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Pragmatic Disease-Focused Checklist for Use During Rounding on Critically Ill Patients With COVID-19

Somnath Bose1, Akiva Leibowitz2

  • 1Somnath Bose is assistant professor of anesthesia, Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|March 15, 2021
PubMed

Insights

A new checklist for critically ill COVID-19 patients streamlines care during resource constraints. Most critical care consultants favored a disease-focused checklist, highlighting key elements like ventilation and communication.

Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Healthcare Management

Background:

  • The COVID-19 pandemic created significant challenges in managing critically ill patients.
  • Resource constraints necessitated innovative approaches to patient care and team communication.

Purpose of the Study:

  • To develop and evaluate a disease-focused checklist for critically ill COVID-19 patients.
  • To assess the preferences of critical care consultants for a structured checklist during rounds.

Main Methods:

  • A disease-focused checklist was created to supplement existing rounds.
  • A survey of 51 critical care consultants at a tertiary academic medical center was conducted.

Main Results:

  • 82% of surveyed consultants favored the use of a disease-focused checklist.
  • Key elements for the checklist included mechanical ventilation, rescue strategies, sedation, COVID-19 inflammatory markers, and family communication.

Conclusions:

  • A disease-focused checklist is a valuable tool for standardizing care for critically ill COVID-19 patients.
  • Consultant input identified essential components for optimizing checklist content and utility.

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