Repurposing Video Review Infrastructure for Clinical Resuscitation Care in the Age of COVID-19

Myers, Sage; Abbadessa, Mary Kate; Gaines, Shannon; Lavelle, Jane; Ercolani, Jenna M; Shotwell, Collin; Ainsley, Matthew; Pettijohn, Kevin W.; Donoghue, Aaron

doi:10.1016/j.annemergmed.2020.08.030

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…In nonpandemic times, resuscitation teams in our institution are typically large and include an average of 20 HCWs of varying roles. 6 However, during the COVID-19 pandemic, this large number created increased potential for exposures to severe acute respiratory syndrome coronavirus 2. Our simulation sessions allowed us to refine the minimum number of HCWs needed at the bedside, transitioning some to our newly designated CP through redefining roles based on whether physical presence was required in the RB.…”

Section: Resultsmentioning

confidence: 99%

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Simulation as a Dynamic Tool to Reorganize Pediatric Emergency Department Resuscitation During the Coronavirus Disease 2019 Pandemic and Beyond

Lavoie

Tay

Good³

et al. 2021

Pediatr Emer Care

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Background:The coronavirus disease 2019 pandemic has challenged hospitals and pediatric emergency department (PED) providers to rapidly adjust numerous facets of the care of critically ill or injured children to minimize health care worker (HCW) exposure to severe acute respiratory syndrome coronavirus 2.Objective: We aimed to iteratively devise protocols and processes that minimized HCW exposure while safely and effectively caring for children who may require unanticipated aerosol-generating procedures.Methods: As part of our PED's initiative to optimize clinical care and HCW safety during the coronavirus disease 2019 pandemic, regular multidisciplinary systems and process simulation sessions were conducted. These sessions allowed us to evaluate and reorganize patient flow, test and improve communication modalities, alter the process for consultation in resuscitations, and teach and reinforce the appropriate donning and use of personal protective equipment.Results: Simulation was a highly effective method to disseminate new practices to PED staff. Numerous workflow modifications were implemented as a result of our in situ systems and process simulations. Total number of persons in the resuscitation room was minimized, use of a "command post" with remote providers was initiated, communication devices and strategies were trialed and adopted, and personal protective equipment standards that optimized HCW safety and communication were enacted.Conclusions: Simulation can be an effective and agile tool in restructuring patient workflow and care of the most critically ill or injured patients in a PED during a novel pandemic.

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Section: Resultsmentioning

confidence: 99%

“…In nonpandemic times, resuscitation teams in our institution are typically large and include an average of 20 HCWs of varying roles 6 . However, during the COVID-19 pandemic, this large number created increased potential for exposures to severe acute respiratory syndrome coronavirus 2.…”

Section: Resultsmentioning

confidence: 99%

Simulation as a Dynamic Tool to Reorganize Pediatric Emergency Department Resuscitation During the Coronavirus Disease 2019 Pandemic and Beyond

Lavoie

Tay

Good³

et al. 2021

Pediatr Emer Care

Self Cite

View full text Add to dashboard Cite

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Complex event processing

Schneider

Xhafa

2022

Anomaly Detection and Complex Event Processing Over IoT Data Streams

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Learning health systems on the front lines to strengthen care against future pandemics and climate change: a rapid review

Spanos,

Dammery,

Pagano

et al. 2024

BMC Health Serv Res

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Background An essential component of future-proofing health systems against future pandemics and climate change is strengthening the front lines of care: principally, emergency departments and primary care settings. To achieve this, these settings can adopt learning health system (LHS) principles, integrating data, evidence, and experience to continuously improve care delivery. This rapid review aimed to understand the ways in which LHS principles have been applied to primary care and emergency departments, the extent to which LHS approaches have been adopted in these key settings, and the factors that affect their adoption. Methods Three academic databases (Embase, Scopus, and PubMed) were searched for full text articles reporting on LHSs in primary care and/or emergency departments published in the last five years. Articles were included if they had a primary focus on LHSs in primary care settings (general practice, allied health, multidisciplinary primary care, and community-based care) and/or emergency care settings. Data from included articles were catalogued and synthesised according to the modified Institute of Medicine’s five-component framework for LHSs (science and informatics, patient-clinician partnerships, incentives, continuous learning culture, and structure and governance). Results Thirty-seven articles were included, 32 of which reported LHSs in primary care settings and seven of which reported LHSs in emergency departments. Science and informatics was the most commonly reported LHS component, followed closely by continuous learning culture and structure and governance. Most articles (n = 30) reported on LHSs that had been adopted, and many of the included articles (n = 17) were descriptive reports of LHS approaches. Conclusions Developing LHSs at the front lines of care is essential for future-proofing against current and new threats to health system sustainability, such as pandemic- and climate change-induced events. Limited research has examined the application of LHS concepts to emergency care settings. Implementation science should be utilised to better understand the factors influencing adoption of LHS approaches on the front lines of care, so that all five LHS components can be progressed in these settings.

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Repurposing Video Review Infrastructure for Clinical Resuscitation Care in the Age of COVID-19

Cited by 3 publications

References 7 publications

Simulation as a Dynamic Tool to Reorganize Pediatric Emergency Department Resuscitation During the Coronavirus Disease 2019 Pandemic and Beyond

Simulation as a Dynamic Tool to Reorganize Pediatric Emergency Department Resuscitation During the Coronavirus Disease 2019 Pandemic and Beyond

Complex event processing

Learning health systems on the front lines to strengthen care against future pandemics and climate change: a rapid review

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