As we publish this report, the possibility of COVID-19 related critical care needs outweighing resources in many parts of the world has been a concern and fact for several months. There is a lack of contextual data on how those already on, or positioned to be on, the front lines of this pandemic are experiencing the potential or actual need for triage of critical care resources in this pandemic. There is also a lack of contextual data on how patient, family, and public communications about such triage processes are being managed. Fifty-two semi-structured interviews and 15 written responses form the basis of the study. Participants, eligible if positioned to treat or already treating patients with lifethreatening COVID-19, were asked to describe for their context of healthcare delivery: 1. Their understanding and experiences of critical care triage decision-making 2. Care for COVID-19 patients with life-threatening disease triaged out of critical care pathways 3. Challenges and potential best practices for communication of critical care triage decision-making and related care plans for those triaged out of critical care to patients, families, and the wider public COVID-19 is not over: a second and potentially additional waves are anticipated in the near future. It is important to plan for triage decision-making and associated patient care and communication should needs for life-saving interventions outweigh available resources. The results of this study, summarized below, support this planning objective.

Nouvet, E., Strachan, P., Luciani, M., de Laat, S., Conti, A., Oliphant, A., et al. (2020). Triaging critical care during Covid-19: Global preparedness, socio-cultural considerations, and communication [Rapporto tecnico].

Triaging critical care during Covid-19: Global preparedness, socio-cultural considerations, and communication

Luciani M.;
2020

Abstract

As we publish this report, the possibility of COVID-19 related critical care needs outweighing resources in many parts of the world has been a concern and fact for several months. There is a lack of contextual data on how those already on, or positioned to be on, the front lines of this pandemic are experiencing the potential or actual need for triage of critical care resources in this pandemic. There is also a lack of contextual data on how patient, family, and public communications about such triage processes are being managed. Fifty-two semi-structured interviews and 15 written responses form the basis of the study. Participants, eligible if positioned to treat or already treating patients with lifethreatening COVID-19, were asked to describe for their context of healthcare delivery: 1. Their understanding and experiences of critical care triage decision-making 2. Care for COVID-19 patients with life-threatening disease triaged out of critical care pathways 3. Challenges and potential best practices for communication of critical care triage decision-making and related care plans for those triaged out of critical care to patients, families, and the wider public COVID-19 is not over: a second and potentially additional waves are anticipated in the near future. It is important to plan for triage decision-making and associated patient care and communication should needs for life-saving interventions outweigh available resources. The results of this study, summarized below, support this planning objective.
Rapporto tecnico
COVID-19, qualitative research, critical care, resources allocation
English
2020
978-0-9938354-5-2
Nouvet, E., Strachan, P., Luciani, M., de Laat, S., Conti, A., Oliphant, A., et al. (2020). Triaging critical care during Covid-19: Global preparedness, socio-cultural considerations, and communication [Rapporto tecnico].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/322383
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