2020
DOI: 10.12669/pjms.36.covid19-s4.2803
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Inter-hospital communication and transfer practices during COVID-19 Pandemic in Karachi, Pakistan. A brief overview

Abstract: Objective: To discuss the referral mechanisms established for safe and expeditious inter-facility transfer of COVID 19 positive patients to ensure their referrals through establishing proper communication channels. Methods: Mobile phone and WhatsApp based groups, administrated by The Indus Hospital were established in April 2020. Through detailed reports and frequent communication, factors like bed and ventilator availability across these facilities are shared. Weekly reports through zoom meetings updati… Show more

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Cited by 9 publications
(14 citation statements)
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“…The majority of patients were referred to the SMBBIT COVID unit because of acute hypoxemia requiring respiratory support. Referrals were communicated through a WhatsApp-based group that incorporated six major hospitals of Karachi [ 8 ]. Once accepted by the designated COVID Focal Physician at SMBBIT, patients were admitted directly into the unit.…”
Section: Methodsmentioning
confidence: 99%
“…The majority of patients were referred to the SMBBIT COVID unit because of acute hypoxemia requiring respiratory support. Referrals were communicated through a WhatsApp-based group that incorporated six major hospitals of Karachi [ 8 ]. Once accepted by the designated COVID Focal Physician at SMBBIT, patients were admitted directly into the unit.…”
Section: Methodsmentioning
confidence: 99%
“…Up-to-date information on the availability of ICU beds in the nearest tertiary hospital can be shared daily in designated mobile phone groups. This facilitates the expeditious transfer of patients and judicious use of ambulance services ( Salman et al, 2020 ). Finally, in many LMICs, community health workers are integral in the primary healthcare system, as they liaise between communities and healthcare facilities.…”
Section: Share Data Protocols and Information On Referral Pathways mentioning
confidence: 99%
“…Two studies in the database literature review describe robust digital initiatives to connect ED staff to other health care services and patients to develop effective resource coordination. 55,56 These include the use of telehealth to facilitate interfacility transfers of coronavirus disease 2019 patients and as a means to source and distribute PPE for emergency health care workers. For interfacility transfers, authors in 1 study noted the absence of a systematic referral system resulting in significant delays before coronavirus disease 2019, and the use of telehealth to address this gap.…”
Section: Care and Resource Coordinationmentioning
confidence: 99%
“…For interfacility transfers, authors in 1 study noted the absence of a systematic referral system resulting in significant delays before coronavirus disease 2019, and the use of telehealth to address this gap. 55 In this system, hospital medical directors and administrative leads were nominated to serve as primary institutional stakeholders and participated in mobile chatrooms among representatives at other participating institutions. 55 One presenter at the SAEM telehealth virtual conference also highlighted the use of iPads and telehealth to assist with interhospital care coordination as well as telehealth to enable patients to self-monitor vital signs.…”
Section: Care and Resource Coordinationmentioning
confidence: 99%
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