Responding to the COVID-19 Pandemic

Pai, Sher‐Lu; Irizarry-Alvarado, Joan M.; Pitruzzello, Nancy E; Bosch, Wendelyn; Aniskevich, Stephen

doi:10.1177/1062860620946741

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…One study created a protocol for international medical missions to mitigate exposure and transmission risk and implemented telemedicine, education, and modified procedures in alternative follow-up protocols 42 . Studies also included the use of alternative and modified institutional protocols and safety measures 43 . Several studies described novel tools and techniques such as devices to continue performing percutaneous tracheostomies 44,45 , low-cost filtration devices 46 , and conservative management of appendicitis 45,47 .…”

Section: Resultsmentioning

confidence: 99%

Section: Surgical Errorsmentioning

confidence: 99%

“…In the largest thematic area, modified procedures studies included the use of short sleeve gowns 48,49 , early discharge 49 , use of respiratory drive throughs 50 and enhanced multimodal infectious prevention and control strategies to reduce transmission 51 . Studies also examined innovations such as adapted pathways 43,50 , triaging, incorporating patient liaisons, and telemedicine 50 . Studies described nurse-led quality initiatives in the form of nurse-led toolkits 52,53 , a multidisciplinary stakeholder team 53 , and a training model 54 .…”

Section: Heath Care-associated Infections (Hai)mentioning

confidence: 99%

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Interventions to Improve Patient Safety During the Covid-19 Pandemic: A Systematic Review

Wu,

Trigg,

Zhang

et al. 2024

Preprint

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ObjectiveTo summarize the literature on health care interventions to reduce harm to patients caused by the COVID-19 pandemic across six domains: medication errors, diagnostic errors, surgical errors, health care-associated infections, pressure injuries, and falls.MethodsWe performed a mixed methods systematic review, with the intention to present results narratively. We combined parallel searches and experiential evidence across each domain of interest. We included studies published between 11 March 2020 and 28 August 2023 that reported an intervention in response to an identified patient safety issue. We identified 13,019 unique articles across the six domains. Of these, 590 full texts were assessed for eligibility. Seven were included for the medication safety domain; seven for diagnostic safety; 32 for surgical safety; 11 for health care-associated infections; six for the pressure injuries; and two for falls (Annex C). Overall, a total of 61 unique articles were included – four articles were represented across more than one domain.FindingsThere were few rigorous evaluations of specific interventions to reduce patient harm caused by the pandemic. Adjustments in treatments, triage, and procedures, and use of risk stratification tools reduced delays and permitted more elective surgery and diagnostic testing to proceed, improvements in medication safety practices, and prevention of health care-associated infections. Publications emphasized the importance of implementing existing practices and following the latest guidelines to prevent health care-associated infections, medication errors, pressure injuries and falls.ConclusionThere is little research on interventions to reduce patient harm caused in health care settings during the COVID-19 pandemic. Interventions focused on preventing nosocomial transmission of COVID-19, and on permitting access to urgent surgical and diagnostic needs. A few studies tested strategies to reduce new risks imposed by the pandemic for medication errors, health care-associated infections, pressure injuries, and falls. They also urged extra efforts to implement existing practices and following the latest guidelines already known to be effective. Development of high-reliability health systems and health care organizations to protect patients and health workers from harm, will be essential to mitigating the impact of future pandemics within the objectives of the Global Patient Safety Action Plan 2021-2030.

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Section: Resultsmentioning

confidence: 99%

Section: Surgical Errorsmentioning

confidence: 99%

Section: Heath Care-associated Infections (Hai)mentioning

confidence: 99%

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Interventions to Improve Patient Safety During the Covid-19 Pandemic: A Systematic Review

Wu,

Trigg,

Zhang

et al. 2024

Preprint

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“…The registries also complemented other innovative contributions from our health system. 2,3,[10][11][12][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] The COVID-19 registries are used extensively to manage the daily operations of the clinical practice. For example, surgical services use patient registry data and dashboards (Figure 1) to develop a new clinical workflow process implemented at the preoperative evaluation clinic to manage the testing, symptom screening, patient education, and preoperative optimization of surgical patients.…”

Section: Discussionmentioning

confidence: 99%

“…For example, surgical services use patient registry data and dashboards (Figure 1) to develop a new clinical workflow process implemented at the preoperative evaluation clinic to manage the testing, symptom screening, patient education, and preoperative optimization of surgical patients. 39 In addition, artificial intelligence is applied to the registry data to enhance screening and diagnosis for high-risk patients using various risk scores. Registry data are also used to coordinate with state and federal health agencies to optimize supply chain management decisions and allocation of staff and resources across sites.…”

Section: Discussionmentioning

confidence: 99%

Digital Health Surveillance Strategies for Management of Coronavirus Disease 2019

Jose¹,

Warner²,

O’Horo³

et al. 2021

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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Objective: To describe the design, implementation, and utilization of electronic health record (EHR)e based digital health surveillance strategies used to manage the coronavirus disease 2019 (COVID-19) pandemic and to ensure delivery of high-quality clinical care, such as case identification, remote monitoring, telemedicine services, and recruitment to clinical trials at Mayo Clinic. Methods: The design and implementation work described in this report was performed at Mayo Clinic, a large multistate integrated health care system with more than 1.5 million annual patient visits that uses the Epic EHR system. Rule-based live registries were designed in the EHR system to classify patients who currently test positive for COVID-19, patients who test positive but have recovered from COVID-19, patients who are thought to have COVID-19 but do not yet meet clinical diagnostic criteria, patients who test negative for COVID-19, and patients who exceed a risk score for serious complications from COVID-19. Results: By use of registries, custom dashboards and operational reports were developed to provide a daily high-level summary for clinical practice use and up-to-date information to manage individual patients affected by COVID-19, including support of case identification, contact isolation, and other care management tasks. Conclusion: We developed and implemented a systematic approach to the use of EHR patient registries to manage the COVID-19 pandemic that proved feasible and useful in a large multistate group clinical practice. The key to harnessing the potential of digital surveillance tools to promote patient-centered care during the COVID-19 pandemic was to use the registry data, reports, and dashboards as informatics tools to inform decision-making.

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