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STOP-VIRUS ICU Learning Collaborative

Join a network of intensive care units focused on improving outcomes for patients with COVID-19.

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The Structured Team-based Optimal Patient-Centered Care for Virus COVID-19 (STOP-VIRUS) Learning Collaborative is a network of intensive care units (ICUs) focused on improving outcomes for patients with COVID-19. This six-month learning collaborative fosters a multisite learning system of U.S. hospitals currently participating in the SCCM Discovery VIRUS Registry. The collaborative focuses on identifying and implementing interventions aimed at reducing marked variations in the outcomes of critically ill patients unexplained by demographics, comorbidities, and severity of illness.

This site provides updates and learning materials for best practices from the collaborative. Applications to join the collaborative are now closed.
 

Built on the principles of the Mayo Clinic Checklist for Early Recognition and Treatment of Acute Illness and Injury (CERTAIN) program, which has proven effective at improving ICU processes and patient outcomes (Marija et al. Crit Care Med. 2021;49:e598-e612), STOP-VIRUS provides participating sites opportunities for active learning, dissemination of successful innovations, resources, and peer support to drive quality improvement and change management in their ICU practice settings.

The STOP-VIRUS Curriculum will focus on the following topics :

  • Approach to Respiratory Failure in the COVID-19 Patient
  • ICU Liberation (A-F) Bundle: Implementation and Challenges
  • Infectious Complications and Management of COVID-19
  • Cardiovascular Complications: Venous Thromboembolism, Myocarditis, and Shock
  • Shared Decision-Making and End-of-Life Care
  • Fluids, Electrolytes, and Acute Kidney Injury

During weekly Zoom sessions, STOP-VIRUS subject matter experts will deliver state-of-the-art updates for each curriculum topic area. The updates will comprise a summary of currently understood COVID-19 best practices and an update on current literature. Implementation experts will also help nurture the learning community and offer advice on best practices for local site dissemination and implementation efforts. Participating sites will also have the opportunity to continue the dialogue with subject matter experts and program faculty over Twitter via the hashtag #STOPVIRUScollab. 

This educational activity was funded in part by a cooperative agreement with the Centers for Disease Control and Prevention (grant number 1 NU50CK000566-01-00). The Centers for Disease Control and Prevention is an agency within the Department of Health and Human Services (HHS). Its contents do not necessarily represent the policy of CDC or HHS, and should not be considered an endorsement by the Federal Government.

STOP-VIRUS Collaborative Participating Sites

Learn more about the many hospitals and teams participating in the collaborative throughout the United States .

Faculty

Faculty oversee the development and delivery of the STOP-VIRUS Learning Collaborative educational content and materials.

Moderators

Moderators oversee planning for each curriculum topic block. Moderators interface with presenting sites and subject matter experts, facilitate discussion during weekly video meetings, and continue conversations over Twitter and the Mayo Certain Blackboard platform between meetings. 

Subject Matter Experts

Subject matter experts deliver state-of-the-science and evidence-based updates to learning collaborative sites. Subject matter experts are distinguished experts on the curriculum topics. 

STOP-VIRUS Learning Modules

COVID-19: Lessons from the Frontline
COVID-19 case presentation from the team at Mayo Clinic - Florida that brings together many of the STOP-VIRUS Collaborative lessons learned over the course of the past 6 months.
Supporting Our Community: Well Being, Moral Distress, and Burnout
Erin Strong, BSN, RN, CCRN from the University of Pennsylvania, Amanda Frary, MSN, RN; Sydney O'Brien, RRT and Amber Dewey, RRT from Valleywise Health focus on the bedside experience during the Pandemic.  Karen Korzick, MD from Geisinger Medical Center, discusses how these experiences can lead to moral distress, and place providers at risk for burnout. Closing the discussion, Karen Korzick, MD, Elly Fitzpatrick, DNP, RN, from Thomas Jefferson University, and Greg Martin, MD, from Emory University and current SCCM President, talk about team, unit, and organizational solutions that have been attempted to prevent, combat burnout.

Curriculum Topic: Shared Decision-Making and End-of-Life Care
Challenges and Some of the Potential Solutions to Delivering Patient and Family Centered Care
The Patient Perspective (Ken Burkhom)
What the Bedside Nurse Sees (Erin Strong)
How the ICU Team Adapts (Jackie Guiliani, Preeti John)
Addressing the Repercussions of “Social Distancing”
Requests for inappropriate care, managing conflict (Alex Kon)
Shared decision making, care at the end of life & Social justice considerations (Giora Netzer)
Impact of contingency, crisis operations on communication challenges (Mary Faith Marshall)

Curriculum Topic: Shared Decision-Making and End-of-Life Care
Managing Health Disparities in the Setting of Triage Decisions
Julia F. Taylor, MD, MA, HEC-C from the University of Virginia presents on the topic of Health Disparities; Katherine Fischkoff, MD from Columbia University presents on Resource Allocation; and Erin S. DeMartino, MD from Mayo Clinic presents on Pandemic Planning. 

Curriculum Topic: Shared Decision-Making and End-of-Life Care
COVID Associated Acute Kidney Injury (AKI)
Dr. Marlies Ostermann from Guy’s & St. Thomas’ NHS Foundation Hospital in London, UK, who covered the evaluation and management of acute kidney injury in patients with COVID-19, including a review of the COVID ADQI Work Group AKI consensus report. 

Curriculum Topic: Fluids, Electrolytes, and Acute Kidney Injury
Arterial Ischemia in COVID-19; Is Ischemic Stroke More Prevalent with COVID?
Dr. Daniel Temas from Prisma Health will present a case study presentation.  Paul Nyquist, MD,  from MPH, the Johns Hopkins University School of Medicine, will provide an update on Stroke literature related to COVID and speak to thrombosis and Ischemic stroke impact. 

Curriculum Topic: Cardiovascular Complications: Venous Thromboembolism, Myocarditis, and Shock
Multisystem Inflammatory Syndrome in Children
Update on research and evidence in multisystem inflammatory syndrome in children. This is SCCM curated COVID-19 microlearning content.

Curriculum Topic: Cardiovascular Complications: Venous Thromboembolism, Myocarditis, and Shock
VTE and COVID-19; Anti-Xa Monitoring in VTE Prophylaxis: Is There a Role?
Controversies in VTE Prophylaxsis; Xa Monitoring for VTE Prophylaxis. This is SCCM curated COVID-19 microlearning content.

Curriculum Topic: Cardiovascular Complications: Venous Thromboembolism, Myocarditis, and Shock
COVID-19 Persistent and Recurrent Symptoms
Viral Shedding and complications with data interpretations; Case presentation from Concord Hospital - Laconia. This is SCCM curated COVID-19 microlearning content.

Curriculum Topic: Infectious Complications & Management of COVID-19 Infection / Nosocomial
Infectious Complications of COVID-19; Infection Control in COVID-19
Infection Control and healthcare-associated infections (HAIs) during COVID-19. This is SCCM curated COVID-19 microlearning content. 

Curriculum Topic: Infectious Complications & Management of COVID-19 Infection / Nosocomial
Treatments of Moderate and Severe COVID-19 Pneumonia

Antiviral and Immunomodulatory Therapies for COVID-19. This is SCCM curated COVID-19 microlearning content.

Curriculum Topic: Infectious Complications & Management of COVID-19 Infection / Nosocomial