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Is 24/7 In-House Intensivist Staffing Necessary in the Intensive Care Unit?
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- المؤلفون: Masud F;Masud F; Lam TYC; Lam TYC; Fatima S; Fatima S
- المصدر:
Methodist DeBakey cardiovascular journal [Methodist Debakey Cardiovasc J] 2018 Apr-Jun; Vol. 14 (2), pp. 134-140.
- نوع النشر :
Journal Article; Review
- اللغة:
English
- معلومة اضافية
- المصدر:
Publisher: Methodist DeBakey Heart & Vascular Center Country of Publication: United States NLM ID: 101508600 Publication Model: Print Cited Medium: Internet ISSN: 1947-6108 (Electronic) Linking ISSN: 19476108 NLM ISO Abbreviation: Methodist Debakey Cardiovasc J Subsets: MEDLINE
- بيانات النشر:
Original Publication: Houston, TX : Methodist DeBakey Heart & Vascular Center
- الموضوع:
- نبذة مختصرة :
Over the past few decades, an increasing number of studies have shown that intensivist-staffed intensive care units (ICUs) lead to overall economic benefits and improved patient outcomes, including shorter length of stay and lower rates of complications and mortality. This body of evidence has convinced advocacy groups to adopt this staffing model as a standard of care in the ICU so that more hospitals are offering around-the-clock intensivist coverage. Even so, opponents have pointed to high ICU staffing costs and a shortage of physicians trained in critical care as barriers to implementing this model. While these arguments may hold true in low-acuity, low-volume ICUs, evidence has shown that in high-acuity, high-volume centers such as teaching hospitals and tertiary care centers, the benefits outweigh the costs. This article explores the history of intensivists and critical care, the arguments for 24/7 ICU staffing, and outcomes in various ICU settings but is not intended to be a comprehensive review of all controversies surrounding continuous ICU staffing.
Competing Interests: Conflict of Interest Disclosure: Dr. Masud is a consultant for Mallinckrodt Pharmaceuticals and Chiesi USA, Inc.
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- Contributed Indexing:
Keywords: 24/7 staffing; ICU; advanced practice provider; critical care unit; intensive care unit; intensivist
- الموضوع:
Date Created: 20180707 Date Completed: 20181029 Latest Revision: 20181202
- الموضوع:
20231215
- الرقم المعرف:
PMC6027728
- الرقم المعرف:
10.14797/mdcj-14-2-134
- الرقم المعرف:
29977470
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