Evidence map›Paper›PMID 33199287›Full record

ArticleBMJ open quality2020

Improving management of hospitalised patients with COVID-19: algorithms and tools for implementation and measurement.

Ahmed Salem, Hossam Elamir, Huda Alfoudri, Mohammed Shamsah, Shams Abdelraheem, Ibtissam Abdo, Mohammad Galal, Lamiaa Ali

Abstract read
In one paragraph

Article in BMJ open quality, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ahmed SalemAnaesthesia and Intensive Care Department, Sabah Al Ahmad Urology Centre, Ministry of Health, Sabah, Kuwait.
Hossam ElamirQuality and Accreditation Directorate, Ministry of Health, Safat, Kuwait dr_hossam_elamir@hotmail.com.ORCID 0000-0002-5573-4023
Huda AlfoudriAnaesthesia, Critical Care and Pain Management Department, Adan Hospital, Ministry of Health, Hadiya, Kuwait.
Mohammed ShamsahAnaesthesia, Critical Care and Pain Management Department, Adan Hospital, Ministry of Health, Hadiya, Kuwait.
Shams AbdelraheemCritical Care Department, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Ibtissam AbdoQuality and Accreditation Directorate, Ministry of Health, Safat, Kuwait.
Mohammad GalalQuality and Accreditation Directorate, Ministry of Health, Safat, Kuwait.
Lamiaa AliQuality and Accreditation Directorate, Ministry of Health, Safat, Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic represents an unprecedented challenge to healthcare systems and nations across the world. Particularly challenging are the lack of agreed-upon management guidelines and variations in practice. Our hospital is a large, secondary-care government hospital in Kuwait, which has increased its capacity by approximately 28% to manage the care of patients with COVID-19. The surge in capacity has necessitated the redeployment of staff who are not well-trained to manage such conditions. There was a great need to develop a tool to help redeployed staff in decision-making for patients with COVID-19, a tool which could also be used for training.

methodsBased on the best available clinical knowledge and best practices, an eight member multidisciplinary group of clinical and quality experts undertook the development of a clinical algorithm-based toolkit to guide training and practice for the management of patients with COVID-19. The team followed Horabin and Lewis' seven-step approach in developing the algorithms and a five-step method in writing them. Moreover, we applied Rosenfeld

resultsA set of seven clinical algorithms and one illustrative layout diagram were developed. The algorithms were augmented with documentation forms, data-collection online forms and spreadsheets and an indicators' reference sheet to guide implementation and performance measurement. The final version underwent several revisions and amendments prior to approval.

conclusionsA large volume of published literature on the topic of COVID-19 pandemic was translated into a user-friendly, algorithm-based toolkit for the management of patients with COVID-19. This toolkit can be used for training and decision-making to improve the quality of care provided to patients with COVID-19.

Indexed as

AlgorithmsBetacoronavirusCoronavirus InfectionsCOVID-19Delivery of Health CareFemaleHealth Plan ImplementationHumansKuwaitMalePandemicsPneumonia, ViralSARS-CoV-2clinicalclinical practice guidelinescritical caredecision supportperformance measuresquality improvement

Identifiers

PMID33199287
PMCPMC7670554

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.