Departments of Surgery (Drs Gazivoda, Saunders and Savel) and Emergency Medicine (Drs Marshall and Motov), Maimonides Medical Center, Brooklyn, New York (Drs Gazivoda and Lockerman and Messrs Stolz and Samy).
Qual Manag Health Care. 2022;31(4):259-266. doi: 10.1097/QMH.0000000000000348. Epub 2022 Feb 7.
Dashboards have been utilized in health care to improve quality and patient care. The purpose of our project was to create a concise, timely, and accurate dashboard for administrative and clinical leadership during the COVID-19 pandemic.
Two authors collaborated to identify 14 metrics and design a comprehensive dashboard (CovidStats, CS) using Microsoft Excel. The dashboard was updated daily and distributed to leadership between December 2020 and April 2021. The utility of this quality measure was assessed by survey of hospital leadership.
The 14 metrics included were as follows: (1) elective surgery census threshold; (2) daily COVID admissions; (3) daily COVID discharges; (4) net COVID admissions; (5) ED (emergency department) bed holds; (6) COVID ED bed holds; (7) hospital census; (8) percent COVID census; (9) active COVID census; (10) COVID ICU (intensive care unit); (11) MICU (medical ICU) census; (12) ventilators in use; (13) high-flow oxygen devices in use; and (14) weekly hospital census. The leadership response survey revealed unanimous approval for CS, with a mean rating of 4.9 ± 0.3 (rated 1-5).
Effective clinical dashboards can be created using affordable basic computer software. Implementation of the CS dashboard conveyed relevant and timely information, which influenced the decision making of hospital leadership during the COVID-19 pandemic.
仪表盘已在医疗保健领域得到应用，以改善医疗质量和患者护理。我们项目的目的是在 COVID-19 大流行期间为行政和临床领导层创建一个简洁、及时和准确的仪表盘。
两位作者合作确定了 14 项指标，并使用 Microsoft Excel 设计了一个综合仪表盘（CovidStats，CS）。该仪表盘每天更新，并在 2020 年 12 月至 2021 年 4 月期间分发给领导层。通过对医院领导层的调查评估了该质量指标的实用性。
包括以下 14 项指标：（1）择期手术人数阈值；（2）每日 COVID 入院人数；（3）每日 COVID 出院人数；（4）净 COVID 入院人数；（5）急诊（ED）床位保留；（6）COVID ED 床位保留；（7）医院人数；（8）COVID 患者占比；（9）活跃 COVID 患者人数；（10）COVID ICU；（11）MICU 人数；（12）使用中的呼吸机；（13）使用中的高流量氧气设备；（14）每周医院人数。领导层回应调查显示，CS 得到一致认可，平均评分为 4.9 ± 0.3（1-5 分）。
使用负担得起的基本计算机软件可以创建有效的临床仪表盘。CS 仪表盘的实施传达了相关和及时的信息，这影响了 COVID-19 大流行期间医院领导层的决策。
