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10.5334/aogh.3108 http://scihub22266oqcxt.onion/10.5334/aogh.3108 33505860!7792461!33505860     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Ann+Glob+Health 2021 ; 87 (1): 1 Nephropedia Template TP {{tp|p=33505860|t=2021. An In-Person and Telemedicine "Hybrid" System to Improve Cross-Border Critical Care in COVID-19 |pdf=|usr=}}{{33505860}} gab.com Text An In-Person and Telemedicine "Hybrid" System to Improve Cross-Border Critical Care in COVID-19 JO: Ann Glob Health http://www.kidney.de/pget.php?&tw=1&pmid=33505860 #FOAvip BACKGROUND: UC San Diego Health System (UCSDHS) is an academic medical center and integrated care network in the US-Mexico border area of California contiguous to the Mexican Northern Baja region. The COVID-19 pandemic deeply influenced UCSDHS activities as new public health challenges increasingly related to high population density, cross-border traffic, economic disparities, and interconnectedness between cross-border communities, which accelerated development of clinical collaborations between UCSDHS and several border community hospitals - one in the US, two in Mexico - as high volumes of severely ill patients overwhelmed hospitals. OBJECTIVE: We describe the development, implementation, feasibility, and acceptance of a novel critical care support program in three community hospitals along the US-Mexico border. METHODS: We created and instituted a hybrid critical care program involving: 1) in-person activities to perform needs assessments of equipment and supplies and hands-on training and education, and 2) creation of a telemedicine-based (Tele-ICU) service for direct patient management and/or consultative, education-based experiences. We collected performance metrics surrounding adherence to evidence-based practices and staff perceptions of critical care delivery. FINDINGS: In-person intervention phase identified and filled gaps in equipment and supplies, and Tele-ICU program promoted adherence to evidence-based practices and improved staff confidence in caring for critically ill COVID-19 patients at each hospital. CONCLUSION: A collaborative, hybrid critical care program across academic and community centers is feasible and effective to address cross-cultural public health emergencies. Twit Text FOAVip An In-Person and Telemedicine "Hybrid" System to Improve Cross-Border Critical Care in COVID-19 ????Ann Glob Health http://www.kidney.de/pget.php?&tw=1&pmid=33505860 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33505860 #FOAvip English Wikipedia <ref>{{Cite pmid|33505860}}</ref> An In-Person and Telemedicine "Hybrid" System to Improve Cross-Border Critical Care in COVID-19 #MMPMID33505860 Ramnath VR; Hill L; Schultz J; Mandel J; Smith A; Morris T; Holberg S; Horton LE; Malhotra A; Friedman LS Ann Glob Health 2021[Jan]; 87 (1): 1 PMID33505860show ga BACKGROUND: UC San Diego Health System (UCSDHS) is an academic medical center and integrated care network in the US-Mexico border area of California contiguous to the Mexican Northern Baja region. The COVID-19 pandemic deeply influenced UCSDHS activities as new public health challenges increasingly related to high population density, cross-border traffic, economic disparities, and interconnectedness between cross-border communities, which accelerated development of clinical collaborations between UCSDHS and several border community hospitals - one in the US, two in Mexico - as high volumes of severely ill patients overwhelmed hospitals. OBJECTIVE: We describe the development, implementation, feasibility, and acceptance of a novel critical care support program in three community hospitals along the US-Mexico border. METHODS: We created and instituted a hybrid critical care program involving: 1) in-person activities to perform needs assessments of equipment and supplies and hands-on training and education, and 2) creation of a telemedicine-based (Tele-ICU) service for direct patient management and/or consultative, education-based experiences. We collected performance metrics surrounding adherence to evidence-based practices and staff perceptions of critical care delivery. FINDINGS: In-person intervention phase identified and filled gaps in equipment and supplies, and Tele-ICU program promoted adherence to evidence-based practices and improved staff confidence in caring for critically ill COVID-19 patients at each hospital. CONCLUSION: A collaborative, hybrid critical care program across academic and community centers is feasible and effective to address cross-cultural public health emergencies. |*Academic Medical Centers[MESH] |*Hospitals, Community[MESH] |*Interdisciplinary Communication[MESH] |*Telemedicine[MESH] |Algorithms[MESH] |COVID-19/prevention & control/*therapy[MESH] |California[MESH] |Critical Care/*methods/organization & administration[MESH] |Equipment and Supplies, Hospital[MESH] |Evidence-Based Medicine[MESH] |Health Personnel/education[MESH] |Humans[MESH] |Infection Control/methods[MESH] |Intensive Care Units[MESH] |International Cooperation[MESH] |Mexico[MESH] |Nursing/methods[MESH] |SARS-CoV-2[MESH]An In-Person and Telemedicine "Hybrid" System to Improve Cross-Border (epmc).pdf DeepDyve Pubget Overpricing