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[Risk mapping associated with organization of a COVID-19 immunization campaign].

S Le Tohic1, S Basso2, L Peillard2

  • 1Département Pharmacie Biologie, Agence régionale de santé Provence-Alpes-Côte d'Azur, 132, boulevard de Paris, 13002 Marseille, France; Service de pharmacie hospitalière, Hôpital d'Instruction des Armées Laveran, 34, boulevard Laveran, 13013 Marseille, France.

Annales Pharmaceutiques Francaises
|January 27, 2022
PubMed
Summary

The COVID-19 immunization campaign in France faced 47 risks, with health professional overwork being the primary threat. Proposed actions aim to optimize vaccination logistics and management for better pandemic control.

Keywords:
Analyse des risques et maîtrise des points critiquesCOVID-19Hazard analysis critical control pointsMass immunizationProcess assessmentQualitative researchRecherche qualitativeVaccination massiveÉvaluation de processus

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Area of Science:

  • Public Health
  • Epidemiology
  • Healthcare Management

Background:

  • The COVID-19 pandemic caused significant mortality and hospitalizations in France during 2020.
  • Vaccination emerged as the primary strategy for pandemic control.
  • Organizing a large-scale immunization campaign presents complex logistical and operational challenges.

Purpose of the Study:

  • To identify and analyze the major risks associated with initiating a COVID-19 immunization campaign.
  • To map critical points and potential threats in the campaign's organization.
  • To propose actionable plans for optimizing the vaccination process in the Provence-Alpes-Côte d'Azur region.

Main Methods:

  • A process-based approach was used to describe the immunization campaign organization.
  • Semi-structured interviews with 19 healthcare professionals were conducted.
  • Failure Mode, Effects, and Criticality Analysis (FMECA) was employed to identify and assess risks.

Main Results:

  • Forty-seven distinct risks were identified, with 15 mitigation actions proposed.
  • Key critical points included regional supply logistics, vaccination site management, appointment scheduling, and the information system.
  • Overwork among healthcare professionals was the most prevalent risk, leading to potential disaffection and posing a major threat to the campaign's success.

Conclusions:

  • The study successfully identified principal risks in organizing the COVID-19 immunization campaign.
  • Action plans were developed to enhance current and future vaccination practices.
  • The findings provide a regional perspective that can be compared with broader national and international data.