Mater Artium Necessitas: The Birth of a COVID-19 Command Center.

Autor:	Campbell ST; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA., Orner EP; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA., Reyes Gil M; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA., Fox AS; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA., Goldstein DY; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA., Wolgast LR; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA., Cadoff EM; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA., Freedman VH; Graduate Division of Biomedical Sciences, Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USA., Akabas MH; Departments of Physiology & Biophysics, Neuroscience, and Medicine, Albert Einstein College of Medicine, Bronx, NY, USA., Prystowsky MB; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA., Szymczak WA; Department of Pathology, Montefiore Medical Center, Bronx, NY, USA.
Jazyk:	angličtina
Zdroj:	Academic pathology [Acad Pathol] 2021 May 19; Vol. 8, pp. 23742895211015347. Date of Electronic Publication: 2021 May 19 (Print Publication: 2021).
DOI:	10.1177/23742895211015347
Abstrakt:	In February of 2020, New York City was unprepared for the COVID-19 pandemic. Cases of SARS-CoV-2 infection appeared and spread rapidly. Hospitals had to repurpose staff and establish diagnostic testing for this new viral infection. In the background of the usual respiratory pathogen testing performed in the clinical laboratory, SARS-CoV-2 testing at the Montefiore Medical System grew exponentially, from none to hundreds per day within the first week of testing. The job of appropriately routing SARS-CoV-2 viral specimens became overwhelming. Additional staff was required to triage these specimens to multiple in-house testing platforms as well as external reference laboratories. Since medical school classes and many research laboratories shut down at the Albert Einstein College of Medicine and students were eager to help fight the pandemic, we seized the opportunity to engage and train senior MD-PhD students to assist in triaging specimens. This volunteer force enabled us to establish the "Pathology Command Center," staffed by these students as well as residents and furloughed dental associates. The Pathology Command Center staff were tasked with the accessioning and routing of specimens, answering questions from clinical teams, and updating ever evolving protocols developed in collaboration with a team of Infectious Disease clinicians. Many lessons were learned during this process, including how best to restructure an accessioning department and how to properly onboard students and repurpose staff while establishing safeguards for their well-being during these unprecedented times. In this article, we share some of our challenges, successes, and what we ultimately learned as an organization. Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2021.)
Databáze:	MEDLINE
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