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Published on: February 12, 2021
Prediction of personal protective equipment use in hospitals during COVID-19
Eugene Furman1, Alex Cressman2, Saeha Shin3
1Department of Operations Management, Rotman School of Management, Toronto, ON, Canada. enfurman@mathstat.yorku.ca.
Insights
Hospitals face challenges predicting personal protective equipment (PPE) demand. This study models patient admissions to estimate PPE needs, finding gloves and surgical masks are the highest-demand items.
Area of Science:
- Healthcare Operations Research
- Infectious Disease Control
- Supply Chain Management
Background:
- The COVID-19 pandemic has drastically increased demand for personal protective equipment (PPE).
- Hospitals face significant challenges in predicting PPE usage and managing supply chains.
- Resuming regular operations requires continuous and often increased PPE utilization by staff and patients.
Purpose of the Study:
- To develop a predictive model for hospital personal protective equipment (PPE) demand.
- To estimate the required quantities of PPE over a specified time horizon.
- To inform better inventory management and resource allocation for healthcare facilities.
Main Methods:
- Modeling patient admissions using multiple independent queues, each representing a patient class.
- Estimating the total workload for each patient class based on treatment plans and length-of-stay.
- Deriving closed-form estimates for PPE requirements using current guidelines.
Main Results:
- Gloves and surgical masks constitute approximately 90% of the predicted PPE usage.
- Glove demand is solely driven by patient-practitioner interactions.
- 86% of surgical mask demand is attributed to continuous use by medical practitioners, independent of patient interaction.
Conclusions:
- The proposed queueing model provides a reliable method for predicting hospital PPE demand.
- Understanding the drivers of PPE demand (patient interaction vs. continuous use) is crucial for effective inventory management.
- Surgical masks and gloves are the primary focus for optimizing PPE supply chains in hospital settings.
Abstract:
Demand for Personal Protective Equipment (PPE) such as surgical masks, gloves, and gowns has increased significantly since the onset of the COVID-19 pandemic. In hospital settings, both medical staff and patients are required to wear PPE. As these facilities resume regular operations, staff will be required to wear PPE at all times while additional PPE will be mandated during medical procedures. This will put increased pressure on hospitals which have had problems predicting PPE usage and sourcing its supply. To meet this challenge, we propose an approach to predict demand for PPE. Specifically, we model the admission of patients to a medical department using multiple independent [Formula: see text] queues. Each queue represents a class of patients with similar treatment plans and hospital length-of-stay. By estimating the total workload of each class, we derive closed-form estimates for the expected amount of PPE required over a specified time horizon using current PPE guidelines. We apply our approach to a data set of 22,039 patients admitted to the general internal medicine department at St. Michael's hospital in Toronto, Canada from April 2010 to November 2019. We find that gloves and surgical masks represent approximately 90% of predicted PPE usage. We also find that while demand for gloves is driven entirely by patient-practitioner interactions, 86% of the predicted demand for surgical masks can be attributed to the requirement that medical practitioners will need to wear them when not interacting with patients.
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