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Using a Systems-Focused Simulation to Rapidly Prepare for Large Volume COVID-19 Vaccination
Kimberly Stone1, Brianna Enriquez, Ashley Keilman
1From the Division of Emergency Medicine, Department of Pediatrics (K.S., B.E., A.K., J.R.), University of Washington School of Medicine; Continuous Improvement (K.G.); Workforce Health and Safety (A.S.); COVID19 Event Management (K.R.D.); and Ambulatory Services (T.Y.), Seattle Children's Hospital, Seattle, WA.
Iterative simulations rapidly modified a workforce vaccination program for COVID-19 vaccines. This approach identified gaps and improved efficiency and safety for mass vaccination efforts.
Area of Science:
- Public Health
- Healthcare Management
- Vaccinology
Background:
- Mass vaccination campaigns require adaptable and efficient program logistics.
- The COVID-19 pandemic necessitated rapid scaling of vaccination programs.
- Existing workforce vaccination programs needed modification for novel vaccine deployment.
Purpose of the Study:
- To evaluate and adapt an existing workforce vaccination program for COVID-19 vaccine administration.
- To identify process gaps and necessary changes for efficient and safe mass vaccination.
- To test new clinic spaces and refine operational workflows.
Main Methods:
- Conducted 3 iterative systems-focused simulations and debriefings within one week.
- Evaluated existing vaccination clinic physical space and trialed a new layout.
- Performed gap analysis and process development for vaccine administration.
Main Results:
- Identified critical process gaps in the existing vaccination program.
- Successfully trialed and evaluated a new physical space for the clinic.
- Developed and stabilized new processes to enhance efficiency and safety.
- Improved emergency preparedness for large-scale vaccination.
Conclusions:
- Iterative systems-focused simulations are effective for rapidly modifying vaccination programs.
- The study successfully adapted an existing program for COVID-19 vaccine rollout.
- The methodology ensured maximum efficiency and safety in a high-demand vaccination setting.
- Preparedness for future public health emergencies was enhanced.
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