R. James Salway (
David Silvestri is an emergency medicine physician and senior director of care transitions and access, Office of Ambulatory Care, NYC Health + Hospitals.
Health Aff (Millwood). 2020 Sep;39(9):1601-1604. doi: 10.1377/hlthaff.2020.00930. Epub 2020 Jul 16.
As the coronavirus disease 2019 (COVID-19) pandemic surged in New York City, the city's public hospital system, New York City Health + Hospitals, recognized that innovative technological solutions were needed to respond to the crisis. Our health system recently transitioned to a unified enterprisewide electronic medical record across all of our hospitals. This accelerated our ability to implement a series of technological solutions to the crisis. We engaged in focused efforts to improve staff efficiency, including rapid medical screening exams for low-acuity patients, use of "SmartNotes," and improved vital sign monitoring. We standardized patient workup using specialty-specific order sets, created dashboards to give insight into enterprisewide bed availability and facilitate transfers from the hardest-hit hospitals, and improved the patient experience by using tablets to connect patients with loved ones. The technology bridged divides between different hospital systems across New York City to encourage the sharing of data and improve patient care. By rapidly expanding its use of information technology, NYC Health + Hospitals was able to respond to the COVID-19 surge and is now better positioned to work in a more integrated fashion in the future.
随着 2019 年冠状病毒病（COVID-19）在纽约市的爆发，该市的公立医疗系统——纽约市健康与医院公司（New York City Health + Hospitals）认识到，需要创新的技术解决方案来应对这场危机。我们的医疗系统最近在所有医院都过渡到了统一的全企业范围的电子病历。这加速了我们实施一系列应对危机的技术解决方案的能力。我们集中精力提高员工效率，包括对低危患者进行快速医疗筛查检查、使用“SmartNotes”和改进生命体征监测。我们使用特定专科的医嘱集来标准化患者检查，创建仪表板以深入了解整个企业的床位可用性并促进从受灾最严重的医院转移，以及通过使用平板电脑将患者与亲人联系起来来改善患者体验。该技术弥合了纽约市不同医院系统之间的鸿沟，鼓励数据共享并改善患者护理。通过迅速扩大信息技术的使用，纽约市健康与医院公司能够应对 COVID-19 的激增，并为未来更具整合性的工作做好了更好的准备。
