Collaborative emergency preparedness and response to cross-institutional outbreaks of multidrug-resistant organisms:A scenario-based approach in two regions of the Netherlands

Background: The likelihood of large-scale outbreaks of multidrug-resistant organisms (MDRO) is growing. MDRO outbreaks can affect a wide range of healthcare institutions. Control of such outbreaks requires structured collaboration between professionals from all involved healthcare institutions, but guidelines for cross-institutional procedures are, however, often missing. Literature indicates that such multi-actor collaboration is most promising when effective network brokers are present, and when the collaborative actors have clarity about the different roles and responsibilities in the outbr... Mehr ...

Verfasser: De Vries, Marion
Kenis, Patrick
Kraaij-Dirkzwager, Marleen
Ruitenberg, Elis Joost
Raab, Jörg
Timen, Aura
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Reihe/Periodikum: De Vries , M , Kenis , P , Kraaij-Dirkzwager , M , Ruitenberg , E J , Raab , J & Timen , A 2019 , ' Collaborative emergency preparedness and response to cross-institutional outbreaks of multidrug-resistant organisms : A scenario-based approach in two regions of the Netherlands ' , BMC Public Health , vol. 19 , no. 1 , 52 , pp. 1-12 . https://doi.org/10.1186/s12889-018-6376-7
Schlagwörter: Antimicrobial resistance / Multidrug-resistant organisms / Network analysis / Outbreak management / Outbreak response / /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / name=SDG 3 - Good Health and Well-being / /dk/atira/pure/sustainabledevelopmentgoals/partnerships / name=SDG 17 - Partnerships for the Goals
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27229462
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://research.vu.nl/en/publications/77879b84-7947-4e22-89e5-e481c9ab7a95

Background: The likelihood of large-scale outbreaks of multidrug-resistant organisms (MDRO) is growing. MDRO outbreaks can affect a wide range of healthcare institutions. Control of such outbreaks requires structured collaboration between professionals from all involved healthcare institutions, but guidelines for cross-institutional procedures are, however, often missing. Literature indicates that such multi-actor collaboration is most promising when effective network brokers are present, and when the collaborative actors have clarity about the different roles and responsibilities in the outbreak response network, including collaborative structures and coordination roles. Studying these factors in an imaginary MDRO outbreak scenario, we gained insights into the expectations that health professionals in the Netherlands have in regard to the procedures required to best respond to any future cross-institutional MDRO outbreaks. Methods: For exploration purpose, a focus group discussion with ten healthcare professionals was held. Subsequently, an online-survey was conducted among 56 healthcare professionals in two Dutch regions. The survey data was analysed using social network analyses (clique analysis and centrality analysis), which provided insights into the collaborative structures and potential brokers in the outbreak response networks. Additionally, respondents were asked which healthcare institutions and which professions they would prefer as coordinating actors in the collaborative network. Results: Our results show a relatively high level of perceived clarity about the roles and responsibilities that healthcare professionals have during a joint outbreak response. The regional outbreak response networks which were studied appeared inclusive and integrated, with many overlapping groups of fully-connected healthcare actors. Social network analyses resulted in the identification of several central actors from different healthcare institutions with the potential to take on a brokerage role in the collaboration. ...