He recently shared his thoughts on current and future ICU staffing and practices with ACP Hospitalist. ... The gold standard for ICU staffing is intensivist physicians, but there simply aren't enough intensivists to go around.
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
In our cover story, we look at the possible reasons for these findings as well as possible solutions, including staffing changes and collaborative care, that could help minimize the differences.
predictions, the timing of orders, staffing levels and the role of the admitting officer on duty (AOD).
In an effort to improve the safety of those handoffs and provide a little more consistency in staffing, UPMC developed a two-part experimental intervention.
compared with patients whose ICUs had low-intensity physician staffing and no multidisciplinary teams. ... Multidisciplinary care combined with high-intensity staffing had the same mortality benefit in patients requiring mechanical ventilation, those
Staffing the hospital is only the beginning of the challenges. “Then you have to figure out what to do with the staff you have—where are they going to sleep, shower,
Subgroup analyses examined staffing levels, rates and times to procedures, and illness severity. ... In subgroup analyses, mortality rates were consistently higher for weekend versus weekday admissions regardless of staffing, rates and delays of
They concluded that tele-ICUs can provide benefits even to hospitals that already have daytime intensivist staffing and active quality improvement efforts.
Such a system could alleviate staffing-related factors as well as any disparities due to bias, the editorialist said.