Thanks for digging deep here. Curious to see if we can a peek under the lid.
My company is having difficulty classifying our COVID patients within our Electronic Health Records (EHR). If you thought wrangling 50 of something into some sort of order (states) was less than ideal, imagine that with 190 things (our hospitals). We have labs being sent off as "miscellaneous" instead of being specifically categorized as COVID. Some hospitals are reporting an uptick in
flu, which is its own awful kettle of fish. Our staff is fighting so hard, but it's easy to see where things fall through in regards to 100% accurate reporting.
Example of inconsistencies:
COVID patients + Persons Under Investigation (PUI, designated as such because we are pending labs) is around 1200 + 1900 = 3100.
Baseline ventilator usage is 250 a day across the company. We are hovering at 1800 vents used a day for yesterday and n-2.
EHR reported COVID patients on vents = 400.
There are basically 1150 vents being used not attributed to our standard baseline of patients + documented COVID patients.
Some of that number would be PUI. Some are probably from the flu rearing its ugly head at the most inopportune time (I mentioned waaaaaaaaay back in February we had received guidance about influenza season had not peaked yet for 2019-2020). Some of those are just patients not documented correctly because our nurses are way more concerned about delivering care than filling out documentation (and rightfully so).
Edit: I just read through the past page and see that flu overall is way down, most likely to social distancing. Maybe even those patients are being documented incorrectly. Who knows.
I do have some possibly good rumors from our staff.
@gianmarco @Terminalxylem @ProstheticRGK @Tecumseh (sorry if you're clinical and I missed you - THANK YOU SO MUCH FOR WHAT YOU ARE DOING) - it has been floated that proning patients may be a breakthrough in respiratory therapy. Have you all experienced anything like that?