Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19

The unprecedented COVID-19 pandemic has resulted in rapidly evolving best practices for transmission reduction, diagnosis, and treatment. A regular influx of new information has upended traditionally static hospital protocols, adding additional stress and potential for error to an already overextend...

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Bibliographic Details
Main Authors: Nicholas Stark, Michaela Kerrissey, Madeline Grade, Beth Berrean, Christopher Peabody
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-08-01
Series:Western Journal of Emergency Medicine
Online Access:https://escholarship.org/uc/item/0vj3s17g
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spelling doaj-326c5ff6eaf347e4995852ec0255d3f22020-11-25T03:19:03ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-90182020-08-0121510.5811/westjem.2020.7.48537wjem-21-1095Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19Nicholas Stark0Michaela Kerrissey1Madeline Grade2Beth Berrean3Christopher Peabody4University of California San Francisco, Department of Emergency Medicine, San Francisco, CaliforniaHarvard School of Public Health, Department of Health Policy and Management, Boston, MassachusettsUniversity of California San Francisco, Department of Emergency Medicine, San Francisco, CaliforniaUniversity of California San Francisco, School of Medicine Tech Division, San Francisco, CaliforniaUniversity of California San Francisco, Department of Emergency Medicine, San Francisco, CaliforniaThe unprecedented COVID-19 pandemic has resulted in rapidly evolving best practices for transmission reduction, diagnosis, and treatment. A regular influx of new information has upended traditionally static hospital protocols, adding additional stress and potential for error to an already overextended system. To help equip frontline emergency clinicians with up-to-date protocols throughout the evolving COVID-19 crisis, our team set out to create a dynamic digital tool that centralized and standardized resources from a broad range of platforms across our hospital. Using a design thinking approach, we rapidly built, tested, and deployed a solution using simple, out-of-the-box web technology that enables clinicians to access the specific information they seek within moments. This platform has been rapidly adopted throughout the emergency department, with up to 70% of clinicians using the digital tool on any given shift and 78.6% of users reporting that they “agree” or “strongly agree” that the platform has affected their management of COVID-19 patients. The tool has also proven easily adaptable, with multiple protocols being updated nearly 20 times over two months without issue. This paper describes our development process, challenges, and results to enable other institutions to replicate this process to ensure consistent, high-quality care for patients as the COVID-19 pandemic continues its unpredictable course.https://escholarship.org/uc/item/0vj3s17g
collection DOAJ
language English
format Article
sources DOAJ
author Nicholas Stark
Michaela Kerrissey
Madeline Grade
Beth Berrean
Christopher Peabody
spellingShingle Nicholas Stark
Michaela Kerrissey
Madeline Grade
Beth Berrean
Christopher Peabody
Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19
Western Journal of Emergency Medicine
author_facet Nicholas Stark
Michaela Kerrissey
Madeline Grade
Beth Berrean
Christopher Peabody
author_sort Nicholas Stark
title Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19
title_short Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19
title_full Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19
title_fullStr Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19
title_full_unstemmed Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19
title_sort streamlining care in crisis: rapid creation and implementation of a digital support tool for covid-19
publisher eScholarship Publishing, University of California
series Western Journal of Emergency Medicine
issn 1936-9018
publishDate 2020-08-01
description The unprecedented COVID-19 pandemic has resulted in rapidly evolving best practices for transmission reduction, diagnosis, and treatment. A regular influx of new information has upended traditionally static hospital protocols, adding additional stress and potential for error to an already overextended system. To help equip frontline emergency clinicians with up-to-date protocols throughout the evolving COVID-19 crisis, our team set out to create a dynamic digital tool that centralized and standardized resources from a broad range of platforms across our hospital. Using a design thinking approach, we rapidly built, tested, and deployed a solution using simple, out-of-the-box web technology that enables clinicians to access the specific information they seek within moments. This platform has been rapidly adopted throughout the emergency department, with up to 70% of clinicians using the digital tool on any given shift and 78.6% of users reporting that they “agree” or “strongly agree” that the platform has affected their management of COVID-19 patients. The tool has also proven easily adaptable, with multiple protocols being updated nearly 20 times over two months without issue. This paper describes our development process, challenges, and results to enable other institutions to replicate this process to ensure consistent, high-quality care for patients as the COVID-19 pandemic continues its unpredictable course.
url https://escholarship.org/uc/item/0vj3s17g
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