COVID-19 Recording and Monitoring Recommendations

COVID-19 Recording and Monitoring Recommendations

The Covid-19 Monitoring Dashboard gathers key data for monitoring cases and resource utilization, both in intensive care units and in open units, in real time.

It is possible to get a quick overview of the current and historical situation using this Dashboard, supporting the manager in the presentation of information and in making clinical and resource allocation decisions.

The Dashboard also provides Benchmarking in real time, with current and historical data from the more than 500 hospitals that use the Epimed Monitor system in in Latin America and Europe.

For the most efficient case monitoring, we recommend that the data below be entered into the Epimed Monitor system.

Essential patient data to be collected

Data collected in the ICU	Data Collected in Open Units
1) Data to be entered on the 1st day in the ICU Identification Comorbidities Diagnoses SAPS3 Data Use of MV Use of ECMO 2) Data to be entered on subsequent days Use of MV Use of ECMO 48-hour discharge forecast Discharge decision Discharge from ICU	1) Data to be entered on the 1st day of Admission Identification Comorbidities Diagnoses Use of MV Use of ECMO 2) Data to be entered on subsequent days Use of MV Use of ECMO Referral to ICU (yes or no) Hospitalization outcome

Data collected in the ICU

Data Collected in Open Units

1) Data to be entered on the 1st day in the ICU

Identification
Comorbidities
Diagnoses
SAPS3 Data
Use of MV
Use of ECMO

2) Data to be entered on subsequent days

Use of MV
Use of ECMO
48-hour discharge forecast
Discharge decision
Discharge from ICU

1) Data to be entered on the 1st day of Admission

Identification
Comorbidities
Diagnoses
Use of MV
Use of ECMO

2) Data to be entered on subsequent days

Use of MV
Use of ECMO
Referral to ICU (yes or no)
Hospitalization outcome

Find Out More

Diagnosis Registration

Diagnoses of confirmed COVID-19 or suspected COVID-19 should be entered into the Epimed Monitor system. In cases of a diagnosis of suspected infection, it is important to return the form and update the diagnosis after the test result – change to COVID infection, if confirmed, or pneumonia if the test is negative.

All instructions for correctly recording suspected or confirmed COVID-19 diagnoses can be found here: Completion Guide

Registration of Mechanical Ventilation and ECMO

The registration of the beginning and removal of mechanical ventilation and ECMO must be performed daily.

Registration of Structure and Capacity

We recommend entering in the Structure and Capacity Form the number of hospital beds that can be recruited to become ICU beds, as well as the existing and recruitable number of items of equipment – respirators and ECMOs.

The Structure and Capacity Form can be found in the top Menu in the Epimed Monitor system.

Other important management reports

Bed Management

It is possible to monitor the occupation of beds and the profile of patients in real time using the Beds Dashboard.

To view the Beds Dashboard, access the Epimed Monitor System, click on Unit Administration and then on Beds Dashboard – Adult ICU.

If your Institution has Performance, the phrase Bed Dashboard – Adult ICU will be replaced by Epimed Performance – Adult ICU.

Manager Dashboard - Indicators

This dashboard gathers the main quality indicators, in real time, including the use of mechanical ventilation.

To view the Indicators Dashboard, access the Epimed Monitor System, click on the Medical Intelligence environment, then on the Manager Dashboard and then Indicator – Adult ICU.