{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:30:52Z","timestamp":1777681852594,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Security"],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:p>\n                    Healthcare workers (HCWs) at community hospitals, also known as frontline hospitals (FLHs), may encounter patients with possible infectious diseases, including those caused by high-consequence pathogens such as\n                    <jats:italic toggle=\"yes\">Zaire ebolavirus.<\/jats:italic>\n                    We created and piloted a 1-day, in-person, didactic and skills training program to determine the feasibility and acceptability of implementing an educational program to enhance the knowledge and skills needed to respond when a patient with a potential high-consequence pathogen presents to an FLH. The Maryland Department of Health queried all 104 state FLHs to identify their interest in participating in the pilot training program. HCWs from 12 (75%) of the 16 interested FLHs participated in the program before it was interrupted by the COVID-19 pandemic. In addition to pathogen-specific training based on the Identify, Isolate, and Inform framework, we provided skills training in the proper use of personal protective equipment, spill cleanup, and removal of an incapacitated HCW from an isolation area. We conducted a paired pretraining and posttraining knowledge assessment and measured a significant learning gain among 135 participants (2-tailed\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    test,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt;.05). Over 95% of the participants reported that the training was relevant to their daily work and the clinical simulations and reference material were useful and appropriate for their learning level. Findings from this pilot program demonstrated the feasibility and acceptability of a 1-day combined didactic and skills training program focused on high-consequence pathogens. We plan to reengage the original FLHs and add regional FLHs in an updated training effort based on our findings.\n                  <\/jats:p>","DOI":"10.1089\/hs.2023.0035","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T15:14:45Z","timestamp":1705677285000},"page":"65-73","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["<scp>Preparing the Frontlines: Delivering Special Pathogen Training to Maryland Hospital Staff<\/scp>"],"prefix":"10.1177","volume":"22","author":[{"suffix":"Jr","given":"Christopher J.","family":"Sulmonte","sequence":"first","affiliation":[{"name":"Christopher J. Sulmonte Jr, MHA, is Administrative Director of Biocontainment, Department of Medicine, The Johns Hopkins Hospital, Baltimore, MD."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jade B.","family":"Flinn","sequence":"additional","affiliation":[{"name":"Jade B. Flinn, MSN, RN, is Unit Director, Biocontainment Unit; Department of Medicine, The Johns Hopkins Hospital, Baltimore, MD."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasiya","family":"Yusuf","sequence":"additional","affiliation":[{"name":"Hasiya Yusuf, MD, MPH, is a Resident, Department of Internal Medicine, Jacobi Medical Center, Bronx, NY, MPH Students at the Johns Hopkins Bloomberg School of Public Health when the research described was carried out."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Martin","sequence":"additional","affiliation":[{"name":"Elena Martin, MPH, is a Medical Student, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, MPH Students at the Johns Hopkins Bloomberg School of Public Health when the research described was carried out."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas J.","family":"Luciano","sequence":"additional","affiliation":[{"name":"Nicholas J. Luciano, MPH, is a Medical Student, Tulane University School of Medicine, New Orleans, LA, MPH Students at the Johns Hopkins Bloomberg School of Public Health when the research described was carried out."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyungwoo","family":"Kim","sequence":"additional","affiliation":[{"name":"Hyungwoo Kim, MD, MPH, is Global Medical Director, Early Pipeline Vaccines, Rockville Center for Vaccines Research, Rockville, MD, MPH Students at the Johns Hopkins Bloomberg School of Public Health when the research described was carried out."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pyoeng Gyun","family":"Choe","sequence":"additional","affiliation":[{"name":"Pyoeng Gyun Choe, MD, PhD, MPH, is a Professor, Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea, MPH Students at the Johns Hopkins Bloomberg School of Public Health when the research described was carried out."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asar","family":"Das","sequence":"additional","affiliation":[{"name":"Asar Das, MD, MPH, is a Resident Physician, MercyOne Northeast Iowa Family Medicine and Residency, Waterloo, IA, MPH Students at the Johns Hopkins Bloomberg School of Public Health when the research described was carried out."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian T.","family":"Garibaldi","sequence":"additional","affiliation":[{"name":"Brian T. Garibaldi, MD, is an Associate Professor, Division of Pulmonary and Critical Care, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noreen A.","family":"Hynes","sequence":"additional","affiliation":[{"name":"Noreen A. Hynes, MD, MPH, is an Associate Professor, Division of Infectious Diseases; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2016.03.031"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2018.08.016"},{"issue":"5","key":"e_1_3_3_4_2","first-page":"CD011621","article-title":"Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff","volume":"5","author":"Verbeek JH","year":"2020","unstructured":"Verbeek JH, , Rajamaki B, , Ijaz S, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2020; 5(5):CD011621.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_5_2","unstructured":"US Centers for Disease Control and Prevention. Guidance on personal protective equipment (PPE) in U.S. healthcare settings during management of patients confirmed to have selected viral hemorrhagic fevers or patients suspected to have selected viral hemorrhagic fevers who are clinically unstable or have bleeding vomiting or diarrhea. Last reviewed September 13 2023. Accessed January9 2024. https:\/\/www.cdc.gov\/vhf\/ebola\/healthcare-us\/ppe\/guidance.html"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2017.121"},{"key":"e_1_3_3_7_2","unstructured":"Office of the Assistant Secretary for Planning and Evaluation (ASPE). Report to Congress: Trends in the Utilization of Emergency Department Services 2009-2018. Washington DC: ASPE; 2021. Accessed May21 2021. https:\/\/aspe.hhs.gov\/pdf-report\/utilization-emergency-department-services"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2014.125"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2020.55"},{"key":"e_1_3_3_10_2","unstructured":"Johns Hopkins Bloomberg School of Public Health Biocontainment Unit Practicum Team. First person experience for doffing of enhanced PPE. Johns Hopkins Medicine YouTube page. Accessed October12 2023. https:\/\/www.youtube.com\/watch?v=rG-NQHM6Uxk"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.idcr.2014.12.003"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.4135\/9781071801024.n5"},{"issue":"2","key":"e_1_3_3_13_2","first-page":"2TOT2","article-title":"Analyzing Likert data","volume":"50","author":"Boone HN","year":"2012","unstructured":"Boone HN Jr, , Boone DA. Analyzing Likert data. J Ext. 2012; 50(2):2TOT2.","journal-title":"J Ext"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/sci3020029"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15327043hup1101_3"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2008.02209.x"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2013.869357"},{"key":"e_1_3_3_18_2","unstructured":"Partners In Health (PIH). PIH's five S's: essential elements for strong health systems. Published June 30 2021. 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