COVID-19: What we’ve done well and what we could or should have done better—the 4 Ps

• Type of Material: Article
• Authors: Jean-Louis Vincent, Hospital Erasme; Julia Wendon, King's College Hospital NHS Foundation Trust; Gregory Martin, Emory University; Nicole P. Juffermans, University of Amsterdam; Jacques Creteur, Hospital Erasme; Maurizio Cecconi, Humanitas Research Hospital
• Language: English
• Date: 2021-12-01
• Publisher: BMC
• Publication Version: Final Published Version
• Copyright Statement: © 2021, The Author(s).
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1186/s13054-021-03467-y
• Title of Journal or Parent Work: Critical Care
• Volume: 25
• Issue: 1
• Start Page: 40
• End Page: 40
• Grant/Funding Information: Not applicable.
• Keywords: Personalization; Clinical trial design; COVID-19; ICU organization; Acute respiratory failure; Humans; Coronavirus; Endotheliopathy; Critical Care; Intensive Care Units; Ethical decision making; Sepsis; ICU admission criteria; Health Services Research
• Research Categories: Biology, Virology; Health Sciences, Health Care Management

Abstract

The current coronavirus pandemic has impacted heavily on ICUs worldwide. Although many hospitals and healthcare systems had plans in place to manage multiple casualties as a result of major natural disasters or accidents, there was insufficient preparation for the sudden, massive influx of severely ill patients with COVID-19. As a result, systems and staff were placed under immense pressure as everyone tried to optimize patient management. As the pandemic continues, we must apply what we have learned about our response, both good and bad, to improve organization and thus patient care in the future.