CC BY-NC-ND 4.0 · Appl Clin Inform 2020; 11(05): 802-806
DOI: 10.1055/s-0040-1719042
Case Report

Ambulatory Clinician's Guide to Inpatient Service: An Innovative Rapid Onboarding Strategy for the COVID-19 Pandemic

Richard L. Altman
1  Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States
,
Tyler Anstett
2  Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States
,
Jennifer R. Simpson
3  Department of Neurology, University of Colorado School of Medicine, Aurora, Colorado, United States
,
Amira Del Pino-Jones
2  Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States
,
Chen-Tan Lin
1  Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States
,
Jonathan Pell
2  Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States
› Author Affiliations

Abstract

Background and Significance When hospitals are subject to prolonged surges in patients, such as during the coronavirus disease 2019 (COVID-19) pandemic, additional clinicians may be needed to care for the rapid increase of acutely ill patients. How might we quickly prepare a large number of ambulatory-based clinicians to care for hospitalized patients using the inpatient workflow of the electronic health record (EHR)?

Objectives The aim of the study is to create a successful training intervention which prepares ambulatory-based clinicians as they transition to inpatient services.

Methods We created a training guide with embedded videos that describes the workflow of an inpatient clinician. We delivered this intervention via an e-mail hyperlink, a static hyperlink inside of the EHR, and an on-demand hyperlink within the EHR.

Results In anticipation of the first peak of inpatients with COVID-19 in April 2020, the training manual was accessed 261 times by 167 unique users as clinicians anticipated being called into service. As our institution has not yet needed to deploy ambulatory-based clinicians for inpatient service, usage data of the training document is still pending.

Conclusion We intend that our novel implementation of a multimedia, highly accessible onboarding document with access from points inside and outside of the EHR will improve clinician performance and serve as a helpful example to other organizations during the COVID-19 pandemic and beyond.

Protection of Human and Animal Subjects

Human and animal subjects were not included in this project.


Supplementary Material



Publication History

Received: 27 July 2020

Accepted: 23 September 2020

Publication Date:
02 December 2020 (online)

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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