The Minnesota Critical Care Working Group 2: Crisis Conditions During the COVID-19 Pandemic, July 2021 through March 2022
Authors' conclusion
The CCWG collected and analyzed evidence demonstrating crisis conditions and health care professional moral distress during the fall 2021 COVID-19 surge. However, the group had a limited impact on care processes.
Study context
- Population
- Minnesota's 9 largest health systems during the fall 2021 COVID-19 surge
- Outcome
- Evidence of crisis conditions
- Follow-up
- Fall 2021 surge
Methodological detailsstatewide working group, surveys, Working groups met via videoconferencing; 5 evidence sources: group consensus, federal teletracking data, Medical Operations Coordination Center (MOCC) patient placement data, 2 surveys
- Statewide working group
- Surveys
- Working groups met via videoconferencing; 5 evidence sources: group consensus, federal teletracking data, MOCC patient placement data, 2 surveys
Main finding
As reported in the abstract
- Rising numbers of COVID-19 patients, tertiary centres with difficulty accepting transfers (incl. emergencies), severe ED crowding, activation of ICU allocation teams, low patient placement rate at the Minnesota MOCC
- Hospital survey: numerous staffing adaptations, expansion of telemedicine, delay of nonemergent procedures
- Health care professional survey: instances of poor patient outcomes, bedside rationing, implicit triage, moral distress
- Leadership engagement resulted in public messaging but no change in ICU care allocation or transfer management
Original publication
The Minnesota Critical Care Working Group 2: Crisis Conditions During the COVID-19 Pandemic, July 2021 through March 2022. Chest. Published 28 November 2024. doi:10.
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