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

Frontiers in Medicine

article

Jane Akomeah¹  Jai Radhakrishnan¹  Ritesh Raichoudhury¹  Ramya Ramakrishnan²  Sadia Saboor³  Alina Sapozhnikova⁴  Jeffrey Silberzweig⁵  Jacob S. Stevens¹  Susan Tanzi-Pfeifer¹  Jennifer Tutone²  Vesh Srivatana⁵  Aljenica Apostol⁶  Esteen Barnes⁶  Chaim Charytan¹  Uvannie Enriquez⁵  Madhavi Katikaneni⁷  Frank Liu⁵  Albert Messina²  Kotresha Neelakantappa² 

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

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

DOI  :  10.3389/fmed.2020.604182

学科分类：社会科学、人文和艺术（综合）

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