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3 results

  • Healthcare personnel absenteeism, presenteeism, and staffing challenges during epidemics

  • Part of
  • Douglas W. Challener, Laura E. Breeher, JoEllen Frain, Melanie D. Swift, Pritish K. Tosh, John O’Horo
  • Journal:
    Infection Control & Hospital Epidemiology / Volume 42 / Issue 4 / April 2021
    Published online by Cambridge University Press:
    26 October 2020, pp. 388-391
    Print publication:
    April 2021
    • Article
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  • Objective:

    Presenteeism is an expensive and challenging problem in the healthcare industry. In anticipation of the staffing challenges expected with the COVID-19 pandemic, we examined a decade of payroll data for a healthcare workforce. We aimed to determine the effect of seasonal influenza-like illness (ILI) on absences to support COVID-19 staffing plans.

    Design:

    Retrospective cohort study.

    Setting:

    Large academic medical center in the United States.

    Participants:

    Employees of the academic medical center who were on payroll between the years of 2009 and 2019.

    Methods:

    Biweekly institutional payroll data was evaluated for unscheduled absences as a marker for acute illness-related work absences. Linear regression models, stratified by payroll status (salaried vs hourly employees) were developed for unscheduled absences as a function of local ILI.

    Results:

    Both hours worked and unscheduled absences were significantly related to the community prevalence of influenza-like illness in our cohort. These effects were stronger in hourly employees.

    Conclusions:

    Organizations should target their messaging at encouraging salaried staff to stay home when ill.

  • Screening for COVID-19: Patient factors predicting positive PCR test

  • Part of
  • Douglas W. Challener, Gregory J. Challener, Vanessa J. Gow-Lee, Madiha Fida, Aditya S. Shah, John C. O’Horo
  • Journal:
    Infection Control & Hospital Epidemiology / Volume 41 / Issue 8 / August 2020
    Published online by Cambridge University Press:
    19 May 2020, pp. 968-969
    Print publication:
    August 2020
    • Article
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      • Open access
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  • To inform the efficient allocation of testing resources, we evaluated the characteristics of those tested for COVID-19 to determine predictors of a positive test. Recent travel and exposure to a confirmed case were both highly predictive of positive testing. Symptom-based screening strategies alone may be inadequate to control the ongoing pandemic.