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Health Care Resource Allocation Decisionmaking During a Pandemic
From the Summary: "In the current Coronavirus Disease 2019 (COVID-19) pandemic, many policymakers are working with no established plan or methods for making decisions about admissions and discharges, or for determining allocation of scarce but lifesaving health care resources for patients and personal protective equipment for health care and long-term care workers. In many settings, decisions are being made ad hoc, with limited information and no input from patients and families. U.S. health systems, unlike those of many industrialized nations, are fragmented, further complicating any effort to identify and replicate successful responses to these ethical dilemmas across health care settings."
RAND Corporation
Frank, Lori; Concannon, Thomas W.; Patel, Karishma
2020
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Critical Care Surge Capacity in U.S. Hospitals: Strategies for Responding to the COVID-19 Pandemic
From the Webpage: "The coronavirus disease 2019 (COVID-19) outbreak is straining U.S. hospital and health care systems. In late March 2020, the United States surpassed China as the country with the most confirmed COVID-19 cases. Experiences in New York City, an outbreak epicenter, show that there will likely be high demand for critical care resources across the United States in systems that already are strained at baseline. RAND researchers assembled a list of strategies to help U.S. hospitals create critical care surge capacity. The list was created using a review of scientific literature about past outbreaks and the current COVID-19 pandemic, a survey of frontline clinicians conducted in collaboration with the American College of Emergency Physicians, and two roundtables conducted via teleconference with leading emergency and critical care physicians and public health and preparedness experts from around the country."
RAND Corporation
Abir, Mahshid; Nelson, Christopher; Chan, Edward W. . . .
2020
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Critical Care Surge Response Strategies for the 2020 COVID-19 Outbreak in the United States
From the Webpage: "The COVID-19 [coronavirus disease 2019] pandemic is creating unprecedented stresses on hospital and health care systems. In this report, the authors present a list of strategies for creating critical care surge capacity and estimate the number of patients accommodated, given the number of available critical care doctors and nurses, respiratory therapists, ventilators, and hospital beds. They also document the development of a user-friendly, Microsoft Excel-based tool that allows decisionmakers at all levels -- hospitals, health care systems, states, regions -- to estimate current critical care capacity and rapidly explore strategies for increasing it."
RAND Corporation
Abir, Mahshid; Nelson, Christopher; Chan, Edward W. . . .
2020-04
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RAND Critical Care Surge Response Tool: An Excel-Based Model for Helping Hospitals Respond to the COVID-19 Crisis
From the Document: "The COVID-19 [coronavirus disease] pandemic is placing extraordinary strains on the U.S. medical system, most especially hospitals. Hospitals are searching for ways to ramp up their surge capacity to provide critical care for the sickest COVID-19 patients. A team of RAND researchers undertook a quick-turn-around study to examine a range of strategies for creating critical care surge capacity in the nation's hospitals. As a part of the project, they developed a user-friendly, Microsoft Excel- based tool that allows decisionmakers at all levels--hospitals, health care systems, states, regions--to estimate current critical care capacity and rapidly explore strategies for increasing it."
RAND Corporation
Abir, Mahshid; Nelson, Christopher; Chan, Edward W. . . .
2020-04
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