关键词: COVID-19 Healthcare quality Healthcare safety Mass vaccination center Organization

来  源:   DOI:10.1016/j.vaccine.2024.07.002

Abstract:
BACKGROUND: In France, the COVID-19 vaccination campaign started in January 2021. This study reports the one-year experience of a multidisciplinary team from university hospital in operating a vaccination center created in a metropolitan sports arena.
METHODS: Some of the data derive from an online appointment scheduling software. Daily traceability sheets were utilized as a formalized method to gather data on non-conformities, adverse events, and to estimate the duration of the vaccination pathway. The professional satisfaction assessment was carried out via an anonymous online questionnaire. The collected data were examined with descriptive statistics.
RESULTS: We propose strengths of our organization to obtain efficient and safe vaccination pathway. In one year, 572,491 immunization shots were administered. The operational team size increased from 31 (500 vaccinations per day) to 71 (3000 vaccinations per day). In March 2021, the average duration to vaccination (excluding post-vaccination monitoring) was 12 [5-37] minutes for patients without medical consultation vs 16 [5-45] minutes for patients with medical consultation. 0.11 % non-conformities on vaccines got notified not allowing them to be used for vaccination. One error regarding the volume administered got reported. Among the professionals working in the vaccination center, 97 % were satisfied with the organization and 88 % with the quality of the information received from team leader or team project. Main difficulties encountered were managing the leftover doses at night and communicating with patients.
CONCLUSIONS: Overall, the ability to vaccinate a population efficiently and safely on a large scale during a pandemic is based on the engagement of skilled multidisciplinary teams and securing the vaccination pathway.
摘要:
背景:在法国,COVID-19疫苗接种运动于2021年1月开始。这项研究报告了大学医院多学科团队在大都市运动场上创建的疫苗接种中心的一年经验。
方法:一些数据来自在线预约计划软件。每日可追溯性表被用作收集不符合项数据的形式化方法,不良事件,并估计疫苗接种途径的持续时间。专业满意度评估是通过匿名在线问卷进行的。对收集的数据进行描述性统计。
结果:我们提出了我们组织的优势,以获得有效和安全的疫苗接种途径。一年之内,进行了572,491次免疫注射。行动小组人数从31人(每天500次疫苗接种)增加到71人(每天3000次疫苗接种)。在2021年3月,接种疫苗的平均持续时间(不包括接种后监测)对于没有医疗咨询的患者为12[5-37]分钟,而对于有医疗咨询的患者为16[5-45]分钟。0.11%的疫苗不符合项被通知不允许用于疫苗接种。报告了一个关于给药体积的错误。在疫苗接种中心工作的专业人士中,97%的人对组织感到满意,88%的人对从团队领导或团队项目收到的信息质量感到满意。遇到的主要困难是在夜间管理剩余剂量并与患者沟通。
结论:总体而言,在大流行期间对人群进行有效和安全的大规模疫苗接种的能力是基于熟练的多学科团队的参与和确保疫苗接种途径。
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