Covid-19 vaccine management (Comirnaty and mrna-1273 Moderna) in a teaching hospital in Italy: a short report on the vaccination campaign View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-09-30

AUTHORS

Francesca Papini, Niccolò Grassi, Giovanni Guglielmi, Vittorio Gattini, Lucia Rago, Costanza Bisordi, Monica Scateni, Michele Totaro, Alberto Tulipani, Andrea Porretta, Lara Tavoschi, Jacopo Guercini, Grazia Luchini, Silvia Briani, Gaetano Pierpaolo Privitera, Angelo Baggiani

ABSTRACT

OBJECTIVES: In this article, we aim to share our experience in the hospital reorganization made to conduct the SARS-CoV-2 vaccination campaign, based on the principles of flexibility and adaptability. STUDY DESIGN: A descriptive study. METHODS: The data concerning the organization of the vaccination campaign were taken from the operative protocol developed by the hospital dedicated task force, composed by experts in hygiene, public health, occupational medicine, pharmacists, nurses, hospital quality, and disaster managers. Data about the numbers of vaccine administered daily were collected by the Innovation and Development Operative Unit database. RESULTS: Vaccinations against COVID-19 started across the EU on the 27th of December 2020. The first phase of the vaccination campaign carried out in our hospital was directed to healthcare workers immunization including medical residents, social care operators, administrative staff and technicians, students of medicine, and health professions trainees. The second phase was enlarged to the coverage of extremely fragile subjects. Thanks to the massive employment of healthcare workers and the establishment of dynamic pathways, it was possible to achieve short turnaround times and a large number of doses administered daily, with peaks of 870 vaccines per day. From the 27th of December up to the 14th of March a total of 26,341 doses of Pfizer have been administered. 13,584 were first doses and 12,757 were second doses. From the 4th to the 14th of March, 296 first doses of Moderna were dispensed. It was necessary to implement adequate spaces and areas adopting anti-contagion safety measures: waiting area for subjects to be vaccinated, working rooms for the dilution of the vaccine and the storage of the material, vaccination rooms, post-vaccination observation areas, room for observation, and treatment of any adverse reactions, with an emergency cart available in each working area. CONCLUSIONS: The teaching hospital of Pisa faced the beginning of the immunization campaign readjusting its spaces, planning an adequate hospital vaccination area and providing an organization plan to ensure the achievement of the targets of the campaign. This represented a challenge due to limited vaccine doses supplied and the multisectoral teams of professionals to coordinate in the shortest time and the safest way possible. The organizational model adopted proved to be adequate and therefore exploited also for the second phase aimed to extremely fragile subjects. More... »

PAGES

99

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12199-021-01018-z

DOI

http://dx.doi.org/10.1186/s12199-021-01018-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1141510945

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34592930


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13 schema:description OBJECTIVES: In this article, we aim to share our experience in the hospital reorganization made to conduct the SARS-CoV-2 vaccination campaign, based on the principles of flexibility and adaptability. STUDY DESIGN: A descriptive study. METHODS: The data concerning the organization of the vaccination campaign were taken from the operative protocol developed by the hospital dedicated task force, composed by experts in hygiene, public health, occupational medicine, pharmacists, nurses, hospital quality, and disaster managers. Data about the numbers of vaccine administered daily were collected by the Innovation and Development Operative Unit database. RESULTS: Vaccinations against COVID-19 started across the EU on the 27th of December 2020. The first phase of the vaccination campaign carried out in our hospital was directed to healthcare workers immunization including medical residents, social care operators, administrative staff and technicians, students of medicine, and health professions trainees. The second phase was enlarged to the coverage of extremely fragile subjects. Thanks to the massive employment of healthcare workers and the establishment of dynamic pathways, it was possible to achieve short turnaround times and a large number of doses administered daily, with peaks of 870 vaccines per day. From the 27th of December up to the 14th of March a total of 26,341 doses of Pfizer have been administered. 13,584 were first doses and 12,757 were second doses. From the 4th to the 14th of March, 296 first doses of Moderna were dispensed. It was necessary to implement adequate spaces and areas adopting anti-contagion safety measures: waiting area for subjects to be vaccinated, working rooms for the dilution of the vaccine and the storage of the material, vaccination rooms, post-vaccination observation areas, room for observation, and treatment of any adverse reactions, with an emergency cart available in each working area. CONCLUSIONS: The teaching hospital of Pisa faced the beginning of the immunization campaign readjusting its spaces, planning an adequate hospital vaccination area and providing an organization plan to ensure the achievement of the targets of the campaign. This represented a challenge due to limited vaccine doses supplied and the multisectoral teams of professionals to coordinate in the shortest time and the safest way possible. The organizational model adopted proved to be adequate and therefore exploited also for the second phase aimed to extremely fragile subjects.
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21 Covid-19 vaccine management
22 Development Operative Unit database
23 EU
24 Italy
25 Moderna
26 Operative Unit database
27 PISA
28 Pfizer
29 SARS-CoV-2 vaccination campaign
30 Task Force
31 achievement
32 adaptability
33 adequate hospital vaccination area
34 adequate space
35 administrative staff
36 adverse reactions
37 anti-contagion safety measures
38 area
39 article
40 beginning
41 campaign
42 care operators
43 cart
44 challenges
45 coverage
46 daily
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49 days
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51 dilution
52 disaster managers
53 doses
54 doses of Pfizer
55 dynamic pathways
56 emergency cart
57 employment
58 establishment
59 experience
60 experts
61 first doses
62 first phase
63 flexibility
64 force
65 fragile subjects
66 health
67 health professions
68 healthcare workers
69 hospital
70 hospital quality
71 hospital reorganization
72 hospital vaccination area
73 hygiene
74 immunization
75 immunization campaign
76 innovation
77 large number
78 limited vaccine doses
79 management
80 managers
81 massive employment
82 materials
83 measures
84 medical residents
85 medicine
86 model
87 multisectoral teams
88 number
89 number of vaccines
90 nurses
91 observation area
92 observations
93 occupational medicine
94 operative protocol
95 operators
96 organization
97 organization plan
98 organizational model
99 pathway
100 peak
101 pharmacists
102 phase
103 plan
104 post-vaccination observation areas
105 principles
106 principles of flexibility
107 profession
108 professionals
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110 public health
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112 reaction
113 reorganization
114 report
115 residents
116 room
117 safe way
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119 second doses
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128 students
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136 thanks
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141 unit database
142 vaccination
143 vaccination area
144 vaccination campaigns
145 vaccination rooms
146 vaccine
147 vaccine doses
148 vaccine management
149 way
150 workers
151 workers immunization
152 working area
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