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Published on: September 24, 2020
Emergency department COVID management policies: one institution's experience and lessons learned
Evan S Leibner1, Sonya Stokes2, Danish Ahmad1
1Institute for Critical Care Medicine, Department of Emergency Medicine, Department of Medical Education, Icahn School of Medicine at Mount Sinai; Mount Sinai Hospital, New York, NY.
Insights
This monograph details the interdisciplinary response of the Mount Sinai Health System to the COVID-19 pandemic. It shares lessons learned and protocols to aid other healthcare systems in combating the SARS-CoV-2 virus.
Area of Science:
- * Infectious Diseases and Public Health
- * Healthcare System Management
Background:
- * The novel coronavirus disease (COVID-19), caused by SARS-CoV-2, emerged in late 2019, rapidly escalating into a global pandemic.
- * New York City became the US epicenter, with the Mount Sinai Health System at the forefront of managing the crisis.
Purpose of the Study:
- * To summarize lessons learned from interdisciplinary collaborations during the COVID-19 pandemic.
- * To provide a template of guidelines and protocols for other healthcare systems.
Main Methods:
- * Documenting experiences and strategies implemented by the Mount Sinai Health System.
- * Fostering interdisciplinary collaboration across 8 hospitals.
Main Results:
- * Identification of key challenges posed by the rapid spread of COVID-19.
- * Development of adaptive guidelines and protocols.
Conclusions:
- * Interdisciplinary collaboration is crucial for managing pandemic-level infectious disease outbreaks.
- * Sharing lessons learned can help other healthcare systems prepare and respond effectively to COVID-19.
Abstract:
Coronavirus disease (COVID-19), caused by the SARS-CoV-2 virus, originated in Wuhan, Hubei Province, China in late 2019 and grew rapidly into a pandemic. As of the writing of this monograph, there are over 2 million confirmed cases worldwide and 147,000 deaths. New York City, with over 120,000 COVID-19-positive patients and over 11,000 deaths, has become the infection epicenter in the United States. The Mount Sinai Health System, with 8 hospitals spread across New York City and Long Island, has been on the forefront of the pandemic. This compendium summarizes the lessons learned through interdisciplinary collaborations to meet the varied challenges created by the explosive appearance of the infection in our community, and will be updated continuously as new research and best practices emerge. It is our hope is that the collaborations and lessons learned that went into creating these guidelines and protocols can serve as a useful template for other systems to adapt to their fight against COVID-19.
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