Implementation and Evaluation of an IPAC SWAT Team Mobilized to Long-Term Care and Retirement Homes During the COVID-19 Pandemic: A Pragmatic Health System Innovation.


Journal

Journal of the American Medical Directors Association
ISSN: 1538-9375
Titre abrégé: J Am Med Dir Assoc
Pays: United States
ID NLM: 100893243

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 28 09 2020
revised: 30 10 2020
accepted: 28 11 2020
pubmed: 7 1 2021
medline: 20 2 2021
entrez: 6 1 2021
Statut: ppublish

Résumé

Long-term care facilities (LTCFs), retirement homes (RHs), and other congregate care settings in Canada and worldwide have experienced significant COVID-19 outbreaks. As a health system response, our acute care hospital in Toronto, Ontario, Canada, developed and mobilized an onsite Infection Prevention and Control (IPAC) SWAT team (IPAC-SWAT) to regional settings on outbreak and implemented a strategy of support through education, training, and engagement. Between April 28, 2020, and June 30, 2020, IPAC-SWAT assessed 7 LTCFs and 10 RHs for IPAC preparedness and actively managed 10 of 13 COVID-19 outbreaks (LTCF n=5; RH n=5). IPAC-SWAT strategies were multi-interventional and intended to mitigate further viral transmission or prevent outbreaks. Dedicated training of local "IPAC champions" was facilitated at 7 sites (LTCF = 5; RH = 2) using a "train-the-trainer" approach to promote local knowledge, autonomy, and site-led audits and feedback.

Identifiants

pubmed: 33406385
pii: S1525-8610(20)31019-7
doi: 10.1016/j.jamda.2020.11.033
pmc: PMC7833812
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

253-255.e1

Informations de copyright

Copyright © 2020 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Auteurs

Michael J Lamb (MJ)

North York General Hospital, Toronto, Ontario, Canada. Electronic address: Michael.lamb@nygh.on.ca.

Anthony La Delfa (A)

North York General Hospital, Toronto, Ontario, Canada.

Monakshi Sawhney (M)

North York General Hospital, Toronto, Ontario, Canada.

Diana Adams (D)

North York General Hospital, Toronto, Ontario, Canada.

Karoleen Abdel-Shahied (K)

North York General Hospital, Toronto, Ontario, Canada.

Tamara Belfer (T)

North York General Hospital, Toronto, Ontario, Canada.

James Schembri (J)

North York General Hospital, Toronto, Ontario, Canada.

Kevin Katz (K)

North York General Hospital, Toronto, Ontario, Canada.

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Classifications MeSH