keyword
MENU ▼
Read by QxMD icon Read
search

Daytime Intensivist

keyword
https://www.readbyqxmd.com/read/27083042/daytime-intensivist-physician-staffing-and-mortality
#1
LETTER
Stephen M Pastores, John M Oropello, Neil A Halpern, Vladimir Kvetan
No abstract text is available yet for this article.
May 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/26820278/who-should-be-at-the-bedside-24-7-doctors-families-nurses
#2
Hayley B Gershengorn, Allan Garland
Critical illness does not keep to regular, daytime business hours; we must provide high-quality care and support for intensive care unit (ICU) patients 24 hours per day, 7 days per week. Whether this mandates the presence of similar numbers and types of personnel throughout all hours of the day, however, has been the subject of much debate and substantial research. In this article, we review the available literature on the consequences of having three groups of care providers at a patient's bedside overnight: physicians, visitors, and nurses...
February 2016: Seminars in Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/26308426/the-association-between-daytime-intensivist-physician-staffing-and-mortality-in-the-context-of-other-icu-organizational-practices-a-multicenter-cohort-study
#3
MULTICENTER STUDY
Deena Kelly Costa, David J Wallace, Jeremy M Kahn
OBJECTIVE: Daytime intensivist physician staffing is associated with improved outcomes in the ICU. However, it is unclear whether this association persists in the era of interprofessional, protocol-directed critical care. We sought to reexamine the association between daytime intensivist physician staffing and ICU mortality and determine if interprofessional rounding and protocols for mechanical ventilation in part mediate this relationship. DESIGN: Retrospective cohort study of ICUs in the Acute Physiology and Chronic Health Evaluation clinical information system from 2009 to 2010...
November 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/25922386/the-impact-of-implementation-of-an-icu-consult-service-on-hospital-wide-outcomes-and-icu-specific-outcomes
#4
Amjad Al-Rajhi, Louay Mardini, Dev Jayaraman
BACKGROUND: Rapid response teams (RRTs) were developed to promote assessment of and early intervention for clinically deteriorating hospitalized patients. Although the ideal composition of RRTs is not known, their implementation does require significant resources. OBJECTIVE: To test the effectiveness of a dedicated daytime/weekday intensive care unit (ICU) consult service without formal training of ward teams. METHODS: Pre- and postintervention study with weekends/nights during implementation period acting as a concurrent control...
August 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/25321489/nighttime-intensivist-staffing-mortality-and-limits-on-life-support-a-retrospective-cohort-study
#5
MULTICENTER STUDY
Meeta Prasad Kerlin, Michael O Harhay, Jeremy M Kahn, Scott D Halpern
BACKGROUND: Evidence regarding nighttime physician staffing of ICUs is suboptimal. We aimed to determine how nighttime physician staffing models influence patient outcomes. METHODS: We performed a multicenter retrospective cohort study in a multicenter registry of US ICUs. The exposure variable was the ICU's nighttime physician staffing model. The primary outcome was hospital mortality. Secondary outcomes included new limitations on life support, ICU length of stay, hospital length of stay, and duration of mechanical ventilation...
April 2015: Chest
https://www.readbyqxmd.com/read/24905488/sleep-disorders-among-french-anaesthesiologists-and-intensivists-working-in-public-hospitals-a-self-reported-electronic-survey
#6
Elisa Richter, Valery Blasco, François Antonini, Marc Rey, Laurent Reydellet, Karim Harti, Cyril Nafati, Jacques Albanèse, Marc Leone
BACKGROUND: Sleep disorders can affect the health of physicians and patient outcomes. OBJECTIVES: To determine the prevalence of sleep disorders among French anaesthesiologists and intensivists working in a public hospital. DESIGN: A cross-sectional survey. SETTING: Anaesthesiologists and intensivists working in French public hospitals. MAIN OUTCOME MEASURES: Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) was used to assess the degree of excessive daytime sleepiness...
February 2015: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/24618645/continuous-mandatory-onsite-consultant-intensivists-in-the-icu-impacts-on-patient-outcomes
#7
Salim Baharoon, Walid Alyafi, Hani Tamim, Hamdan Al-Jahdali, Eman Alsafi, Abdullah Al-Sayyari, Qanta Ahmed
OBJECTIVE: The aim of this study was to compare the impacts on patient outcomes of continuous versus on-demand access to certified consultant intensivists in the intensive care unit (ICU). METHODS: Two general adult ICUs within the same health-care organization were compared in terms of patient outcomes. One unit featured continuous mandatory presence of a consultant intensivist (unit A), whereas the other had continuous access to a consultant intensivist during daytime hours but only on-demand access during the night-time hours (unit B)...
June 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/24090194/nighttime-intensivist-staffing-and-the-timing-of-death-among-icu-decedents-a-retrospective-cohort-study
#8
MULTICENTER STUDY
Lora A Reineck, David J Wallace, Amber E Barnato, Jeremy M Kahn
INTRODUCTION: Intensive care units (ICUs) are increasingly adopting 24-hour intensivist physician staffing. Although nighttime intensivist staffing does not consistently reduce mortality, it may affect other outcomes such as the quality of end-of-life care. METHODS: We conducted a retrospective cohort study of ICU decedents using the 2009-2010 Acute Physiology and Chronic Health Evaluation clinical information system linked to a survey of ICU staffing practices...
2013: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/23921275/do-intensivist-staffing-patterns-influence-hospital-mortality-following-icu-admission-a-systematic-review-and-meta-analyses
#9
REVIEW
M Elizabeth Wilcox, Christopher A K Y Chong, Daniel J Niven, Gordon D Rubenfeld, Kathryn M Rowan, Hannah Wunsch, Eddy Fan
OBJECTIVE: To determine the effect of different intensivist staffing models on clinical outcomes for critically ill patients. DATA SOURCES: A sensitive search of electronic databases and hand-search of major critical care journals and conference proceedings was completed in October 2012. STUDY SELECTION: Comparative observational studies examining intensivist staffing patterns and reporting hospital or ICU mortality were included. DATA EXTRACTION: Of 16,774 citations, 52 studies met the inclusion criteria...
October 2013: Critical Care Medicine
https://www.readbyqxmd.com/read/23688301/a-randomized-trial-of-nighttime-physician-staffing-in-an-intensive-care-unit
#10
RANDOMIZED CONTROLLED TRIAL
Meeta Prasad Kerlin, Dylan S Small, Elizabeth Cooney, Barry D Fuchs, Lisa M Bellini, Mark E Mikkelsen, William D Schweickert, Rita N Bakhru, Nicole B Gabler, Michael O Harhay, John Hansen-Flaschen, Scott D Halpern
BACKGROUND: Increasing numbers of intensive care units (ICUs) are adopting the practice of nighttime intensivist staffing despite the lack of experimental evidence of its effectiveness. METHODS: We conducted a 1-year randomized trial in an academic medical ICU of the effects of nighttime staffing with in-hospital intensivists (intervention) as compared with nighttime coverage by daytime intensivists who were available for consultation by telephone (control). We randomly assigned blocks of 7 consecutive nights to the intervention or the control strategy...
June 6, 2013: New England Journal of Medicine
https://www.readbyqxmd.com/read/23465671/nighttime-intensivist-staffing-is-there-evidence-for-a-need
#11
Arjun Pennathur
Postoperative critical care provided by critical care specialists, or intensivists, improves outcomes after surgery. Although there are data supporting daytime intensivist coverage in the intensive care unit, it is not clear how nighttime specialist coverage impacts the quality of care or outcomes. Many surgical intensive care units have adopted continuous 24-hour critical care coverage. Here, we highlight an important study by Wallace and colleagues that reports the impact of nighttime intensivist staffing on outcomes in critically ill patients...
2012: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/23365729/telemedicine-intervention-improves-icu-outcomes
#12
Farid Sadaka, Ashok Palagiri, Steven Trottier, Wendy Deibert, Donna Gudmestad, Steven E Sommer, Christopher Veremakis
Telemedicine for the intensive care unit (Tele-ICU) was founded as a means of delivering the clinical expertise of intensivists located remotely to hospitals with inadequate access to intensive care specialists. This was a retrospective pre- and postintervention study of adult patients admitted to a community hospital ICU. The patients in the preintervention period (n = 630) and during the Tele-ICU period (n = 2193) were controlled for baseline characteristics, acute physiologic scores (APS), and acute physiologic and health evaluation (APACHE IV) scores...
2013: Critical Care Research and Practice
https://www.readbyqxmd.com/read/22931275/nighttime-intensivist-staffing
#13
Aharon Sareli
To the Editor: Wallace et al. (May 31 issue)(1) present results suggesting that the presence of nighttime intensivists was associated with reduced mortality in intensive care units (ICUs) with "low-intensity daytime staffing," an effect not seen in ICUs with "high-intensity daytime staffing." The single primary outcome variable examined was in-hospital mortality. Quality assurance measures such as length of stay, adherence to best practices, and complication rates were not explored. Since these outcomes are also important, what is the effect of staffing on them? A very small number of ICUs in the study used telemedicine in their staffing model...
September 6, 2012: New England Journal of Medicine
https://www.readbyqxmd.com/read/22931274/nighttime-intensivist-staffing
#14
LETTER
Chien-Ming Chao, Chih-Cheng Lai
No abstract text is available yet for this article.
September 6, 2012: New England Journal of Medicine
https://www.readbyqxmd.com/read/22931273/nighttime-intensivist-staffing
#15
Jayashree Raikhelkar, Corey Scurlock, Isabelle Kopec
To the Editor: Wallace et al. (May 31 issue)(1) present results suggesting that the presence of nighttime intensivists was associated with reduced mortality in intensive care units (ICUs) with "low-intensity daytime staffing," an effect not seen in ICUs with "high-intensity daytime staffing." The single primary outcome variable examined was in-hospital mortality. Quality assurance measures such as length of stay, adherence to best practices, and complication rates were not explored. Since these outcomes are also important, what is the effect of staffing on them? A very small number of ICUs in the study used telemedicine in their staffing model...
September 6, 2012: New England Journal of Medicine
https://www.readbyqxmd.com/read/22841611/differences-in-outcomes-between-icu-attending-and-senior-resident-physician-led-medical-emergency-team-responses
#16
COMPARATIVE STUDY
David S Morris, William Schweickert, Daniel Holena, Robert Handzel, Carrie Sims, Jose L Pascual, Babak Sarani
INTRODUCTION: Although rapid response systems (RRS) have been shown to decrease the incidence of cardiac arrest (CA), there are no studies evaluating optimal staffing. We hypothesize that there are no outcome differences between ICU physician and senior resident led events. METHODS: A retrospective study of the RRS database at a single, academic hospital was performed from July 1, 2006 to May 31, 2010. Surgical patients and those in the ICU were excluded. Daytime (D) was defined as 7 am-5 pm Monday through Friday, and weekends were defined as 5 pm on Friday to 6:59 am on Monday...
December 2012: Resuscitation
https://www.readbyqxmd.com/read/22710786/maintaining-quality-of-care-24-7-in-a-nontrauma-surgical-intensive-care-unit
#17
Marvin Allan McMillen, Nathan Boucher, David Keith, David Scott Gould, Asaf Gave, Darryl Hoffman
BACKGROUND: Most surgical critical care literature reflects practices at trauma centers and tertiary hospitals. Surgical critical care needs and practices may be quite different at nontrauma center teaching hospitals. As acute care surgery develops as a component of surgical critical care and trauma, the opportunities and challenges of the nontrauma centers should be considered. METHODS: In 2001, a new surgical critical care service was created for an 800-bed urban teaching hospital with a 12-bed surgical intensive care unit (SICU)...
July 2012: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/22612639/nighttime-intensivist-staffing-and-mortality-among-critically-ill-patients
#18
David J Wallace, Derek C Angus, Amber E Barnato, Andrew A Kramer, Jeremy M Kahn
BACKGROUND: Hospitals are increasingly adopting 24-hour intensivist physician staffing as a strategy to improve intensive care unit (ICU) outcomes. However, the degree to which nighttime intensivists are associated with improvements in the quality of ICU care is unknown. METHODS: We conducted a retrospective cohort study involving ICUs that participated in the Acute Physiology and Chronic Health Evaluation (APACHE) clinical information system from 2009 through 2010, linking a survey of ICU staffing practices with patient-level outcomes data from adult ICU admissions...
May 31, 2012: New England Journal of Medicine
https://www.readbyqxmd.com/read/21393397/impact-of-nonphysician-staffing-on-outcomes-in-a-medical-icu
#19
Hayley B Gershengorn, Hannah Wunsch, Romina Wahab, David E Leaf, David Leaf, Daniel Brodie, Guohua Li, Phillip Factor
BACKGROUND: As the number of ICU beds and demand for intensivists increase, alternative solutions are needed to provide coverage for critically ill patients. The impact of different staffing models on the outcomes of patients in the medical ICU (MICU) remains unknown. In our study, we compare outcomes of nonphysician provider-based teams to those of medical house staff-based teams in the MICU. METHODS: We conducted a retrospective review of 590 daytime (7:00 am-7:00 pm) admissions to two MICUs at one hospital...
June 2011: Chest
https://www.readbyqxmd.com/read/20337984/effect-of-pediatric-advanced-life-support-course-on-pediatric-residents-intubation-success
#20
Tanil Kendirli, Aysun Caltik, Murat Duman, Hayri Levent Yilmaz, Dinçer Yildizdaş, Mehmet Boşnak, Deniz Tekin, Nilgün Atay
BACKGROUND: The Pediatric Advanced Life Support Program (PALS) course very important for teaching about intubation, resuscitation, shock, trauma, respiratory failure and rhythm disturbances. The aim of the present study was to evaluate the effect of the PALS course on pediatric residents' intubation success during their rotation, daytime and night-time practice in the pediatric intensive care unit (PICU). METHODS: The study was carried out from 1 March 2005 to 28 February 2007...
February 2011: Pediatrics International: Official Journal of the Japan Pediatric Society
keyword
keyword
61865
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"