Cargando…

Decision support tool for hospital resource allocation during the COVID-19 pandemic

The SARS-CoV-2 (COVID-19) pandemic has placed unprecedented demands on entire health systems and driven them to their capacity, so that health care professionals have been confronted with the difficult problem of ensuring appropriate staffing and resources to a high number of critically ill patients...

Descripción completa

Detalles Bibliográficos
Autores principales: Brüggemann, Sven, Chan, Theodore, Wardi, Gabriel, Mandel, Jess, Fontanesi, John, Bitmead, Robert R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8168305/
https://www.ncbi.nlm.nih.gov/pubmed/34095453
http://dx.doi.org/10.1016/j.imu.2021.100618
_version_ 1783701862633963520
author Brüggemann, Sven
Chan, Theodore
Wardi, Gabriel
Mandel, Jess
Fontanesi, John
Bitmead, Robert R.
author_facet Brüggemann, Sven
Chan, Theodore
Wardi, Gabriel
Mandel, Jess
Fontanesi, John
Bitmead, Robert R.
author_sort Brüggemann, Sven
collection PubMed
description The SARS-CoV-2 (COVID-19) pandemic has placed unprecedented demands on entire health systems and driven them to their capacity, so that health care professionals have been confronted with the difficult problem of ensuring appropriate staffing and resources to a high number of critically ill patients. In light of such high-demand circumstances, we describe an open web-accessible simulation-based decision support tool for a better use of finite hospital resources. The aim is to explore risk and reward under differing assumptions with a model that diverges from most existing models which focus on epidemic curves and related demand of ward and intensive care beds in general. While maintaining intuitive use, our tool allows randomized “what-if” scenarios which are key for real-time experimentation and analysis of current decisions’ down-stream effects on required but finite resources over self-selected time horizons. While the implementation is for COVID-19, the approach generalizes to other diseases and high-demand circumstances.
format Online
Article
Text
id pubmed-8168305
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher The Authors. Published by Elsevier Ltd.
record_format MEDLINE/PubMed
spelling pubmed-81683052021-06-01 Decision support tool for hospital resource allocation during the COVID-19 pandemic Brüggemann, Sven Chan, Theodore Wardi, Gabriel Mandel, Jess Fontanesi, John Bitmead, Robert R. Inform Med Unlocked Article The SARS-CoV-2 (COVID-19) pandemic has placed unprecedented demands on entire health systems and driven them to their capacity, so that health care professionals have been confronted with the difficult problem of ensuring appropriate staffing and resources to a high number of critically ill patients. In light of such high-demand circumstances, we describe an open web-accessible simulation-based decision support tool for a better use of finite hospital resources. The aim is to explore risk and reward under differing assumptions with a model that diverges from most existing models which focus on epidemic curves and related demand of ward and intensive care beds in general. While maintaining intuitive use, our tool allows randomized “what-if” scenarios which are key for real-time experimentation and analysis of current decisions’ down-stream effects on required but finite resources over self-selected time horizons. While the implementation is for COVID-19, the approach generalizes to other diseases and high-demand circumstances. The Authors. Published by Elsevier Ltd. 2021 2021-06-01 /pmc/articles/PMC8168305/ /pubmed/34095453 http://dx.doi.org/10.1016/j.imu.2021.100618 Text en © 2021 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Brüggemann, Sven
Chan, Theodore
Wardi, Gabriel
Mandel, Jess
Fontanesi, John
Bitmead, Robert R.
Decision support tool for hospital resource allocation during the COVID-19 pandemic
title Decision support tool for hospital resource allocation during the COVID-19 pandemic
title_full Decision support tool for hospital resource allocation during the COVID-19 pandemic
title_fullStr Decision support tool for hospital resource allocation during the COVID-19 pandemic
title_full_unstemmed Decision support tool for hospital resource allocation during the COVID-19 pandemic
title_short Decision support tool for hospital resource allocation during the COVID-19 pandemic
title_sort decision support tool for hospital resource allocation during the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8168305/
https://www.ncbi.nlm.nih.gov/pubmed/34095453
http://dx.doi.org/10.1016/j.imu.2021.100618
work_keys_str_mv AT bruggemannsven decisionsupporttoolforhospitalresourceallocationduringthecovid19pandemic
AT chantheodore decisionsupporttoolforhospitalresourceallocationduringthecovid19pandemic
AT wardigabriel decisionsupporttoolforhospitalresourceallocationduringthecovid19pandemic
AT mandeljess decisionsupporttoolforhospitalresourceallocationduringthecovid19pandemic
AT fontanesijohn decisionsupporttoolforhospitalresourceallocationduringthecovid19pandemic
AT bitmeadrobertr decisionsupporttoolforhospitalresourceallocationduringthecovid19pandemic