Learning Health System in Crisis: Lessons From the COVID-19 Pandemic

Romanelli, Robert J.; Azar, Kristen M.J.; Sudat, Sylvia; Hung, Dorothy; Frosch, Dominick L.; Pressman, Alice

doi:10.1016/j.mayocpiqo.2020.10.004

Cited by 36 publications

(53 citation statements)

References 8 publications

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“…An LHS, as a type of learning organization, develops capacities for both single-loop and double-loop learning at the individual and organizational levels [ 64 ]. An LHS paradigm facilitates the processes of evidence generation and synthesis through the development of interoperable data platforms and infrastructure to provide real-time and adaptable data to continuously inform policies and practices [ 68 ]. The iterative process of data aggregation, analysis, interpretation, feedback, and change is responsive to the emergent nature of evidence and the need for learning from and with stakeholders, including communities and frontline practitioners.…”

Section: Discussionmentioning

confidence: 99%

“…The iterative process of data aggregation, analysis, interpretation, feedback, and change is responsive to the emergent nature of evidence and the need for learning from and with stakeholders, including communities and frontline practitioners. COVID-19 underscores the importance of accelerating progress towards creation of genuine LHS [ 68 , 69 ].…”

Section: Discussionmentioning

confidence: 99%

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The pragmatic, rapid, and iterative dissemination and implementation (PRIDI) cycle: adapting to the dynamic nature of public health emergencies (and beyond)

Yousefi‐Nooraie

Shelton

Fiscella

et al. 2021

Health Res Policy Sys

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Background Public health emergencies—such as the 2020 COVID-19 pandemic—accelerate the need for both evidence generation and rapid dissemination and implementation (D&I) of evidence where it is most needed. In this paper, we reflect on how D&I frameworks and methods can be pragmatic (i.e., relevant to real-world context) tools for rapid and iterative planning, implementation, evaluation, and dissemination of evidence to address public health emergencies. The pragmatic, rapid, and iterative D&I (PRIDI) cycle The PRIDI cycle is based on a “double-loop” learning process that recognizes the need for responsiveness and iterative adaptation of implementation cycle (inner loop) to the moving landscapes, presented by the outer loops of emerging goals and desired outcomes, emerging interventions and D&I strategies, evolving evidence, and emerging characteristics and needs of individuals and contexts. Stakeholders iteratively evaluate these surrounding landscapes of implementation, and reconsider implementation plans and activities. Conclusion Even when the health system priority is provision of the best care to the individuals in need, and scientists are focused on development of effective diagnostic and therapeutic technologies, planning for D&I is critical. Without a flexible and adaptive process of D&I, which is responsive to emerging evidence generation cycles, and closely connected to the needs and priorities of stakeholders and target users through engagement and feedback, the interventions to mitigate public health emergencies (e.g., COVID-19 pandemic), and other emerging issues, will have limited reach and impact on populations that would most benefit. The PRIDI cycle is intended to provide a pragmatic approach to support planning for D&I throughout the evidence generation and usage processes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The pragmatic, rapid, and iterative dissemination and implementation (PRIDI) cycle: adapting to the dynamic nature of public health emergencies (and beyond)

Yousefi‐Nooraie

Shelton

Fiscella

et al. 2021

Health Res Policy Sys

View full text Add to dashboard Cite

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“…Broadly speaking, public health functions during a pandemic include early and rapid detection, modeling, and assessment of potential impact, and proactively planning a systematic and iterative response [ 14 ]. To fulfill these functions, PHAs must effectively carry out several activities including data collection and sharing; case identification and management; contact tracing; mapping; monitoring of cases and transmission; community risk sensitization and engagement; preventive education; and other timely preparedness and response activities [ 15 ].…”

Section: Resultsmentioning

confidence: 99%

Keep Moving Forward: Health Informatics and Information Management beyond the COVID-19 Pandemic

Massoudi

Sobolevskaia

2021

Yearb Med Inform

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Objectives: To identify gaps and challenges in health informatics and health information management during the COVID-19 pandemic. To describe solutions and offer recommendations that can address the identified gaps and challenges. Methods: A literature review of relevant peer-reviewed and grey literature published from January 2020 to December 2020 was conducted to inform the paper. Results: The literature revealed several themes regarding health information management and health informatics challenges and gaps: information systems and information technology infrastructure; data collection, quality, and standardization; and information governance and use. These challenges and gaps were often driven by public policy and funding constraints. Conclusions: COVID-19 exposed complexities related to responding to a world-wide, fast moving, quickly spreading novel virus. Longstanding gaps and ongoing challenges in the local, national, and global health and public health information systems and data infrastructure must be addressed before we are faced with another global pandemic.

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“…Also entire service must be resilient on epidemic consequences (health and operational ones). This could face many actual challenges in epidemic management related to early detection, wide national and international cooperation (Doosti-Irani et al, 2020) and learning lessons from COVID-19 and other disasters (Romanelli et al, 2020).…”

Section: Logistics Dimension Strengthsmentioning

confidence: 99%

To Manage Societal Security in COVID-19: Operational Continuity of Fire Rescue Service in Disaster Conditions

Gromek¹,

Wojakowska²

2021

ERSJ

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Purpose:The research objective is the question "How to manage societal security in COVID-19 conditions from the perspective of operational continuity of fire rescue service?" Design/Methodology/Approach: In order to achieve the research objective, the qualitative method was used. The research materials was collected using the SWOT analysis. We involved 99 fire rescue experts in SWOT analysis to identify the continuity factors. Basing on 3731 elementary results, we unified them to the reference 40 (10 per each SWOT category). This gave us a background to formulate specific and general manners to ensure the security. The collected empirical data was processed using the methods of analysis, synthesis and comparison to form conclusions. Deductive and inductive inference methods enabled the presentation of a comprehensive approach to social safety management. Findings: Specific methods relate to SWOT results, risk specifications and service conditions. Particular attention should be paid to physical isolation, organizational flexibility, personal protective equipment, training and access to up-to-date information on the outbreak. The research results can be used in scientific works, as well as in expert opinions for the needs of public administration units, in particular for the improvement of the management process of fire protection units. Practical Implications: The study will positively influence the understanding of the needs of various participants in the safety management process, both in the current functioning of the organization and in crisis situations. Originality/ Value: The study is an opportunity to present a comprehensive approach to managing social security in the face of COVID-19 and future epidemics. It covers risk management, operational continuity, and the safety and well-being of firefighters. To the best of the authors' knowledge, this is the first study to present such an approach.

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Learning Health System in Crisis: Lessons From the COVID-19 Pandemic

Cited by 36 publications

References 8 publications

The pragmatic, rapid, and iterative dissemination and implementation (PRIDI) cycle: adapting to the dynamic nature of public health emergencies (and beyond)

The pragmatic, rapid, and iterative dissemination and implementation (PRIDI) cycle: adapting to the dynamic nature of public health emergencies (and beyond)

Keep Moving Forward: Health Informatics and Information Management beyond the COVID-19 Pandemic

To Manage Societal Security in COVID-19: Operational Continuity of Fire Rescue Service in Disaster Conditions

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