ABSTRACT

This chapter presents an illuminating example of the role of mindlines in ensuring the best care for patients in a rapidly evolving, non-guideline-dominated situation – the devastating early months of the unfolding COVID-19 pandemic in New York. Edward Suh and Peter C Wyer’s chapter shows vividly how healthcare systems and clinicians developed and relied upon new, silo-breaking networks of communication to undertake their drastically changing everyday practice. Clinical teams transformed published recommendations and the interpretation of research findings in ways that addressed the immediate patient care needs they faced during the pandemic surge. It was a context-bound process that epitomised the mindline model in clinical practice and which suggested some ways to improve guideline production in future.