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COVID-19 Emergency Department Project

COVID-19 rapid guidelines for critical care (source NICE)
COVID-19 rapid guidelines for critical care (source NICE)

(Latest news update)

NIHR ARC Wessex is supporting this research 

Summary

The COVID-19 pandemic is expected to create an unprecedented demand for acute care services. Hospitals face the challenge of needing to rapidly restructure care pathways and resourcing priorities to maximise survival rates for critically ill patients. University Hospital Southampton (UHS) needs evidence-based tools to support clinical and resource planning decisions in response to the pandemic. Until recently, UHS had insufficient information regarding the demand, patient trajectories through pathways and the optimal resources (i.e. people and equipment) needed to maintain care levels within the constraints of care worker fatigue. As such, COVID-19-ED aims to provide rapid response insight to analytics questions provided by UHS. Each question will be evaluated to determine the most effective and efficient course of action considering criticality and feasibility in relation to available models, data and other resources. COVID-19-ED will be delivered by expertise from across the University (Medicine, Faculty of Engineering and Physical Sciences FEPS, FSS) and commercial consultancies (Boston Consulting).

Principles

  • We prioritise unmet information and insight needs from UHS, rather than analytics for our own curiosity
  • We rigorously assess the value of outcomes to UHS to ensure we work on the urgent and important questions, whilst reducing interaction with UHS to a minimum level of guidance and knowledge communication. 
  • We compromise to produce solutions that are rapid, good enough and can be incrementally improved rather than trying to deliver a perfect solution
  • We freely share data, models and contextual knowledge with each other to continuously increase the team’s knowledge of the evolving health system
  • We work within the constraints of Information Governance legislation and regulation

Who's involved (not exhaustive)

Individual Organisation Role
Clinical
   
Derek Sandeman University Hospital Southampton NHS Foundation Trust Medical Director and Chair of NIHR ARC Wessex
Thomas Daniels University Hospital Southampton NHS Foundation Trust Clinical Guidance: Patient Respiratory and general medicine consultant
Michael Kiuber University Hospital Southampton NHS Foundation Trust Clinical Guidance: ED Consultant
Information Monitoring and Reporting
   
Neil Tape University Hospital Southampton NHS Foundation Trust Head of Business Intelligence
Martin Azor University Hospital Southampton NHS Foundation Trust Data acquisition
Analytics
   
Matthew Stammers University of Southampton, Clinical Informatics Research Unit (CIRU) Hospital Analytics Coordinator, Channel of communication with UHS Command and Control,  Population demand modelling
Hang Phan University of Southampton, Clinical Informatics Research Unit (CIRU) Population demand modelling
Michael Boniface IT Innovation Centre, Electronics and Computer Science, University of Southampton IT Innovation coordination and supervision
Francis Chmiel IT Innovation Centre, Electronics and Computer Science, University of Southampton ED demand modelling
Daniel Burns IT Innovation Centre, Electronics and Computer Science, University of Southampton Population demand modelling