66%, P<0.001). In all areas except CHF, hospitals with hospitalists still scored significantly better after controlling for variables such as size, location and staffing availability. ... patients are at high risk for adverse events and sensitive to
But while the ruling has presented staffing challenges, patients have not suffered and hospitalists are in higher demand than ever on the job market. ... Comanagement of nonmedical patients—motivated in some cases by other specialties' work-hour
Like any improvement on the standard of care, diffusion of TCM will require workflow changes, investments in health care information technology, and a potential expansion of clinician capacity or staffing,” the
They noted that different scheduling models “have been an area of intense debate among hospitalists,” but that “there have not been other quantitative studies of the impact of staffing models on
The primary outcome was all-cause mortality for weekends versus weekdays. Subgroup analyses examined staffing levels, rates and times to procedures, and illness severity. ... In subgroup analyses, mortality rates were consistently higher for weekend
Reducing vital signs monitoring could reduce nurse staffing needs and save money, and/or enable reallocation of resources to increase monitoring of high-risk patients, they wrote.
We don't have the staffing to do it universally,” said Dr.
Lead author Kenneth Epstein, ACP Member, noted that future studies should focus on better defining fragmentation of care and determining the potential impact of different staffing models on this variable, as
Most of the monitoring that's occurring right now is occurring actually outside ICU settings, where the staffing ratios are 1-to-5 and 1-to-6 patients,” Ms.
Knowing peak traffic times in key areas, such as the cafeteria, and where people congregate also helps us with staffing appropriately and locating additional services, like wheelchairs or parking attendants.”.