Simon Zec, MD (he/him/his)
Research Fellow, Pulmonary and Critical Care Medicine
Mayo Clinic
Rochester, Minnesota, United States
Disclosure information not submitted.
Yue Dong, MD, , FSSH
Research Scientist
Mayo Clinic
Rochester, Minnesota
Disclosure information not submitted.
.jpg "Nika Zorko Garbajs, MD photo")
Nika Zorko Garbajs, MD
Visiting Research Fellow
Mayo Clinic
Rochester
Disclosure information not submitted.
Marija Bogojevic, MD,
Resident Physician
Montefiore New Rochelle Hospital, Minnesota, United States
Disclosure information not submitted.
Ognjen Gajic, MD
Professor
Mayo Clinic
Rochester, Minnesota, United States
Disclosure information not submitted.
Romil Singh, MD
Resident
n/a
Rochester, Minnesota, United States
Disclosure information not submitted.
Christina Hielsberg, MA
Quality Program Manager
Society of Critical Care Medicine, United States
Disclosure information not submitted.
Alexander Niven, MD
Critical Care Specialist, Pulmonary Medicine
Mayo Clinic
Rochester, Minnesota
Disclosure information not submitted.
Title: Stop-Virus Collaborative: Interprofessional Learning Community to Improve COVID-19 Patient Outcomes
Introduction: Interim SCCM VIRUS Registry analysis demonstrated variation in patient outcomes independent of acuity or comorbidity, suggesting opportunities for critical care process improvement. The Structured Team-based Optimal Patient-centered care for COVID-19 VIRUS (STOP-VIRUS) Collaborative was created to identify and implement current best COVID-19 practices using standard quality improvement methodology in a learning community of participating U.S. sites.
Methods: This ongoing 18 week program includes weekly one-hour video-conference sessions (Zoom®, San Jose, CA, USA), divided into 4 week blocks focusing on high impact COVID-19 topics (respiratory failure; A-F bundle; infectious, cardiovascular, and renal complications; patient centered decision making, ethics, and end-of-life care). Sessions include focused updates by content experts, structured case discussions using the Checklist for Early Recognition and Treatment of Acute Illness and Injury (CERTAIN) approach, and project discussions with quality improvement experts. Online resources including session recordings, a discussion board, reference library, CERTAIN checklists, and quality improvement tools are provided to all participating sites via Blackboard® (Reston, VA, USA). Outcomes include participant satisfaction, dissemination, and implementation of program content using post-session surveys, qualitative analysis of mid-program interviews, and the impact of quality improvement efforts using ongoing VIRUS Registry data from each participating site.
Results: During the first three months 69 individuals from 15 U.S. centers participated in the collaborative, including 24 (35%) nurses, 23 (33%) physicians, 11 (15%) respiratory therapists, 8 (12%) pharmacists, and 3 (4%) researchers. Mean weekly Zoom attendance was 39%, and Blackboard engagement was 46% with a mean of 8.6 hours per learner. Based on a 19% post-survey response rate, overall satisfaction (1-5 scale, 1=poor, 5=excellent) was 5 in 55%, 4 in 42% and 3 in 3%. The majority (73%) reported topics matched their scope of practice and would highly recommend the program to colleagues.
Conclusion: We describe the ongoing efforts of a learning community collaborating to identify and implement best practices for the critical care management of COVID-19 patients during this evolving global pandemic.