Abstract

IntroductionThe coronavirus disease 2019 (COVID-19) pandemic has seriously impacted clinical research operations in academic medical centers due to social distancing measures and stay-at-home orders. The purpose of this paper is to describe the implementation of a program to continue clinical research based out of an emergency department (ED) using remote research associates (RA).MethodsRemote RAs were trained and granted remote access to the electronic health record (EHR) by the health system’s core information technology team. Upon gaining access, remote RAs used a dual-authentication process to gain access to a host-based, firewall-protected virtual network where the EHR could be accessed to continue screening and enrollment for ongoing studies. Study training for screening and enrollment was also provided to ensure study continuity.ResultsWith constant support and guidance available to establish this EHR access pathway, the remote RAs were able to gain access relatively independently and without major technical troubleshooting. Each remote RA was granted access and trained on studies within one week and self-reported a high degree of program satisfaction, EHR access ease, and study protocol comfort through informal evaluation surveys.ConclusionsIn response to the COVID-19 pandemic, we virtualized a clinical research program to continue important ED-based studies.

Highlights

  • The coronavirus disease 2019 (COVID-19) pandemic has seriously impacted clinical research operations in academic medical centers due to social distancing measures and stay-at-home orders

  • This paper describes a remote research associates (RA) program developed at an academic medical health system with two hospital emergency department (ED) using a shared electronic health record (EHR) (Epic) with a combined census of 85,000 patients annually

  • Given that this research program would have otherwise been terminated due to COVID-19, RAs self-reported a high degree of program satisfaction, remote EHR access ease, and comfort with study protocol during the 30-minute check-ins with the program coordinator

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Summary

Introduction

The coronavirus disease 2019 (COVID-19) pandemic has seriously impacted clinical research operations in academic medical centers due to social distancing measures and stay-at-home orders. In response to the declared coronavirus disease 2019 (COVID-19) pandemic[3] and in adherence with state and local restrictions,[4,5] operations within academic medical centers have been significantly impacted to ensure patient, staff, student, and volunteer safety. Clinical research tasks are necessary even during the pandemic to evaluate new protocols and treatment options, enroll new patients in ongoing studies, conduct follow-up on existing patients, and still have access to high quality and peer-reviewed data in well-designed trials. This pandemic has modified how we think of patient care and conducting research from afar beyond traditional remote chart review.

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