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LitCovid-PubTator

Id Subject Object Predicate Lexical cue tao:has_database_id
1 34-42 Disease denotes COVID-19 MESH:C000657245
3 193-202 Disease denotes infection MESH:D007239
18 2153-2160 Species denotes patient Tax:9606
19 2288-2295 Species denotes patient Tax:9606
20 2380-2387 Species denotes patient Tax:9606
21 2514-2521 Species denotes patient Tax:9606
22 2726-2734 Species denotes patients Tax:9606
23 2843-2851 Species denotes patients Tax:9606
24 2106-2114 Disease denotes COVID-19 MESH:C000657245
25 2336-2344 Disease denotes COVID-19 MESH:C000657245
26 2495-2503 Disease denotes COVID-19 MESH:C000657245
27 2604-2612 Disease denotes COVID-19 MESH:C000657245
28 2626-2634 Disease denotes COVID-19 MESH:C000657245
29 2699-2707 Disease denotes COVID-19 MESH:C000657245
30 2816-2824 Disease denotes COVID-19 MESH:C000657245
31 2883-2891 Disease denotes COVID-19 MESH:C000657245
33 2033-2042 Disease denotes infection MESH:D007239
37 3032-3051 Disease denotes coronavirus disease MESH:D018352
38 3057-3066 Disease denotes infection MESH:D007239
39 3118-3126 Disease denotes COVID-19 MESH:C000657245
53 625-632 Species denotes patient Tax:9606
54 665-672 Species denotes patient Tax:9606
55 1784-1792 Species denotes patients Tax:9606
56 774-783 Disease denotes infection MESH:D007239
57 843-867 Disease denotes 2019 coronavirus disease MESH:C000657245
58 869-877 Disease denotes COVID-19 MESH:C000657245
59 1136-1145 Disease denotes infection MESH:D007239
60 1186-1196 Disease denotes infections MESH:D007239
61 1404-1412 Disease denotes COVID-19 MESH:C000657245
62 1474-1482 Disease denotes COVID-19 MESH:C000657245
63 1528-1537 Disease denotes infection MESH:D007239
64 1704-1712 Disease denotes COVID-19 MESH:C000657245
65 1775-1783 Disease denotes COVID-19 MESH:C000657245
71 3194-3202 Species denotes patients Tax:9606
72 3597-3604 Species denotes patient Tax:9606
73 3185-3193 Disease denotes COVID-19 MESH:C000657245
74 3220-3228 Disease denotes COVID-19 MESH:C000657245
75 3499-3507 Disease denotes COVID-19 MESH:C000657245
85 3914-3922 Species denotes patients Tax:9606
86 4160-4167 Species denotes patient Tax:9606
87 4272-4279 Species denotes Patient Tax:9606
88 4343-4350 Species denotes patient Tax:9606
89 4362-4367 Species denotes Human Tax:9606
90 4897-4904 Species denotes patient Tax:9606
91 3905-3913 Disease denotes COVID-19 MESH:C000657245
92 4151-4159 Disease denotes COVID-19 MESH:C000657245
93 4823-4831 Disease denotes COVID-19 MESH:C000657245
106 5109-5116 Species denotes patient Tax:9606
107 5457-5464 Species denotes patient Tax:9606
108 4929-4937 Disease denotes COVID-19 MESH:C000657245
109 5011-5029 Disease denotes infectious disease MESH:D003141
110 5070-5078 Disease denotes COVID-19 MESH:C000657245
111 5266-5274 Disease denotes COVID-19 MESH:C000657245
112 5353-5361 Disease denotes COVID-19 MESH:C000657245
113 5535-5543 Disease denotes COVID-19 MESH:C000657245
114 5587-5596 Disease denotes infection MESH:D007239
115 5687-5695 Disease denotes COVID-19 MESH:C000657245
116 5713-5722 Disease denotes infection MESH:D007239
117 5757-5765 Disease denotes COVID-19 MESH:C000657245
127 6045-6053 Species denotes patients Tax:9606
128 6170-6177 Species denotes patient Tax:9606
129 6386-6393 Species denotes patient Tax:9606
130 6450-6458 Species denotes patients Tax:9606
131 6519-6526 Species denotes patient Tax:9606
132 6579-6586 Species denotes patient Tax:9606
133 6636-6643 Species denotes patient Tax:9606
134 5940-5948 Disease denotes COVID-19 MESH:C000657245
135 6463-6471 Disease denotes COVID-19 MESH:C000657245
143 6980-6987 Species denotes patient Tax:9606
144 7676-7684 Species denotes patients Tax:9606
145 7784-7791 Species denotes Patient Tax:9606
146 7963-7970 Species denotes patient Tax:9606
147 7094-7102 Disease denotes COVID-19 MESH:C000657245
148 7287-7295 Disease denotes COVID-19 MESH:C000657245
149 7376-7384 Disease denotes COVID-19 MESH:C000657245
159 8217-8225 Species denotes patients Tax:9606
160 8114-8122 Disease denotes COVID-19 MESH:C000657245
161 8191-8199 Disease denotes COVID-19 MESH:C000657245
162 8236-8244 Disease denotes infected MESH:D007239
163 8476-8485 Disease denotes infection MESH:D007239
164 8592-8600 Disease denotes infected MESH:D007239
165 8659-8667 Disease denotes COVID-19 MESH:C000657245
166 8728-8737 Disease denotes Infection MESH:D007239
167 9316-9325 Disease denotes infection MESH:D007239

LitCovid-PD-FMA-UBERON

Id Subject Object Predicate Lexical cue fma_id
T1 8435-8439 Body_part denotes face http://purl.org/sig/ont/fma/fma24728

LitCovid-PD-UBERON

Id Subject Object Predicate Lexical cue uberon_id
T1 8435-8439 Body_part denotes face http://purl.obolibrary.org/obo/UBERON_0001456

LitCovid-PD-MONDO

Id Subject Object Predicate Lexical cue mondo_id
T1 34-42 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T2 193-202 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T3 774-783 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T4 869-877 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T5 1136-1157 Disease denotes infection is hospital http://purl.obolibrary.org/obo/MONDO_0043544
T6 1136-1145 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T7 1168-1196 Disease denotes Hospital-acquired infections http://purl.obolibrary.org/obo/MONDO_0043544
T8 1404-1412 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T9 1474-1482 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T10 1528-1537 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T11 1704-1712 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T12 1775-1783 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T13 2033-2042 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T14 2106-2114 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T15 2336-2344 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T16 2495-2503 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T17 2604-2612 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T18 2626-2634 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T19 2699-2707 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T20 2816-2824 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T21 2883-2891 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T22 3022-3030 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T23 3057-3066 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T24 3118-3126 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T25 3185-3193 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T26 3220-3228 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T27 3499-3507 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T28 3905-3913 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T29 4151-4159 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T30 4823-4831 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T31 4929-4937 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T32 5011-5029 Disease denotes infectious disease http://purl.obolibrary.org/obo/MONDO_0005550
T33 5031-5033 Disease denotes ID http://purl.obolibrary.org/obo/MONDO_0005550
T34 5070-5078 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T35 5266-5274 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T36 5353-5361 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T37 5492-5494 Disease denotes ID http://purl.obolibrary.org/obo/MONDO_0005550
T38 5535-5543 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T39 5587-5596 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T40 5687-5695 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T41 5713-5722 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T42 5757-5765 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T43 5940-5948 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T44 6463-6471 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T45 7094-7102 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T46 7287-7295 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T47 7376-7384 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T48 8114-8122 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T49 8191-8199 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T50 8476-8485 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T51 8659-8667 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T52 8728-8737 Disease denotes Infection http://purl.obolibrary.org/obo/MONDO_0005550
T53 9316-9325 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550

LitCovid-PD-CLO

Id Subject Object Predicate Lexical cue
T1 413-414 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T2 515-522 http://www.ebi.ac.uk/efo/EFO_0000881 denotes Digital
T3 827-828 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T4 1233-1234 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T5 1367-1368 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T6 1483-1490 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T7 1844-1850 http://purl.obolibrary.org/obo/UBERON_0000473 denotes tested
T8 1884-1885 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T9 2061-2062 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T10 2422-2423 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T11 3206-3207 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T12 3508-3512 http://purl.obolibrary.org/obo/UBERON_0000473 denotes test
T13 3714-3715 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T14 3751-3752 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T15 4091-4092 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T16 4126-4127 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T17 4362-4367 http://purl.obolibrary.org/obo/NCBITaxon_9606 denotes Human
T18 4392-4393 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T19 4526-4527 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T20 4821-4822 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T21 4993-5000 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T22 5177-5184 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T23 5257-5264 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T24 5301-5308 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T25 5362-5369 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T26 5394-5398 http://purl.obolibrary.org/obo/UBERON_0000473 denotes test
T27 5544-5551 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T28 5792-5796 http://purl.obolibrary.org/obo/UBERON_0000473 denotes test
T29 5983-5984 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T30 6075-6076 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T31 6249-6250 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T32 6442-6449 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T33 6517-6518 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T34 6706-6707 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T35 6913-6914 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T36 7125-7126 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T37 7267-7268 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T38 7285-7286 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T39 7296-7300 http://purl.obolibrary.org/obo/UBERON_0000473 denotes test
T40 7374-7375 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T41 7385-7389 http://purl.obolibrary.org/obo/UBERON_0000473 denotes test
T42 7545-7546 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T43 8009-8012 http://purl.obolibrary.org/obo/CLO_0051582 denotes has
T44 8096-8097 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T45 8435-8439 http://purl.obolibrary.org/obo/UBERON_0001456 denotes face
T46 8521-8522 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T47 8582-8583 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T48 9135-9140 http://purl.obolibrary.org/obo/CLO_0009985 denotes focus

LitCovid-PD-CHEBI

Id Subject Object Predicate Lexical cue chebi_id
T1 800-802 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T2 1261-1263 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T3 2531-2533 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T4 2687-2689 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T5 2776-2778 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T6 2852-2854 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T7 2977-2979 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T8 3053-3055 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T9 3863-3865 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T10 3986-3997 Chemical denotes application http://purl.obolibrary.org/obo/CHEBI_33232
T11 5031-5033 Chemical denotes ID http://purl.obolibrary.org/obo/CHEBI_141439
T12 5426-5428 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T13 5492-5494 Chemical denotes ID http://purl.obolibrary.org/obo/CHEBI_141439
T14 6208-6210 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T15 7410-7412 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T16 9010-9012 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T17 9062-9064 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076
T18 9107-9109 Chemical denotes IP http://purl.obolibrary.org/obo/CHEBI_74076

LitCovid-sentences

Id Subject Object Predicate Lexical cue
T1 0-43 Sentence denotes The electronic medical record and COVID-19:
T2 44-70 Sentence denotes Is it up to the challenge?
T3 72-82 Sentence denotes Highlights
T4 83-171 Sentence denotes • Improvements to the electronic medical records must occur prior to the next pandemic.
T5 172-258 Sentence denotes • During pandemics, infection preventionists’ should advise staff, not review charts.
T6 259-320 Sentence denotes • Automation can help improve healthcare safety and quality.
T7 322-493 Sentence denotes “Starting now and lasting until forever, your health and healthcare will be determined, to a remarkable and somewhat disquieting degree, by how well the technology works.”
T8 494-530 Sentence denotes ―Robert Wachter, The Digital Doctor:
T9 531-590 Sentence denotes Hope, Hype, and Harm at the Dawn of Medicine's Computer Age
T10 591-838 Sentence denotes Despite benefits such as improved patient care coordination and access to patient information,1 the electronic medical record (EMR) in its current state poses significant barriers to infection preventionists (IP) work efficiency during a pandemic.
T11 839-1047 Sentence denotes The 2019 coronavirus disease (COVID-19) pandemic underscores both the importance of IPs to the healthcare system and the need for an ever-strengthening partnership between IPs and information technology (IT).
T12 1048-1167 Sentence denotes Many aspects of IPs day-to-day work involve manual surveillance to determine whether an infection is hospital-acquired.
T13 1168-1312 Sentence denotes Hospital-acquired infections are infrequent events, allowing for a manageable combination of IP surveillance via manual and automated processes.
T14 1313-1463 Sentence denotes The reliance of manual case identification differs in a pandemic as suspected or confirmed COVID-19 cases are increasingly frequent, real-time events.
T15 1464-1559 Sentence denotes Increased COVID-19 testing highlights EMR barriers to effective infection prevention practices.
T16 1560-1667 Sentence denotes Prior to future pandemics, healthcare systems must anticipate EMR barriers and design solutions in advance.
T17 1668-1986 Sentence denotes EMR barriers highlighted during the COVID-19 pandemic include rapid notification of suspected or confirmed COVID-19 patients, tracking suspect or confirmed cases who have been tested at an outside facility or during a previous hospital visit, and triggering the automatic implementation of isolation orders (Table 1 ).
T18 1987-2078 Sentence denotes Table 1 Desired characteristics of an EHR for infection prevention during a global pandemic
T19 2079-2131 Sentence denotes EMR component Relevance to COVID-19 pandemic Comment
T20 2132-2432 Sentence denotes Real-time modifiable patient lists or tracking boards visible on demand – with pertinent safety information Multiple stakeholders need real-time updates of patient isolation status Issue existed prior to COVID-19 – Deficiency of diagnosis specific patient tracking list is amplified during a pandemic
T21 2433-2676 Sentence denotes Automatic generation of appropriate isolation orders based on COVID-19 order and patient symptoms IP nurses have to manually enter droplet or airborne precautions for all COVID-19 PUIs Risk of COVID-19 exposure if isolation orders not in place
T22 2677-2989 Sentence denotes Automatic IP alert of COVID-19 PUIs and positive patients regardless of where or when order placed IP nurses are not consistently aware of COVID-19 PUIs and positive patients IP nurses must be aware of all COVID-19 suspects and confirmed cases to provide guidance to frontline staff and oversight of IP practices
T23 2990-3127 Sentence denotes EMR, electronic medical record; COVID-19, coronavirus disease; IP, infection preventionist; PUI, person under investigation for COVID-19.
T24 3128-3241 Sentence denotes Rapid stakeholder notification of suspected or confirmed COVID-19 patients is a significant COVID-19 EMR barrier.
T25 3242-3443 Sentence denotes No standard, centralized EMR view is accessible to all hospital teams (IPs, providers, frontline staff, research coordinators, dietary, bed management, environmental services, nursing education, etc.).
T26 3444-3527 Sentence denotes This barrier creates confusion which only increases as COVID-19 test volume surges.
T27 3528-3649 Sentence denotes Differing hospital departments use different EMR screen views and/or patient-tracking systems for information management.
T28 3650-3793 Sentence denotes Communicating standardized, urgent, and specific information to a diversity of hospital teams across a nonstandardized platform is ineffective.
T29 3794-4062 Sentence denotes Because most EMRs do not communicate between health systems, delayed IP notification of suspected or confirmed COVID-19 patients at the time of facility-to-facility transfer may hinder prompt application of appropriate isolation precautions and lead to staff exposure.
T30 4063-4221 Sentence denotes When clinical teams approve a hospital-to-hospital transfer of a suspected or confirmed COVID-19 patient there is no consistent system in place to notify IPs.
T31 4222-4361 Sentence denotes Neither communications specialists working in the Patient Transfer Center nor accepting providers reliably notify IPs of patient transfers.
T32 4362-4430 Sentence denotes Human error and omissions are a challenge to standardized processes.
T33 4431-4639 Sentence denotes It is unrealistic to expect individual healthcare workers to reliably provide notifications in a large tertiary care center – any notification that is important needs to be automatically triggered in the EMR.
T34 4640-4783 Sentence denotes This is particularly true when there is not the time to educate all staff members on ongoing major process changes in the midst of an epidemic.
T35 4784-4923 Sentence denotes Ideally, the EMR would notify IPs of a COVID-19 person under investigation (PUI) or positive case at the time of patient transfer approval.
T36 4924-5185 Sentence denotes When COVID-19 PUI incidence was low, coinciding with low nation-wide testing capacity, infectious disease (ID) physicians screened each potential COVID-19 PUI before determining if the patient met Centers for Disease Control and Prevention criteria for testing.
T37 5186-5328 Sentence denotes Once our institution's clinical microbiology laboratory began in-house testing, COVID-19 polymerase chain reaction testing capacity increased.
T38 5329-5475 Sentence denotes The arrival of in-house COVID-19 testing resulted in significant test volume with logistical and IP oversight issues for proper patient isolation.
T39 5476-5703 Sentence denotes By removing the ID physician hard stop, providers ordering COVID-19 testing no longer consistently alerted the infection prevention program, nor was there an EMR notification system in place to alert IPs of new COVID-19 orders.
T40 5704-5914 Sentence denotes When the infection prevention program was unaware of COVID-19 PUI status at the time of test order entry, real time guidance, and implementation of isolation precautions was both delayed and poorly coordinated.
T41 5915-6006 Sentence denotes Tracking the location of COVID-19 positive and PUIs in real-time is a formidable challenge.
T42 6007-6195 Sentence denotes Initially IPs at our facility tracked patients by inputting data to a computer-based spreadsheet; however, this approach became challenging to update regularly as patient volume increased.
T43 6196-6417 Sentence denotes Because the IP in our incident command center spends a significant portion of time providing guidance to frontline providers and staff, performing regular EMR chart reviews to check current patient location was untenable.
T44 6418-6567 Sentence denotes When our facility began testing patients for COVID-19, the EMR did not have the capacity to create a patient tracking list for diagnoses of interest.
T45 6568-6649 Sentence denotes Typically, patient tracking lists are sorted by provider service or patient unit.
T46 6650-6773 Sentence denotes Creating an automated list that updates in real-time is a time-consuming endeavor involving collaboration with IT partners.
T47 6774-6905 Sentence denotes Modifications to EMRs traditionally take weeks to months and have prescheduled time to validate the new process and resulting data.
T48 6906-6963 Sentence denotes During a pandemic, the delayed timeline is not opportune.
T49 6964-7112 Sentence denotes Notification of patient isolation needs to frontline staff in real time via the EMR is yet another barrier highlighted during the COVID-19 pandemic.
T50 7113-7165 Sentence denotes Programming a new rule in the EMR is time consuming.
T51 7166-7359 Sentence denotes In their current state, many EMRs are not nimble enough to program an automatic isolation order when a provider orders a COVID-19 test, something that is critical during an escalating pandemic.
T52 7360-7451 Sentence denotes Upon ordering a COVID-19 test, the provider or an IP must then order appropriate isolation.
T53 7452-7634 Sentence denotes Appropriate isolation orders are communicated to frontline staff via verbal notification (or a manual EMR chart review performed by frontline staff), rather than an EMR pop-up alert.
T54 7635-7783 Sentence denotes This may lead to confusion about whether patients should be isolated, which isolation type is appropriate and when isolation should be discontinued.
T55 7784-7897 Sentence denotes Patient isolation confusion may result in unnecessary staff exposure or overuse of personal protective equipment.
T56 7898-8062 Sentence denotes This issue is compounded when strategies regarding isolation and patient cohorting are frequently changing, as has been seen in the setting of the current pandemic.
T57 8063-8132 Sentence denotes We summarize EMR barriers during a response to the COVID-19 pandemic.
T58 8133-8349 Sentence denotes These barriers include notification and identification of COVID-19 PUI and positive patients, tracking infected and suspected inpatients and inter-facility transfers and ensuring proper isolation orders are executed.
T59 8350-8462 Sentence denotes Finding solutions to these barriers is time-intensive both in the present and in the face of future IDs threats.
T60 8463-8607 Sentence denotes Ideally, the infection prevention-EMR barriers exposed by a pandemic are anticipated and solutions are sought prior to a wave of infected cases.
T61 8608-8727 Sentence denotes Even with EMR solutions in place, responses to the COVID-19 pandemic must be nimble as situations and processes change.
T62 8728-8891 Sentence denotes Infection prevention efforts are misguided when IPs spend valuable time performing manual data entry and chart review that can be alleviated through EMR solutions.
T63 8892-9028 Sentence denotes Thus, the fluidity of hospital pandemic responses underscores the need for present and sustained strengthening of the IP-IT partnership.
T64 9029-9190 Sentence denotes Technology should synergize with IP teams to maximize EMR solutions such that IP team members are free to focus on nuanced, real time pandemic management issues.
T65 9191-9414 Sentence denotes To do so, EMR enhancements during the current pandemic must be institutionalized and critical functions of the EMR in future infection prevention emergency preparedness planning should be deliberately defined and developed.
T66 9416-9438 Sentence denotes Conflicts of interest:
T67 9439-9454 Sentence denotes None to report.