Andrew L. Chu , Joshua C. Ziperstein , Blake A. Niccum , Melvin G. Joice , Eric M. Isselbacher , Jared Conley
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引用次数: 0
摘要
为了应对前所未有的COVID-19患者激增,马萨诸塞州总医院(Massachusetts General Hospital)创建了经过改造和改造的COVID-19住院普通内科和重症监护病房。配备这些新服务的临床医生包括那些通常在这些护理环境中工作的人(例如,住院医生、医院医生、重症监护医生),以及其他通常在其他护理环境中工作的人(例如,重新部署的门诊内科医生、医学专科医生和其他专科医生)。这些激增的临床医生没有管理低频率、高急性度紧急情况的丰富经验,例如可能由COVID-19引起的紧急情况。医生创新者与医院的主要利益相关者合作,制定了一项全面战略,设计、开发和分发数字健康解决方案,以解决这一问题。MGH STAT是一个直观的移动应用程序,通过提供即时访问最新的临床指南、顾问和代码运行工具,使临床医生能够应对医疗紧急情况。100%的受访医生认为STAT易于使用,并会推荐给其他人使用。大约1100名临床医生下载了这款应用程序,在最初的COVID-19激增一年后,它仍在持续使用。这些结果表明,STAT帮助临床医生在大流行期间和之后管理危及生命的紧急情况,尽管有必要进行正式研究以评估其对患者护理的直接影响。
STAT: Mobile app helps clinicians manage inpatient emergencies
In response to the unprecedented surge of patients with COVID-19, Massachusetts General Hospital created both repurposed and de-novo COVID-19 inpatient general medicine and intensive care units. The clinicians staffing these new services included those who typically worked in these care settings (e.g., medicine residents, hospitalists, intensivists), as well as others who typically practice in other care environments (e.g., re-deployed outpatient internists, medical subspecialists, and other physician specialties). These surge clinicians did not have extensive experience managing low frequency, high acuity emergencies, such as those that might result from COVID-19. Physician-innovators, in collaboration with key hospital stakeholders, developed a comprehensive strategy to design, develop, and distribute a digital health solution to address this problem. MGH STAT is an intuitive mobile application that empowers clinicians to respond to medical emergencies by providing immediate access to up-to-date clinical guidelines, consultants, and code-running tools at the point-of-care. 100% of surveyed physicians found STAT to be easy to use and would recommend it to others. Approximately 1100 clinicians have downloaded the app, and it continues to enjoy consistent use over a year after the initial COVID-19 surge. These results suggest that STAT has helped clinicians manage life threatening emergencies during and after the pandemic, although formal studies are necessary to evaluate its direct impact on patient care.
期刊介绍:
HealthCare: The Journal of Delivery Science and Innovation is a quarterly journal. The journal promotes cutting edge research on innovation in healthcare delivery, including improvements in systems, processes, management, and applied information technology.
The journal welcomes submissions of original research articles, case studies capturing "policy to practice" or "implementation of best practices", commentaries, and critical reviews of relevant novel programs and products. The scope of the journal includes topics directly related to delivering healthcare, such as:
● Care redesign
● Applied health IT
● Payment innovation
● Managerial innovation
● Quality improvement (QI) research
● New training and education models
● Comparative delivery innovation