1000minds is available for responding to the Covid-19 crisis immediately.
We have examples of tools for prioritizing Covid-19 patients 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 is unlikely to be enough hospital beds or ventilators available, and so patients will urgently need to be prioritized.
1000minds can be quickly and efficiently used to create tools based on criteria for prioritizing patients for:
- intensive care with ventilatory support (ICU)
- lower-level hospital care
- vaccines (eventually)
Clear guidelines and prioritization tools – potentially for integration with existing hospital systems – will 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.
When vaccines becomes available they are initially likely to be in short supply, and so prioritization tools will also be needed then.
1000minds is being used in New Zealand to create a tool for prioritizing Covid-19 patients for ICU. News »
Because of the urgency of the Covid-19 crisis, our 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.
Examples and help available
Examples of tools for prioritizing Covid-19 patients 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 prioritization tool 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
About the use of 1000minds for prioritizing patients for hospital admission.
- 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