PDF(Pubmed)
Abstract：
Nursing homes were ill-equipped for the pandemic; though facilities are required to have infection control staff, only 3% have taken a basic infection control course. Little is known about the implementation of effective practices outside of the acute care setting. We proposed an intervention utilizing Project ECHO, to connect Penn State University experts with nursing home staff and administrators to explore how infection control guidelines can be implemented effectively.
A stratified cluster randomized design was used to assign nursing homes to either AHRQ-funded COVID-19 ECHO or AHRQ-funded COVID-19 ECHO+.
136 nursing homes participated. There were no significant differences in COVID-19 infection rate, hospitalization, deaths, or influenza, between ECHO or ECHO+.
The ECHO model has significant strengths when compared to traditional training, as it allows for remote learning delivered by a multidisciplinary team of experts and utilizes case discussions that match the context of nursing homes.
A stratified cluster randomized design was used to assign nursing homes to either AHRQ-funded COVID-19 ECHO or AHRQ-funded COVID-19 ECHO+.
136 nursing homes participated. There were no significant differences in COVID-19 infection rate, hospitalization, deaths, or influenza, between ECHO or ECHO+.
The ECHO model has significant strengths when compared to traditional training, as it allows for remote learning delivered by a multidisciplinary team of experts and utilizes case discussions that match the context of nursing homes.
摘要：
背景：疗养院应对大流行的设备不足；尽管设施需要有感染控制人员，只有3%的人参加了基本的感染控制课程。对急性护理环境之外的有效实践的实施知之甚少。我们提议利用ECHO项目进行干预，将宾夕法尼亚州立大学的专家与疗养院的工作人员和管理人员联系起来，探讨如何有效实施感染控制指南。
方法：采用分层整群随机设计将养老院分配给AHRQ资助的COVID-19ECHO或AHRQ资助的COVID-19ECHO+。
结果：参加了136个疗养院。COVID-19感染率无显著差异,住院治疗,死亡,或流感，ECHO或ECHO+之间。
结论：与传统训练相比，ECHO模型具有显着的优势，因为它允许由多学科专家团队提供远程学习，并利用与疗养院背景相匹配的案例讨论。
方法：采用分层整群随机设计将养老院分配给AHRQ资助的COVID-19ECHO或AHRQ资助的COVID-19ECHO+。
结果：参加了136个疗养院。COVID-19感染率无显著差异,住院治疗,死亡,或流感，ECHO或ECHO+之间。
结论：与传统训练相比，ECHO模型具有显着的优势，因为它允许由多学科专家团队提供远程学习，并利用与疗养院背景相匹配的案例讨论。
