...

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Autor principal: Miles, Toni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8680274/
http://dx.doi.org/10.1093/geroni/igab046.226
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author Miles, Toni
author_facet Miles, Toni
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description Outbreak investigation is not infection control. We present a self-study of factors influencing outcomes inside a single nursing home during the early stage of the outbreak - February to May 2020. We examine 3 sources of influence: Practice / Operations; Local, State & Federal Policies; Uncontrollable operational factors. Outcomes of interest include: mortality and resident / staff health. Data consists of clinical records, review of communications, and interviews with staff present during the critical period. Infection control is different from outbreak investigation. There must be a balance between staff empowerment and adherence to guidelines. In an outbreak, staff need the confidence to make decisions based on incomplete knowledge. The presentation concludes with lessons learned – what worked and what actions need improvement. There are areas requiring further analyses of policy and ethics.
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spelling pubmed-86802742021-12-17 Case Study of an Outbreak: Resident, Staff, and Community Indicators Miles, Toni Innov Aging Abstracts Outbreak investigation is not infection control. We present a self-study of factors influencing outcomes inside a single nursing home during the early stage of the outbreak - February to May 2020. We examine 3 sources of influence: Practice / Operations; Local, State & Federal Policies; Uncontrollable operational factors. Outcomes of interest include: mortality and resident / staff health. Data consists of clinical records, review of communications, and interviews with staff present during the critical period. Infection control is different from outbreak investigation. There must be a balance between staff empowerment and adherence to guidelines. In an outbreak, staff need the confidence to make decisions based on incomplete knowledge. The presentation concludes with lessons learned – what worked and what actions need improvement. There are areas requiring further analyses of policy and ethics. Oxford University Press 2021-12-17 /pmc/articles/PMC8680274/ http://dx.doi.org/10.1093/geroni/igab046.226 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Miles, Toni
Case Study of an Outbreak: Resident, Staff, and Community Indicators
title Case Study of an Outbreak: Resident, Staff, and Community Indicators
title_full Case Study of an Outbreak: Resident, Staff, and Community Indicators
title_fullStr Case Study of an Outbreak: Resident, Staff, and Community Indicators
title_full_unstemmed Case Study of an Outbreak: Resident, Staff, and Community Indicators
title_short Case Study of an Outbreak: Resident, Staff, and Community Indicators
title_sort case study of an outbreak: resident, staff, and community indicators
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8680274/
http://dx.doi.org/10.1093/geroni/igab046.226
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