1000minds is available for responding to the Covid-19 crisis.
We have examples of tools for prioritizing Covid-19 patients and for access to vaccines that you can adapt, or create your own tools from scratch. We’re available to help too.
Many people suffering from Covid-19 will need to be hospitalised, with some requiring life-saving treatment with ventilators in intensive care units (ICU). In many countries, there are not enough hospital beds or ventilators available, and so patients urgently need to be prioritized.
Clear guidelines and prioritization tools – potentially for integration with existing hospital systems – enable clinicians to more effectively identify patients most in need and likely to benefit from treatment, and support clinicians when decisions with difficult ethical implications have to be made.
Also, Covid-19 vaccines, or the support services for administering them, are likely to be in short supply initially, and so prioritization tools will be needed to allocate vacccines across populations.
1000minds can be quickly and efficiently used to create tools based on criteria and weights representing their relative importance for:
- Prioritizing Covid-19 patients for ICU
- Prioritizing Covid-19 patients for lower-level hospital care
- Prioritizing people for access to vaccines
Because of the urgency of the Covid-19 crisis, 1000minds processes for creating patient prioritization tools (in use since 2004) have been gently pared down, and are fully online (e.g. supported by Zoom meetings), so that the resulting tool can be created quickly and efficiently.
For example, 1000minds was used in New Zealand to create a tool for prioritizing Covid-19 patients for ICU, as reported in this forthcoming article (available on request):
M Roy, P Hansen, T Sullivan, F Ombler, M Kiore & A Stapleton (2021), “Rapid development of a tool for prioritizing Covid-19 patients for intensive care”, Critical Care Explorations, forthcoming (News »)
1000minds was also used to create a tool for prioritizing non-critical patients for hospitalization:
P De Nardo, E Gentilotti, F Mazzaferri et al and COVID-19 MCDA Group (2020), “Multi-Criteria Decision Analysis to prioritize hospital admission of patients affected by COVID-19 in low-resource settings with hospital-bed shortage”, International Journal of Infectious Diseases 98, 494-500.
1000minds examples and help available
Examples of tools for prioritizing Covid-19 patients and for access to vaccines that you can adapt are available, or create your own tools from scratch.
And contact us if you would like help.
These articles might help you think about the criteria to include in your tool for prioritizing Covid-19 patients created using 1000minds (in addition to examples inside 1000minds).
- E Emanuel, G Persad, R Upshur et al (2020), “Fair allocation of scarce medical resources in the time of Covid-19”, The New England Journal of Medicine, March 23, 1-7
- D White & B Lo (2020), “A framework for rationing ventilators and critical care beds during the COVID-19 pandemic”, JAMA, E1-E2
- F Miller, “Why I support age-related rationing of ventilators for Covid-19 patients”, Bioethics Forum Essay, The Hastings Center, April 9 2020
- M Christian, L Hawryluck, R Wax et al (2006), “Development of a triage protocol for critical care during an influenza pandemic”, Canadian Medical Association Journal 175, 1377-81