Setting up of a hospital Covid-19 vaccination center: A descriptive study

Scarlett Wise; Fanny Lanternier; Camille Cotteret; Céline Chasport; Virginie Juin-Leonard; Amélie Cantat; Anne Scemla; Claire Delage; Barbara Mantz; Caroline Telion; Pierre Carli; Pierre Frange; Salvatore Cisternino

doi:10.1002/hsr2.968

Setting up of a hospital Covid-19 vaccination center: A descriptive study

Health Sci Rep. 2022 Nov 30;6(1):e968. doi: 10.1002/hsr2.968. eCollection 2023 Jan.

Authors

Affiliations

¹ Pharmacy, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique des Hôpitaux de Paris, AP-HP Paris France.
² Department of Infectious Diseases and Tropical Medicine Hôpital Universitaire Necker-Enfants Malades, Assistance Publique des Hôpitaux de Paris, AP-HP Paris France.
³ Administrative Management, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique des Hôpitaux de Paris, AP-HP Paris France.
⁴ Department of Nephrology and Adult Kidney Transplantation Hôpital Universitaire Necker-Enfants Malades, Assistance Publique des Hôpitaux de Paris, AP-HP Paris France.
⁵ Service d'Aide Médicale Urgente Paris France.
⁶ Infection Control Unit, Laboratory of Clinical Microbiology Hôpital Universitaire Necker-Enfants Malades, Assistance Publique des Hôpitaux de Paris, AP-HP Paris France.
⁷ INSERM UMR-S 1144 Université Paris Cité Paris France.

Abstract

Background and aims: The coronavirus pandemic challenged countries worldwide in a race against contaminations and variants. Vaccination campaigns were the answer to such an infectious spread. This descriptive study presents the organizational process of the setting up of a Covid-19 vaccination center in a French University Hospital in January 2021, the issues encountered along the way and assessment of adaptability.

Methods: Three major stakeholders: SARS CoV-2 crisis referent, referring vaccination medical doctor and referring vaccination pharmacist retraced key moments and identified issues encountered during the setting up of the vaccination center and its long term maintenance, threw a series of meetings. Records of crisis and periodic meetings that took place threw out the vaccination campaign were consulted.

Results: A multidisciplinary crisis steering committee with nine different professionals was created January 3. Logistics for the vaccination center opening were discussed: location, informatics, appointment-scheduling, pharmaceutical circuit, internal circuit, human resources, and information communication. The vaccination center was ready to welcome healthcare workers in less than 24 h on January 4. The first month, 2757 1st shots were administered, leading up to a total of 9167 1st shots during 6 months of activity. From January to June 2021, the multidisciplinary group dealt and adapted its processes to challenging and unexpected situations. Indeed, issues encountered with Pfizer BioNTech's and AstraZeneca's vaccine, were: supply shortages, vaccine manipulation, targeted populations, pharmacovigilance, and general communication.

Conclusion: This descriptive study provides an exclusive insight on how a hospital vaccination center was organized and adapted during Covid-19 pandemic to ensure healthcare workers' security and resilience, and to protect high risk patients of severe Covid-19 infection.

Keywords: Covid‐19 pandemic; hospital vaccination campaign; management; multidisciplinary cooperation; organization; public health.