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Practice Guideline
. 2017 Dec;38(12):1393-1419.
doi: 10.1017/ice.2017.212. Epub 2017 Nov 30.

Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals

David B Banach  1 , B Lynn Johnston  2 , Duha Al-Zubeidi  3 , Allison H Bartlett  4 , Susan Casey Bleasdale  5 , Valerie M Deloney  6 , Kyle B Enfield  7 , Judith A Guzman-Cottrill  8 , Christopher Lowe  9 , Luis Ostrosky-Zeichner  10 , Kyle J Popovich  11 , Payal K Patel  12 , Karen Ravin  13 , Theresa Rowe  14 , Erica S Shenoy  15 , Roger Stienecker  16 , Pritish K Tosh  17 , Kavita K Trivedi  18 ; Outbreak Response Training Program (ORTP) Advisory Panel
Affiliations
Practice Guideline

Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals

David B Banach et al. Infect Control Hosp Epidemiol. 2017 Dec.
No abstract available

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Figures

FIGURE 1
FIGURE 1
Diagram of incident management preparedness structures and frameworks. This diagram was created by the authors of this expert guidance document to illustrate how US preparedness structures and frameworks relate, starting at the federal level and moving to the facility level. Legend: National Incident Management System (NIMS), National Response Framework (NRF), Emergency Support Function (ESF), Hospital Preparedness Program (HPP), Health Care Coalition (HCC), Crisis Standards of Care (CSC), Hospital Incident Command System (HICS), Emergency Management Program (EMP), Emergency Operations Plan (EOP).
FIGURE 2
FIGURE 2
Hospital incident management team (HIMT). From the HICS guidebook , (p. 45): ∙ Incident commander (IC): Oversees operation; determines which parts of the plan will be activated. ∙ Public information officer (PIO): Provides information updates to internal and external stakeholders. ∙ Liaison officer (LO): Conduit between hospital and outside agencies. ∙ Safety officer (SO): Responsible for safety of hospital staff, visitors, and patients; monitors response and anticipates hazardous conditions or situations. ∙ Medical-technical specialist (likely role of the HE): Assists the incident commander by providing event-specific advice and counsel. ∙ Operations section chief: Develops and implements strategies and tactics carried out by the incident commander, i.e., staging, medical care, infrastructure, security, hazardous materials, and business continuity. ∙ Planning section chief: Oversees incident related data gathering and analysis and develops alternatives for tactical operations and preparing the incident action plan for each operational period. ∙ Logistics section chief: Obtains necessary resources needed by operations and planning; supervises damage reporting and control, sanitation, supply, transport, and nutrition. ∙ Finance/Administration section chief: Monitors cost related to the incident; accounting, procurement, and analyses.
FIGURE 3
FIGURE 3
Emerging infection preparedness responsibilities.
See this image and copyright information in PMC

References

    1. Institute of Medicine (IOM). Emerging infections: microbial threats to health in the United States. National Academeies Press website. www.nap.edu/read/2008/chapter/1. Published 1992. Accessed September 28, 2017. - PubMed
    1. Kaye KS, Anderson DJ, Cook E, Huang SS, Siegel JD, Zuckerman JM, et al. Guidance for infection prevention and healthcare epidemiology programs: healthcare epidemiologist skills and competencies. Infect Control Hosp Epidemiol 2015;36:369–380. - PubMed
    1. The SHEA handbook for SHEA-sponsored guidelines and expert guidance documents. Society for Healthcare Epidemiology of America (SHEA) website. www.shea-online.org/index.php/practice-resources. Published 2015. Accessed January 2017.
    1. Hospital Preparedness Program (HPP), National Incident Management System (NIMS) Implementation for Healthcare Organizations Guidance. Office of the Assistant Secretary for Preparedness and Response (ASPR) website. www.phe.gov/Preparedness/planning/hpp/reports/Documents/nims-implementat.... Published 2015. Accessed January 2017.
    1. Federal Emergency Management Agency (FEMA), Emergency Management Institute (EMI). National Incident Management System (NIMS) website. https://training.fema.gov/nims/. Published 2015. Accessed November 2016.

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