Decision-making on the labour ward during the COVID-19 pandemic

Bruce-Hickman, K; Fan, Kening; Plaat, F.; Sheth, Sheila

doi:10.1016/j.ijoa.2020.10.005

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…1 We were interested to read correspondence from Bruce-Hickman et al and Patkar-Kattimani et al describing a reduction in the use of GA for caesarean section during the first wave of the COVID-19 pandemic. 2 , 3 These findings are consistent with those of a larger, observational study by Bhatia et al and provide valuable information to obstetric practitioners. 4 The use of regional anaesthesia is likely to be of benefit for the mother but, as highlighted by Russell and Lucas, there are potential implications for neonatal wellbeing if delivery is delayed secondary to difficulties in siting regional anaesthesia.…”

supporting

confidence: 89%

The effect of COVID‐19 on general anaesthesia rates for caesarean section

McCallum

Broom

Litchfield

et al. 2021

International Journal of Obstetric Anesthesia

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supporting

confidence: 89%

The effect of COVID‐19 on general anaesthesia rates for caesarean section

McCallum

Broom

Litchfield

et al. 2021

International Journal of Obstetric Anesthesia

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“…When examining data utilization for COVID-19 decision making, prior research has been on clinical decision making in treating patients, either in general [24][25][26][27][28] or for specific conditions and populations. [29][30][31][32] Literature has also focused on strategies, concepts, and principles to assist with clinical decision making [33][34][35][36][37][38][39] and reflection for future clinical directions in treating COVID-19. [40][41][42][43] Given that knowledge gap, the objective of this study is to investigate how health care administrators used data and information to navigate the novel operational health care situation in the acute phase (first 6 mo) of the COVID-19 pandemic.…”

Section: Significancementioning

confidence: 99%

“…When examining data utilization for COVID-19 decision making, prior research has been on clinical decision making in treating patients, either in general 24–28 or for specific conditions and populations. 29–32 Literature has also focused on strategies, concepts, and principles to assist with clinical decision making 33–39 and reflection for future clinical directions in treating COVID-19. 40–43…”

Section: Introductionmentioning

confidence: 99%

Understanding Health Care Administrators’ Data and Information Needs for Decision Making during the COVID-19 Pandemic: A Qualitative Study at an Academic Health System

Guerrier

McDonnell

Magoč

et al. 2022

MDM Policy & Practice

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Objective. The COVID-19 pandemic created an unprecedented strain on the health care system, and administrators had to make many critical decisions to respond appropriately. This study sought to understand how health care administrators used data and information for decision making during the first 6 mo of the COVID-19 pandemic. Materials and Methods. We conducted semistructured interviews with administrators across University of Florida (UF) Health. We performed an inductive thematic analysis of the transcripts. Results. Four themes emerged from the interviews: 1) common types of health systems or hospital operations data; 2) public health and other external data sources; 3) data interaction, integration, and exchange; and 4) novelty and evolution in data, information, or tools used over time. Participants illustrated the organizational, public health, and regional information they considered essential (e.g., hospital census, community positivity rate, etc.). Participants named specific challenges they faced due to data quality and timeliness. Participants elaborated on the necessity of data integration, validation, and coordination across different boundaries (e.g., different hospital systems in the same metro areas, public health agencies at the local, state, and federal level, etc.). Participants indicated that even within the first 6 mo of the COVID-19 pandemic, the data and tools used for making critical decisions changed. Discussion. While existing medical informatics infrastructure can facilitate decision making in pandemic response, data may not always be readily available in a usable format. Interoperable infrastructure and data standardization across multiple health systems would help provide more reliable and timely information for decision making. Conclusion. Our findings contribute to future discussions of improving data infrastructure and developing harmonized data standards needed to facilitate critical decisions at multiple health care system levels. Highlights The study revealed common health systems or hospital operations data and information used in decision making during the first 6 mo of the COVID-19 pandemic. Participants described commonly used internal data sources, such as resource and financial reports and dashboards, and external data sources, such as federal, state, and local public health data. Participants described challenges including poor timeliness and limited local relevance of external data as well as poor integration of data sources within and across organizational boundaries. Results suggest the need for continued integration and standardization of health data to support health care administrative decision making during pandemics or other emergencies.

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Decision-making on the labour ward during the COVID-19 pandemic

Cited by 2 publications

References 2 publications

The effect of COVID‐19 on general anaesthesia rates for caesarean section

The effect of COVID‐19 on general anaesthesia rates for caesarean section

Understanding Health Care Administrators’ Data and Information Needs for Decision Making during the COVID-19 Pandemic: A Qualitative Study at an Academic Health System

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