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Restructuring Electrophysiology During the COVID-19 Pandemic: A Practical Guide From a New York City Hospital Network.
Rubin, Geoffrey A; Wan, Elaine Y; Saluja, Deepak; Thomas, George; Slotwiner, David J; Goldbarg, Seth; Chaudhary, Salma; Turitto, Gioia; Dizon, Jose; Yarmohammadi, Hirad; Ehlert, Frederick; Rubin, David A; Morrow, John P; Waase, Marc; Berman, Jeremy; Kushnir, Alexander; Abrams, Mark P; Halik, Carolyn; Kumaraiah, Deepa; Schwartz, Allan; Kirtane, Ajay; Kodali, Susheel; Goldenthal, Isaac; Garan, Hasan; Biviano, Angelo.
  • Rubin GA; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Wan EY; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Saluja D; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Thomas G; NewYork-Presbyterian/Weill Cornell Medical Center, New York, NY.
  • Slotwiner DJ; NewYork-Presbyterian Queens, Flushing, NY.
  • Goldbarg S; NewYork-Presbyterian Queens, Flushing, NY.
  • Chaudhary S; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.
  • Turitto G; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.
  • Dizon J; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Yarmohammadi H; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Ehlert F; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Rubin DA; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Morrow JP; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Waase M; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Berman J; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Kushnir A; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Abrams MP; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Halik C; NewYork-Presbyterian/Weill Cornell Medical Center, New York, NY.
  • Kumaraiah D; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Schwartz A; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Kirtane A; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Kodali S; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Goldenthal I; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Garan H; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
  • Biviano A; From the NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
Crit Pathw Cardiol ; 19(3): 105-111, 2020 09.
Article in English | MEDLINE | ID: covidwho-119522
ABSTRACT
The coronavirus disease 2019 crisis is a global pandemic of a novel infectious disease with far-ranging public health implications. With regard to cardiac electrophysiology (EP) services, we discuss the "real-world" challenges and solutions that have been essential for efficient and successful (1) ramping down of standard clinical practice patterns and (2) pivoting of workflow processes to meet the demands of this pandemic. The aims of these recommendations are to outline (1) essential practical steps to approaching procedures, as well as outpatient and inpatient care of EP patients, with relevant examples, (2) successful strategies to minimize exposure risk to patients and clinical staff while also balancing resource utilization, (3) challenges related to redeployment and restructuring of clinical and support staff, and (4) considerations regarding continued collaboration with clinical and administrative colleagues to implement these changes. While process changes will vary across practices and hospital systems, we believe that these experiences from 4 different EP sections in a large New York City hospital network currently based in the global epicenter of the coronavirus disease 2019 pandemic will prove useful for other EP practices adapting their own practices in preparation for local surges.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Patient Care Management / Infection Control / Telemedicine / Coronavirus Infections / Cardiac Electrophysiology / Pandemics / Ambulatory Care / Hospital Restructuring Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: Crit Pathw Cardiol Journal subject: Cardiology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Patient Care Management / Infection Control / Telemedicine / Coronavirus Infections / Cardiac Electrophysiology / Pandemics / Ambulatory Care / Hospital Restructuring Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: Crit Pathw Cardiol Journal subject: Cardiology Year: 2020 Document Type: Article