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Automatic ID Consultation for Inpatients With COVID-19: Point, Counterpoint, and a Single-Center Experience.

Cynthia T NguyenGregory OlsonMai T PhoAlison K LewDavid PitrakJina SaltzmanAniruddha HazraKenneth PursellNatasha N Pettit
Published in: Open forum infectious diseases (2020)
There are many unknowns with regard to COVID-19 clinical management, including the role of Infectious Diseases Consultation (IDC). As hospitalizations for COVID-19 continue, hospitals are assessing how to optimally and efficiently manage COVID-19 inpatients. Typically, primary teams must determine when IDC is appropriate, and ID clinicians provide consultation upon request of the primary team. IDC has been shown to be beneficial for many conditions; however, the impact of IDC for COVID-19 is unknown. Herein, we discuss the potential benefits and pitfalls of automatic IDC for COVID-19 inpatients. Important considerations include the quality of care provided, allocation and optimization of resources, and clinician satisfaction. Finally, we describe how automatic IDC changed throughout the COVID-19 pandemic at a single academic medical center.
Keyphrases
  • coronavirus disease
  • sars cov
  • palliative care
  • healthcare
  • respiratory syndrome coronavirus
  • infectious diseases
  • quality improvement
  • risk assessment
  • human health