Developing a rapid evidence response to COVID-19: The collaborative approach of Saskatchewan, Canada

Abstract

Introduction: The COVID-19 Evidence Support Team (CEST) was a provincial initiative that combined the support of policymakers, researchers, and clinical practitioners to initiate a new learning health cycle (LHS) in response to the pandemic. The primary aim of CEST was to produce and sustain the best available COVID-19 evidence to facilitate decision-making in Saskatchewan, Canada. To achieve this objective, four provincial organizations partnered to establish a single, data-driven system.

Methods: The CEST partnership was driven by COVID-19 questions from Emergency Operational Committee (EOC) of the Saskatchewan Health Authority. CEST included three processes: (a) clarifying the nature and priority of COVID-19 policy and clinical questions; (b) providing Rapid Reviews (RRR) and Evidence Search Reports (ESR); and (c) seeking the requestors' evaluation of the product. A web-based repository, including a dashboard and database, was designed to house ESRs and RRRs and offered a common platform for clinicians, academics, leaders, and policymakers to find COVID-19 evidence.

Results: In CEST's first year, 114 clinical and policy questions have been posed resulting in 135 ESRs and 108 RRRs. While most questions (41.3%) originated with the EOC, several other teams were assembled to address a myriad of questions related to areas such as long-term care, public health and prevention, infectious diseases, personal protective equipment, vulnerable populations, and Indigenous health. Initial challenges were mobilization of diverse partners and teams, remote work, lack of public access, and quality of emerging COVID-19 literature. Current challenges indicate the need for institutional commitment for CEST sustainability. Despite these challenges, the CEST provided the Saskatchewan LHS with a template for successful collaboration.

Conclusions: The urgency of COVID-19 pandemic and the implementation of the CEST served to catalyze collaboration between different levels of a Saskatchewan LHS.

Keywords: COVID‐19; Saskatchewan; collaboration; decision‐making; evidence; learning health system.

FIGURE 1

The COVID‐19 Evidence Support Team (CEST) intake process

FIGURE 2

The COVID‐19 repository webpage. https://saskhealthauthority.libguides.com/covid‐19/repository/home

FIGURE 3

The COVID‐19 repository webpage for face mask questions. https://covid19evidencereviews.saskhealthauthority.ca/en/table?q=title%3a%22mask*%22+OR+subject_facet%3a%22Face+Masks%22+OR+subject_facet%3a%22Personal+Protective+Equipment%22&p=1&ps=20&objectType_facet=Rapid+Review&sort=date_sort+desc

FIGURE 4

Rapid review example related to mask use https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc218

FIGURE 5

Total number of Evidence Search Reports (ESRs) and Rapid Reviews (RRRS) per month