Abstract

Objective

Large health systems responding to the coronavirus disease 2019 (COVID-19) pandemic face a broad range of challenges; we describe 14 examples of innovative and effective informatics interventions.

Materials and Methods

A team of 30 physician and 17 nurse informaticists with an electronic health record (EHR) and associated informatics tools.

Results

To meet the demands posed by the influx of patients with COVID-19 into the health system, the team built solutions to accomplish the following goals: 1) train physicians and nurses quickly to manage a potential surge of hospital patients; 2) build and adjust interactive visual pathways to guide decisions; 3) scale up video visits and teach best-practice communication; 4) use tablets and remote monitors to improve in-hospital and posthospital patient connections; 5) allow hundreds of physicians to build rapid consensus; 6) improve the use of advance care planning; 7) keep clinicians aware of patients’ changing COVID-19 status; 8) connect nurses and families in new ways; 9) semi-automate Crisis Standards of Care; and 10) predict future hospitalizations.

Discussion

During the onset of the COVID-19 pandemic, the UCHealth Joint Informatics Group applied a strategy of “practical informatics” to rapidly translate critical leadership decisions into understandable guidance and effective tools for patient care.

Conclusion

Informatics-trained physicians and nurses drew upon their trusted relationships with multiple teams within the organization to create practical solutions for onboarding, clinical decision-making, telehealth, and predictive analytics.

中文翻译：

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临床信息学促进卫生系统适应COVID-19大流行：科罗拉多州的例子。

摘要

目的

应对2019年冠状病毒疾病（COVID-19）大流行的大型卫生系统面临着广泛的挑战; 我们描述了14种创新有效的信息学干预措施的例子。

材料和方法

由30名医生和17名护士信息专家组成的团队，具有电子健康记录（EHR）和相关的信息工具。

结果

为了满足大量COVID-19患者进入卫生系统的需求，该团队制定了解决方案以实现以下目标：1）快速培训医师和护士以管理可能的住院患者激增；2）建立和调整交互式视觉路径以指导决策；3）扩大视频访问量并教授最佳实践交流；4）使用平板电脑和远程监控器改善院内和院后患者的联系；5）允许数百位医生建立快速共识；6）改进对预先护理计划的使用；7）使临床医生了解患者的COVID-19状态不断变化；8）以新的方式联系护士和家庭；9）半自动化的危机护理标准；10）预测将来的住院治疗。

讨论区

在COVID-19大流行期间，UCHealth联合信息学小组采用了“实用信息学”战略，以将关键的领导决策迅速转化为可理解的指导和有效的患者护理工具。

结论

经过信息学培训的医师和护士利用与组织内多个团队的信任关系来创建实用的解决方案，以用于入职，临床决策，远程医疗和预测分析。