Evidence map›Paper›PMID 29249609›Full record

SynthesisAmerican journal of infection control2018

Lessons from the domestic Ebola response: Improving health care system resilience to high consequence infectious diseases.

Diane Meyer, Tara Kirk Sell, Monica Schoch-Spana, Matthew P Shearer, Hannah Chandler, Erin Thomas, Dale A Rose, Eric G Carbone, Eric Toner

Open access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in American journal of infection control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  17. Operationalization of an Expanded Anteroom in a COVID-19-Dedicated Hospital in South Korea.Inquiry : a journal of medical care organization, provision and financing
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Diane MeyerDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Center for Health Security, Baltimore, MD. Electronic address: dmeyer10@jhmi.edu.
Tara Kirk SellDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Center for Health Security, Baltimore, MD.
Monica Schoch-SpanaDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Center for Health Security, Baltimore, MD.
Matthew P ShearerDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Center for Health Security, Baltimore, MD.
Hannah ChandlerColumbia University Mailman School of Public Health, New York, NY.
Erin ThomasOffice of Public Health Preparedness and Response, US Centers for Disease Control and Prevention, Atlanta, GA.
Dale A RoseOffice of Public Health Preparedness and Response, US Centers for Disease Control and Prevention, Atlanta, GA.
Eric G CarboneOffice of Public Health Preparedness and Response, US Centers for Disease Control and Prevention, Atlanta, GA.
Eric TonerDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Center for Health Security, Baltimore, MD.
Johns Hopkins Center for Health Security · USCenters for Disease Control and Prevention · USColumbia University · USJohns Hopkins University · USOffice of Readiness and Response · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThe domestic response to the West Africa Ebola virus disease (EVD) epidemic from 2014-2016 provides a unique opportunity to distill lessons learned about health sector planning and operations from those individuals directly involved. This research project aimed to identify and integrate these lessons into an actionable checklist that can improve health sector resilience to future high-consequence infectious disease (HCID) events.

methodsInterviews (N = 73) were completed with individuals involved in the domestic EVD response in 4 cities (Atlanta, Dallas, New York, and Omaha), and included individuals who worked in academia, emergency management, government, health care, law, media, and public health during the response. Interviews were transcribed and analyzed qualitatively. Two focus groups were then conducted to expand on themes identified in the interviews. Using these themes, an evidence-informed checklist was developed and vetted for completeness and feasibility by an expert advisory group.

resultsSalient themes identified included health care facility issues-specifically identifying assessment and treatment hospitals, isolation and treatment unit layout, waste management, community relations, patient identification, patient isolation, limitations on treatment, laboratories, and research considerations-and health care workforce issues-specifically psychosocial impact, unit staffing, staff training, and proper personal protective equipment.

conclusionsThe experiences of those involved in the domestic Ebola response provide critical lessons that can help strengthen resilience of health care systems and improve future responses to HCID events.

Indexed as

CitiesCivil DefenseCommunicable Disease ControlDelivery of Health CareDisease Transmission, InfectiousHemorrhagic Fever, EbolaHumansInterviews as TopicUnited StatesEbolahealth carePreparednessresilienceresponse

Identifiers

PMID29249609
PMCPMC8666128
OpenAlexW2775091544

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.