RAPID: Influence of reusable personal protective equipment on resilience of hospitals in a pandemic

RAPID：可重复使用的个人防护装备对大流行期间医院恢复能力的影响

• 批准号: 2027929
• 负责人: Andrea Hicks
• 金额: $ 7.84万
• 依托单位: University of Wisconsin-Madison
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-06-01 至 2021-12-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2027929&HistoricalAwards=false
• 关键词: RAPID; Influence; reusable; personal; protective

A major challenge in responding to the Covid-19 pandemic is keeping health care workers safe through the usage and supply of personal protective equipment (PPE). There is currently a severe shortage of PPE across health care facilities in the United States, in part due to a reliance on disposable PPE, which must be replenished. In order to increase the resiliency of the healthcare system, a fundamental shift for meeting the baseline demand of PPE may be met by utilizing reusable options. The main goal of this work is to generate new insight on the resilience of hospitals as a function of how they meet their baseline PPE demand, while informing hospitals how to increase their resiliency during this current pandemic, and engaging the public through crowd sourcing information as to the number of health care systems requesting citizen-made PPE. This project will quantify the equivalent life cycles of single use and reusable PPE, and the increase in the resiliency of a hospital as a function of its usage of reusable PPE in pandemic events. Life cycle assessment will be coupled with agent based modeling to generate new fundamental insight as to the potential shifts in the resiliency of a hospital system due to the baseline usage of reusable PPE. These insights may help to weather the current pandemic and future anticipated pandemics. Disposable PPE and other medical supplies have been adopted largely out of a concern for healthcare acquired infections. However, in a time of great surges in demand, such as those which occur during a pandemic, this can result in a lack of available PPE due to competing demands from multiple hospitals and a lack of available supplies. The approach of the study is 3-fold: (1) generate comprehensive data as to the life cycle of reusable versus single use PPE in a pandemic setting, (2) create new insight as to the resiliency of hospitals as a function of meeting their baseload PPE demand with reusables, and (3) generate crowd sourced information as to the real time stability of hospital supply lines as a function of requests for citizen – made PPE. This work proposes to assess the resiliency of a hospital due to surges in demand for PPE during a pandemic, and the ability of the hospital to meet those needs. This will result in new ways of evaluating the current debate between reusable and single use medical supplies in a crisis situation.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

回应COVID-19大流行的主要挑战是通过使用和供应个人保护设备（PPE）来确保医疗保健工作者的安全。目前，在美国的医疗机构中，PPE严重缺乏，部分原因是必须替换PPE的救济。为了提高医疗保健系统的弹性，可以使用可重复使用的选项来满足满足PPE基线需求的基本转变。这项工作的主要目的是对医院的弹性产生新的见解，以促进他们如何满足基线PPE需求，同时告知医院在当前的大流行期间如何提高其弹性，并通过群众通过人群提供信息来吸引公众，以了解公民保健系统的数量，要求公民制造PPE。该项目将量化单一使用和可重复使用的PPE的同等生命周期，以及医院在大流行事件中使用可重复使用的PPE的弹性的提高。生命周期评估将与基于代理的建模相结合，以产生有关由于可重复使用的PPE的基线使用而产生的有关医院系统弹性的潜在变化的新基本见解。这些见解可能有助于度过当前的大流行和未来预期的大流行。一次性PPE和其他医疗用品在很大程度上是出于对医疗保健收到的感染的关注而采用的。但是，在需求激增的时期，例如大流行期间发生的情况，这可能导致由于多家医院的竞争需求和缺乏可用用品的竞争，因此缺乏可用的PPE。该研究的方法是3倍：（1）在大流行环境中生成有关可重复使用的与单一使用PPE的生命周期的全面数据，（2）对医院的弹性创建新的见解，作为满足其基本PPE需求的函数，并以可重复使用的方式满足其基本ppe的需求，以及（3）为医院供应而产生的众培养信息，以使医院供应量的现实稳定性，以供医院供应量。这项工作提案旨在评估医院在大流行期间对PPE的需求以及医院满足这些需求的能力而导致的医院弹性。这将带来新的方式，以评估在危机情况下可重复使用的医疗用品和单一使用医疗用品之间的辩论。该奖项反映了NSF的法定使命，并通过使用基金会的知识分子优点和更广泛的影响评估标准来评估我们被认为是诚实的支持。