Clinical informatics accelerates health system adaptation to the COVID-19 pandemic: examples from Colorado

Lin, Chen-Tan; Bookman, Kelly; Sieja, Amber; Markley, Katie; Altman, Richard; Sippel, Jeffrey M.; Perica, Katharine; Reece, Lori; Davis, Christopher; Horowitz, Edward A.; Pisney, Larissa; Sottile, Peter D.; Kao, David; Adrian, Bonnie; Szkil, Melissa; Griffin, Julie; Youngwerth, Jeanie; Drew, Brendan; Pell, Jonathan

doi:10.1093/jamia/ocaa171

Cited by 28 publications

(33 citation statements)

References 10 publications

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“…As the world's understanding of COVID-19 has evolved, clinical practice has adapted accordingly. Data infrastructures such as EHR systems have been employed to rapidly communicate changes in patient care to clinicians across healthcare systems (Lin et al, 2020). In the US, existing EHR systems have been developed to include guidance on patient screening and testing, to facilitate the ordering of tests and validate clinical triage workflows (Subash et al, 2020).…”

Section: Covid-19 Patient Carementioning

confidence: 99%

Developments in healthcare information systems in Ireland and internationally

Walsh¹,

Domhnaill²,

Mohan³

2021

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21st Century Ireland.The Institute was founded in 1960 by a group of senior civil servants led by Dr T.K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland.Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research.The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices.The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicate research findings at regular conferences and seminars.The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.

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Section: Covid-19 Patient Carementioning

confidence: 99%

Developments in healthcare information systems in Ireland and internationally

Walsh¹,

Domhnaill²,

Mohan³

2021

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“…Laboratory findings include elevated lactate dehydrogenase and ferritin levels ( 14 ). Moreover, although while white blood cell counts can vary, leucopoenia and lymphopenia have been the most commonly observed in individuals infected with SARS-CoV-2 infection ( 15 ).…”

Section: Clinical Characteristics Of Covid-19mentioning

confidence: 99%

Approaches towards fighting the COVID‑19 pandemic (Review)

Tsai

Bau

et al. 2020

Int J Mol Med

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The coronavirus disease 2019 (cOVId-19) outbreak, which has caused >46 millions confirmed infections and >1.2 million coronavirus related deaths, is one of the most devastating worldwide crises in recent years. Infection with COVID-19 results in a fever, dry cough, general fatigue, respiratory symptoms, diarrhoea and a sore throat, similar to those of acute respiratory distress syndrome. The causative agent of COVID-19, SARS-CoV-2, is a novel coronavirus strain. To date, remdesivir has been granted emergency use authorization for use in the management of infection. Additionally, several efficient diagnostic tools are being actively developed, and novel drugs and vaccines are being evaluated for their efficacy as therapeutic agents against COVID-19, or in the prevention of infection. The present review highlights the prevalent clinical manifestations of COVID-19, characterizes the SARS-CoV-2 viral genome sequence and life cycle, highlights the optimal methods for preventing viral transmission, and discusses possible molecular pharmacological mechanisms and approaches in the development of anti-SARS-CoV-2 therapeutic agents. In addition, the use of traditional Chinese medicines for management of COVID-19 is discussed. It is expected that novel anti-viral agents, vaccines or an effective combination therapy for treatment/management of SARS-CoV-2 infection and spread therapy will be developed and implemented in 2021, and we would like to extend our best regards to the frontline health workers across the world in their fight against cOVId-19. Contents 1. Introduction 2. Clinical characteristics of COVID-19 3. Structure, genome size and life cycle of SARS-CoV-2 4. Diagnostic methods for COVID-19 5. Methods to prevent cOVId-19 6. Current therapeutic modalities for COVID-19 7. Pharmacological agents targeting thrombosis 8. Neutralizing antibodies and vaccines against SARS-CoV-2 9. TcM and cOVId-19 10. conclusions

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“… 1 2 Hospital systems are working quickly to increase their physical capacity to accommodate these patients even as they expand their frontline workforce of clinicians to care for them. 3 4 5 The workforce supply problem is exacerbated by clinicians falling ill with the disease itself. 6 7 The physician shortage has led to calls for assistance from medical professionals who do not currently practice inpatient medicine 8 including ambulatory clinicians, procedural specialists, and retired physicians.…”

Section: Background and Significancementioning

confidence: 99%

Ambulatory Clinician's Guide to Inpatient Service: An Innovative Rapid Onboarding Strategy for the COVID-19 Pandemic

et al. 2020

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Background and Significance When hospitals are subject to prolonged surges in patients, such as during the coronavirus disease 2019 (COVID-19) pandemic, additional clinicians may be needed to care for the rapid increase of acutely ill patients. How might we quickly prepare a large number of ambulatory-based clinicians to care for hospitalized patients using the inpatient workflow of the electronic health record (EHR)? Objectives The aim of the study is to create a successful training intervention which prepares ambulatory-based clinicians as they transition to inpatient services. Methods We created a training guide with embedded videos that describes the workflow of an inpatient clinician. We delivered this intervention via an e-mail hyperlink, a static hyperlink inside of the EHR, and an on-demand hyperlink within the EHR. Results In anticipation of the first peak of inpatients with COVID-19 in April 2020, the training manual was accessed 261 times by 167 unique users as clinicians anticipated being called into service. As our institution has not yet needed to deploy ambulatory-based clinicians for inpatient service, usage data of the training document is still pending. Conclusion We intend that our novel implementation of a multimedia, highly accessible onboarding document with access from points inside and outside of the EHR will improve clinician performance and serve as a helpful example to other organizations during the COVID-19 pandemic and beyond.

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Clinical informatics accelerates health system adaptation to the COVID-19 pandemic: examples from Colorado

Cited by 28 publications

References 10 publications

Developments in healthcare information systems in Ireland and internationally

Developments in healthcare information systems in Ireland and internationally

Approaches towards fighting the COVID‑19 pandemic (Review)

Ambulatory Clinician's Guide to Inpatient Service: An Innovative Rapid Onboarding Strategy for the COVID-19 Pandemic

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