PMID- 28910268
OWN - NLM
STAT- MEDLINE
DCOM- 20170918
LR  - 20181113
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 66
IP  - 36
DP  - 2017 Sep 15
TI  - Assessment of Hospital Emergency Department Response to Potentially Infectious
      Diseases Using Unannounced Mystery Patient Drills - New York City, 2016.
PG  - 945-949
LID - 10.15585/mmwr.mm6636a2 [doi]
AB  - Recent outbreaks of infectious diseases have revealed significant health care
      system vulnerabilities and highlighted the importance of rapid recognition and
      isolation of patients with potentially severe infectious diseases. During
      December 2015-May 2016, a series of unannounced "mystery patient drills" was
      carried out to assess New York City Emergency Departments' (EDs) abilities to
      identify and respond to patients with communicable diseases of public health
      concern. Drill scenarios presented a patient reporting signs or symptoms and
      travel history consistent with possible measles or Middle East Respiratory
      Syndrome (MERS). Evaluators captured key infection control performance measures, 
      including time to patient masking and isolation. Ninety-five drills (53 measles
      and 42 MERS) were conducted in 49 EDs with patients masked and isolated in 78% of
      drills. Median time from entry to masking was 1.5 minutes (range = 0-47 minutes) 
      and from entry to isolation was 8.5 minutes (range = 1-57). Hospitals varied in
      their ability to identify potentially infectious patients and implement
      recommended infection control measures in a timely manner. Drill findings were
      used to inform hospital improvement planning to more rapidly and consistently
      identify and isolate patients with a potentially highly infectious disease.
FAU - Foote, Mary M K
AU  - Foote MMK
FAU - Styles, Timothy S
AU  - Styles TS
FAU - Quinn, Celia L
AU  - Quinn CL
LA  - eng
PT  - Journal Article
DEP - 20170915
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - *Communicable Disease Control
MH  - Communicable Diseases/*epidemiology
MH  - Coronavirus Infections/epidemiology/prevention & control
MH  - Disease Outbreaks/*prevention & control
MH  - *Emergency Service, Hospital
MH  - Humans
MH  - Masks/statistics & numerical data
MH  - Measles/epidemiology/prevention & control
MH  - New York City/epidemiology
MH  - Patient Isolation/statistics & numerical data
MH  - Patient Simulation
MH  - Time Factors
MH  - Travel
PMC - PMC5657916
EDAT- 2017/09/15 06:00
MHDA- 2017/09/19 06:00
CRDT- 2017/09/15 06:00
PHST- 2017/09/15 06:00 [entrez]
PHST- 2017/09/15 06:00 [pubmed]
PHST- 2017/09/19 06:00 [medline]
AID - 10.15585/mmwr.mm6636a2 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2017 Sep 15;66(36):945-949. doi:
      10.15585/mmwr.mm6636a2.