Skip to main content
    • Aa
    • Aa

Evaluation of Hospital Mass Screening and Infection Control Practices in a Pandemic Influenza Full-Scale Exercise


Objective: Nonpharmacologic interventions such as limiting nosocomial spread have been suggested for mitigation of respiratory epidemics at health care facilities. This observational study tested the efficacy of a mass screening, isolation, and triage protocol in correctly identifying and placing in a cohort exercise subjects according to case status in the emergency departments at 3 acute care hospitals in Brooklyn, New York, during a simulated pandemic influenza outbreak.

Methods: During a 1-day, full-scale exercise using 354 volunteer victims, variables assessing adherence to the mass screening protocol and infection control recommendations were evaluated using standardized forms.

Results: While all hospitals were able to apply the suggested mass screening protocol for separation based on case status, significant differences were observed in several infection control variables among participating hospitals and different hospital areas.

Conclusions: Implementation of mass screening and other infection control interventions during a hospital full-scale exercise was feasible and resulted in measurable outcomes. Hospital drills may be an effective way of detecting and addressing variability in following infection control recommendations.

(Disaster Med Public Health Preparedness. 2012;6:378-384)

Corresponding author
Correspondence: Stephan A. Kohlhoff, SUNY Downstate Medical Center, Department of Pediatrics, 450 Clarkson Ave, Brooklyn, NY 11203 (e-mail:
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

2. AS Monto RJ. Whitley Seasonal and pandemic influenza: a 2007 update on challenges and solutions. Clin Infect Dis. 2008;46(7):10241031.

4. T Svoboda B Henry L Shulman , et alPublic health measures to control the spread of the severe acute respiratory syndrome during the outbreak in Toronto. N Engl J Med. 2004;350(23):23522361.

6. CL Foo KY Tham E Seow . Evolution of an emergency department screening questionnaire for severe acute respiratory syndrome. Acad Emerg Med. 2004;11(2):156161.

7. MR Loutfy T Wallington T Rutledge , et alHospital preparedness and SARS. Emerg Infect Dis. 2004;10(5):771776.

8. D Wu LC Yang SS Wu , Crisis management of SARS in a hospital. J Safety Res. 2004;35(3):345349.

14. NF Phin AJ Rylands J Allan C Edwards JE Enstone JS Nguyen-Van-Tam . Personal protective equipment in an influenza pandemic: a UK simulation exercise. J Hosp Infect. 2009;71(1):1521.

15. A Swaminathan R Martin S Gamon , et alPersonal protective equipment and antiviral drug use during hospitalization for suspected avian or pandemic influenza. Emerg Infect Dis. 2007;13(10):15411547.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Altmetric attention score

Full text views

Total number of HTML views: 3
Total number of PDF views: 7 *
Loading metrics...

Abstract views

Total abstract views: 103 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 24th June 2017. This data will be updated every 24 hours.