Automatic ID Consultation for Inpatients With COVID-19: Point, Counterpoint, and a Single-Center Experience
Author(s) -
Cynthia T. Nguyen,
Gregory Olson,
Mai T. Pho,
Alison Lew,
David Pitrak,
Jina Saltzman,
Aniruddha Hazra,
Kenneth Pursell,
Natasha N. Pettit
Publication year - 2020
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofaa318
Subject(s) - covid-19 , medicine , pandemic , center (category theory) , medical emergency , counterpoint , family medicine , pathology , psychology , infectious disease (medical specialty) , outbreak , pedagogy , chemistry , disease , crystallography
There are many unknowns with regard to COVID-19 clinical management, including the role of Infectious Diseases Consultation (IDC). As hospitalizations for COVID-19 continue, hospitals are assessing how to optimally and efficiently manage COVID-19 inpatients. Typically, primary teams must determine when IDC is appropriate, and ID clinicians provide consultation upon request of the primary team. IDC has been shown to be beneficial for many conditions; however, the impact of IDC for COVID-19 is unknown. Herein, we discuss the potential benefits and pitfalls of automatic IDC for COVID-19 inpatients. Important considerations include the quality of care provided, allocation and optimization of resources, and clinician satisfaction. Finally, we describe how automatic IDC changed throughout the COVID-19 pandemic at a single academic medical center.
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