The Risk of Not Being Ready: A Novel Approach to Managing Constant Readiness of a High-Level Isolation Unit during Times of Inactivity

Jade Borromeo Flinn, Jesse J. Benza, Lauren M. Sauer, Christopher Sulmonte, Noreen A. Hynes, Brian T. Garibaldi

Research output: Contribution to journalArticlepeer-review

Abstract

The biocontainment unit at Johns Hopkins Hospital is a specially designed, inactive high-level isolation unit designated to care for patients infected with high-consequence pathogens. The unit team designed a facility-specific readiness scale and checklist that focus on infrastructure, consumable supplies, and staffing to assess activation readiness of the biocontainment unit. Over a period of 50 days and 14 days, these tools were used as part of a routine risk assessment to first identify barriers and then tier the impact of these barriers into activation categories of "Ready," "Ready with Considerations," and "Not Ready." The assessment identified the greatest risks to activation readiness were staffing and waste management capabilities. Assessing threats to activation readiness and the risk of not being ready should be a priority for maintaining facility, regional, and national capacity to safely isolate and care for patients infected with high-consequence pathogens while maintaining healthcare worker safety.

Original languageEnglish (US)
Pages (from-to)212-218
Number of pages7
JournalHealth Security
Volume18
Issue number3
DOIs
StatePublished - May 1 2020

Keywords

  • Biocontainment
  • High-level isolation unit
  • Hospital preparedness/response
  • Readiness
  • Risk assessment

ASJC Scopus subject areas

  • Health(social science)
  • Emergency Medicine
  • Safety Research
  • Public Health, Environmental and Occupational Health
  • Management, Monitoring, Policy and Law
  • Health, Toxicology and Mutagenesis

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