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

Autor: Jane Akomeah, Aljenica Apostol, Esteen Barnes, Chaim Charytan, Uvannie Enriquez, Madhavi Katikaneni, Frank Liu, Albert Messina, Kotresha Neelakantappa, Jai Radhakrishnan, Ritesh Raichoudhury, Ramya Ramakrishnan, Sadia Saboor, Alina Sapozhnikova, Jeffrey Silberzweig, Jacob S. Stevens, Susan Tanzi-Pfeifer, Jennifer Tutone, Vesh Srivatana
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Frontiers in Medicine, Vol 7 (2020)
Druh dokumentu: article
ISSN: 2296-858X
DOI: 10.3389/fmed.2020.604182
Popis: 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.
Databáze: Directory of Open Access Journals