Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare System

Frontiers in Medicine

Albert Messina¹  Ramya Ramakrishnan¹  Kotresha Neelakantappa¹  Jennifer Tutone¹  Madhavi Katikaneni²  Sadia Saboor³  Aljenica Apostol⁴  Esteen Barnes⁴  Chaim Charytan⁵  Ritesh Raichoudhury⁵  Jai Radhakrishnan⁶  Jacob S. Stevens⁶  Susan Tanzi-Pfeifer⁶  Jane Akomeah⁶  Uvannie Enriquez⁷  Jeffrey Silberzweig⁷  Vesh Srivatana⁷  Frank Liu⁷  Alina Sapozhnikova⁸ 

[1] NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, United States;NewYork-Presbyterian Hudson Valley Hospital, Cold Spring, NY, United States;NewYork-Presbyterian Lawrence Hospital, Bronxville, NY, United States;NewYork-Presbyterian Lower Manhattan Hospital, New York, NY, United States;NewYork-Presbyterian Queens, New York, NY, United States;NewYork-Presbyterian/Columbia University Medical Center, New York, NY, United States;NewYork-Presbyterian/Weill Cornell Medical Center, New York, NY, United States;Strategic Sourcing at New York Presbyterian Hospital, New York, NY, United States;

关键词: dashboard;    census tracking;    CRRT;    HD;    COVID-19;    disaster planning;   

DOI  :  10.3389/fmed.2020.604182

来源: Frontiers

【 摘 要 】

The unprecedented surge of nephrology inpatients needing kidney replacement therapy placed hospital systems under extreme stress during the COVID-19 pandemic. In this article, we describe the formation of a cross campus “New-York Presbyterian COVID-19 Kidney Replacement Therapy Task Force” with intercampus physician, nursing, and supply chain representation. We describe several strategies including the development of novel dashboards to track supply/demand of resources, urgent start peritoneal dialysis, in-house preparation of kidney replacement fluid, the use of unconventional personnel resources to ensure the safe and continued provision of kidney replacement therapy in the face of the unanticipated surge. These approaches facilitated equitable sharing of resources across a complex healthcare-system and allowed for the rapid implementation of standardized protocols at each hospital.

【 授权许可】

CC BY