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Li Y, Yang C, Yang S, Lan H, Yang D. Analysis of the application effect of a rapid response team in emergency cesarean section. J Matern Fetal Neonatal Med 2023; 36:2279025. [PMID: 37931980 DOI: 10.1080/14767058.2023.2279025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 10/30/2023] [Indexed: 11/08/2023]
Abstract
INTRODUCTION Emergency cesarean section is one of the most critical methods in the treatment of high-risk emergency obstetric cases. The aim of this study was to explore the clinical effect of constructing a Rapid Response Team (RRT) in emergency cesarean section. METHODS This is a pre- and post-implementation study. The patients who underwent emergency cesarean section were retrospectively analyzed and divided into an experimental group and a control group. There were 52 patients (June-December 2020) in the control group who underwent routine emergency cesarean section without an RRT, and 51 patients (January-June 2021) in the experimental group who underwent emergency cesarean section with an RRT. The operation time indexes (DOI, decision-to-operating room interval; O-I, operating room-to-incision interval; DII, decision-to-incision interval; I-D, incision-to-delivery interval; DDI, decision-to-delivery interval), DDI pass rate, neonatal Apgar score and maternal complications in the two groups were compared. Moreover, the management time trends (DOI, DII, and DDI) in the experimental group were analyzed. RESULTS The DDI, DII, DOI, and O-I of the experimental group were shorter than those of the control group, and the differences were significant (p < 0.05). The DDI pass rate in the experimental group was higher than that in the control group, and the difference was significant (p < 0.01). The 1-min Apgar score of the experimental group was higher than that of the control group (p < 0.05). The key intervals of emergency cesarean section in the experimental group leveled off after approximately 3 to 4 months. CONCLUSION In the face of emergency situations, the implementation of an emergency cesarean section RRT can improve delivery intervals for emergency cesarean and would be conducive to maternal and infant safety.
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Affiliation(s)
- Yi Li
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China
- The First Affiliated Hospital, Department of Obstetrics and Gynecology, Hengyang Medical School, University of South China, Hengyang, Hunan, China
- The Hospital Management Institute of University of South China, Hengyang, Hunan, China
| | - Chunfen Yang
- The First Affiliated Hospital, Department of Obstetrics and Gynecology, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Shuangjian Yang
- The First Affiliated Hospital, Department of Obstetrics and Gynecology, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Hui Lan
- The First Affiliated Hospital, Department of Obstetrics and Gynecology, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Dong Yang
- The Hospital Management Institute of University of South China, Hengyang, Hunan, China
- The First Affiliated Hospital, Department of Oncology, Hengyang Medical School, University of South China, Hengyang, Hunan, China
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Chiang SC, Fisher HH, Bridwell ME, Trigoso SM, Rasulnia BB, Kuwabara SA. Applying the Ready, Willing, and Able Framework to Assess Agency Public Health Emergency Preparedness: The CDC Perspective. Health Secur 2020; 18:75-82. [PMID: 32324076 DOI: 10.1089/hs.2019.0090] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Public health emergencies in the United States have been complex, frequent, and increasingly costly in the past decade, at times overwhelming government agencies that are primarily resourced for routine, nonemergency health functions. Emergencies are not always predictable, and adequate resources are not always available to prepare staff in advance for emergency response roles and to mobilize them quickly when a new threat emerges. Additionally, real-world data that connect preparedness levels to response outcomes may be difficult to obtain, further limiting continuous quality improvement efforts by public health officials. In this article, we apply the Ready, Willing, and Able (RWA) framework to identify areas for improvement related to organizational and staff readiness, willingness, and ability to respond during a public health emergency. We share emergency response deployment, training, and personnel data collected as part of emergency response activations (2008 to 2018) at the Centers for Disease Control and Prevention to illustrate how the framework may be applied at government agencies to improve response processes and effectiveness. Additionally, we propose potential metrics aligned with the framework constructs that may help emergency managers consistently assess agency preparedness and, over time, be incorporated into broader standardized measurement methods. We conclude that the RWA framework is a practical tool that can complement other preparedness approaches currently in use at government public health agencies.
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Affiliation(s)
- Shawn C Chiang
- Shawn C. Chiang, MPH, is a Predoctoral Research Fellow, Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA. At the time this work was conducted, he was an Evaluation Fellow, Division of Emergency Operations, Center for Preparedness and Response, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Holly H. Fisher, PhD, is Evaluation Lead, Risk Management and Operational Integrity; Silvia M. Trigoso, MPH, is a Program Manager, Incident Manager Training and Development Program; Bobby B. Rasulnia, PhD, is Deputy Director, Risk Management and Operational Integrity; and Sachiko A. Kuwabara, PhD, is Director, Risk Management and Operational Integrity; all in the Division of Emergency Operations, Center for Preparedness and Response, CDC, Atlanta, GA. Matthew E. Bridwell, MPH, is Deputy Branch Chief, Division of Global HIV and TB, Center for Global Health, CDC, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Holly H Fisher
- Shawn C. Chiang, MPH, is a Predoctoral Research Fellow, Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA. At the time this work was conducted, he was an Evaluation Fellow, Division of Emergency Operations, Center for Preparedness and Response, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Holly H. Fisher, PhD, is Evaluation Lead, Risk Management and Operational Integrity; Silvia M. Trigoso, MPH, is a Program Manager, Incident Manager Training and Development Program; Bobby B. Rasulnia, PhD, is Deputy Director, Risk Management and Operational Integrity; and Sachiko A. Kuwabara, PhD, is Director, Risk Management and Operational Integrity; all in the Division of Emergency Operations, Center for Preparedness and Response, CDC, Atlanta, GA. Matthew E. Bridwell, MPH, is Deputy Branch Chief, Division of Global HIV and TB, Center for Global Health, CDC, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Matthew E Bridwell
- Shawn C. Chiang, MPH, is a Predoctoral Research Fellow, Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA. At the time this work was conducted, he was an Evaluation Fellow, Division of Emergency Operations, Center for Preparedness and Response, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Holly H. Fisher, PhD, is Evaluation Lead, Risk Management and Operational Integrity; Silvia M. Trigoso, MPH, is a Program Manager, Incident Manager Training and Development Program; Bobby B. Rasulnia, PhD, is Deputy Director, Risk Management and Operational Integrity; and Sachiko A. Kuwabara, PhD, is Director, Risk Management and Operational Integrity; all in the Division of Emergency Operations, Center for Preparedness and Response, CDC, Atlanta, GA. Matthew E. Bridwell, MPH, is Deputy Branch Chief, Division of Global HIV and TB, Center for Global Health, CDC, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Silvia M Trigoso
- Shawn C. Chiang, MPH, is a Predoctoral Research Fellow, Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA. At the time this work was conducted, he was an Evaluation Fellow, Division of Emergency Operations, Center for Preparedness and Response, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Holly H. Fisher, PhD, is Evaluation Lead, Risk Management and Operational Integrity; Silvia M. Trigoso, MPH, is a Program Manager, Incident Manager Training and Development Program; Bobby B. Rasulnia, PhD, is Deputy Director, Risk Management and Operational Integrity; and Sachiko A. Kuwabara, PhD, is Director, Risk Management and Operational Integrity; all in the Division of Emergency Operations, Center for Preparedness and Response, CDC, Atlanta, GA. Matthew E. Bridwell, MPH, is Deputy Branch Chief, Division of Global HIV and TB, Center for Global Health, CDC, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Bobby B Rasulnia
- Shawn C. Chiang, MPH, is a Predoctoral Research Fellow, Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA. At the time this work was conducted, he was an Evaluation Fellow, Division of Emergency Operations, Center for Preparedness and Response, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Holly H. Fisher, PhD, is Evaluation Lead, Risk Management and Operational Integrity; Silvia M. Trigoso, MPH, is a Program Manager, Incident Manager Training and Development Program; Bobby B. Rasulnia, PhD, is Deputy Director, Risk Management and Operational Integrity; and Sachiko A. Kuwabara, PhD, is Director, Risk Management and Operational Integrity; all in the Division of Emergency Operations, Center for Preparedness and Response, CDC, Atlanta, GA. Matthew E. Bridwell, MPH, is Deputy Branch Chief, Division of Global HIV and TB, Center for Global Health, CDC, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Sachiko A Kuwabara
- Shawn C. Chiang, MPH, is a Predoctoral Research Fellow, Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA. At the time this work was conducted, he was an Evaluation Fellow, Division of Emergency Operations, Center for Preparedness and Response, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Holly H. Fisher, PhD, is Evaluation Lead, Risk Management and Operational Integrity; Silvia M. Trigoso, MPH, is a Program Manager, Incident Manager Training and Development Program; Bobby B. Rasulnia, PhD, is Deputy Director, Risk Management and Operational Integrity; and Sachiko A. Kuwabara, PhD, is Director, Risk Management and Operational Integrity; all in the Division of Emergency Operations, Center for Preparedness and Response, CDC, Atlanta, GA. Matthew E. Bridwell, MPH, is Deputy Branch Chief, Division of Global HIV and TB, Center for Global Health, CDC, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
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Ben Hamida A, Bugli D, Hoffman A, Greiner AL, Harley D, Saindon JM, Walsh J, Bierman E, Mallory J, Blaylock K, Shetty S, Bensyl DM, Wheeler BD. Trends and Characteristics of CDC Global Rapid Response Team Deployments-A 6-Month Report, October 2018-March 2019. Public Health Rep 2020; 135:310-312. [PMID: 32228126 DOI: 10.1177/0033354920914662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The Centers for Disease Control and Prevention (CDC) Global Rapid Response Team (GRRT) was launched in June 2015 to strengthen the capacity for international response and to provide an agency-wide roster of qualified surge-staff members who can deploy on short notice and for long durations. To assess GRRT performance and inform future needs for CDC and partners using rapid response teams, we analyzed trends and characteristics of GRRT responses and responders, for deployments of at least 1 day during October 1, 2018, through March 31, 2019. One hundred twenty deployments occurred during the study period, corresponding to 2645 person-days. The median deployment duration was 19 days (interquartile range, 5-30 days). Most deployments were related to emergency response (n = 2367 person-days, 90%); outbreaks of disease accounted for almost all deployment time (n = 2419 person-days, 99%). Most deployments were to Africa (n = 1417 person-days, 54%), and epidemiologists were the most commonly deployed technical advisors (n = 1217 person-days, 46%). This case study provides useful information for assessing program performance, prioritizing resource allocation, informing future needs, and sharing lessons learned with other programs managing rapid response teams. GRRT has an important role in advancing the global health security agenda and should continuously be assessed and adjusted to new needs.
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Affiliation(s)
- Amen Ben Hamida
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Dante Bugli
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Adela Hoffman
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Ashley L Greiner
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Danny Harley
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - John M Saindon
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - James Walsh
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Eli Bierman
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Jonathon Mallory
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Kenneth Blaylock
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Sharmila Shetty
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Diana M Bensyl
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Brian D Wheeler
- 1242 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
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