Anesthesiology, Perioperative, and Pain Medicine.
From the Institute for Critical Care Medicine.
J Patient Saf. 2022 Jun 1;18(4):e810-e815. doi: 10.1097/PTS.0000000000000928. Epub 2021 Sep 27.
Coronaviruses are important emerging human and animal pathogens. SARS-CoV-2, the virus that causes COVID-19, is responsible for the current global pandemic. Early in the course of the pandemic, New York City became one of the world's "hot spots" with more than 250,000 cases and more than 15,000 deaths. Although medical providers in New York were fortunate to have the knowledge gained in China and Italy before it came under siege, the magnitude and severity of the disease were unprecedented and arguably under appreciated. The surge of patients with significant COVID-19 threatened to overwhelm health care systems, as New York City health systems realized that the number of specialized critical care providers would be inadequate. A large academic medical system recognized that rapid redeployment of noncritical providers into such roles would be needed. An educational gap was therefore identified: numerous providers with minimal critical care knowledge or experience would now be required to provide critical-level patient care under supervision of intensivists. Safe provision of such high level of patient care mandated the development of "educational crash courses."
The purpose of this special article is to summarize the approach adopted by the Institute for Critical Care Medicine and Department of Anesthesiology, Perioperative and Pain Medicine's Human Emulation, Education, and Evaluation Lab for Patient Safety and Professional Study Simulation Center in developing a training program for noncritical care providers in this novel disease.
Using this joint approach, we were able to swiftly educate a wide range of nonintensive care unit providers (such as surgical, internal medicine, nursing, and advanced practice providers) by focusing on refreshing critical care knowledge and developing essential skillsets to assist in the care of these patients.
We believe that the practical methods reviewed here could be adopted by any health care system that is preparing for an unprecedented surge of critically ill patients.
冠状病毒是重要的新兴人类和动物病原体。导致 COVID-19 的 SARS-CoV-2 病毒是当前全球大流行的罪魁祸首。在大流行早期，纽约市成为世界上的“热点”之一，病例超过 25 万，死亡人数超过 1.5 万。尽管在它被围攻之前，纽约的医疗服务提供者有幸借鉴了中国和意大利的经验，但疾病的规模和严重程度是前所未有的，可以说是被低估了。大量患有严重 COVID-19 的患者威胁到医疗系统的承受能力，因为纽约市的医疗系统意识到，专门的重症监护提供者人数将不足。一个大型学术医疗系统认识到，需要迅速将非重症监护提供者重新部署到这些角色中。因此，发现了一个教育差距：现在需要大量对重症监护知识或经验有限的提供者在重症监护医师的监督下提供重症级别的患者护理。安全提供这种高水平的患者护理需要制定“教育速成课程”。
本文的目的是总结重症监护医学研究所和麻醉学、围手术期和疼痛医学系人类模拟、教育和评估实验室为非重症监护提供者在这种新疾病中制定培训计划所采用的方法。
通过这种联合方法，我们能够迅速教育广泛的非重症监护病房提供者（如外科、内科、护理和高级实践提供者），重点是更新重症监护知识和发展基本技能，以帮助这些患者的护理。
我们相信，任何准备应对史无前例的重症患者激增的医疗系统都可以采用这里回顾的实用方法。
