Pro/Con debate: Should 24/7 in-house intensivist coverage be implemented?

被引:29
作者
Arabi, Yaseen [1 ]
机构
[1] King Saud Bin Abdulaziz Univ Hlth Sci, Dept Intens Care, Riyadh 11426, Saudi Arabia
来源
CRITICAL CARE | 2008年 / 12卷 / 03期
关键词
D O I
10.1186/cc6905
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
You are appointed director of a new large multi-discipline intensive care unit in an academic center. The hospital is affiliated with a medical school and as such there will be an adequate number of medical students, residents, and fellows (specializing in critical care) rotating through the unit. The unit will be a 'closed' (intensivist-led) model. In setting up the call schedule for the intensivists, you need to decide whether the mandate will be for the intensivists to provide 24/7 in-house coverage as opposed to off-hour coverage from home. You wonder about the sustainability of each model.
引用
收藏
页数:4
相关论文
共 41 条
[1]   Critical care delivery in the United States: Distribution of services and compliance with Leapfrog recommendations [J].
Angus, DC ;
Shorr, AF ;
White, A ;
Dremsizov, TT ;
Schmitz, RJ ;
Kelley, MA .
CRITICAL CARE MEDICINE, 2006, 34 (04) :1016-1024
[2]   Weekend and weeknight admissions have the same outcome of weekday admissions to an intensive care unit with onsite intensivist coverage [J].
Arabi, Y ;
Alshimemeri, A ;
Taher, S .
CRITICAL CARE MEDICINE, 2006, 34 (03) :605-611
[3]   Association between evening admissions and higher mortality rates in the pediatric intensive care unit [J].
Arias, Y ;
Taylor, DS ;
Marcin, JP .
PEDIATRICS, 2004, 113 (06) :E530-E534
[4]   Day of the week of intensive care admission and patient outcomes - A multisite regional evaluation [J].
Barnett, MJ ;
Kaboli, PJ ;
Sirio, CA ;
Rosenthal, GE .
MEDICAL CARE, 2002, 40 (06) :530-539
[5]   Mortality among patients admitted to hospitals on weekends as compared with weekdays [J].
Bell, CM ;
Redelmeier, DA .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (09) :663-668
[6]   Out-of-hours consultant cover and case-mix-adjusted mortality in intensive care [J].
Blunt, MC ;
Burchett, KR .
LANCET, 2000, 356 (9231) :735-736
[7]   Effects of weekend admission and hospital teaching status on in-hospital mortality [J].
Cram, P ;
Hillis, SL ;
Barnett, M ;
Rosenthal, GE .
AMERICAN JOURNAL OF MEDICINE, 2004, 117 (03) :151-157
[8]   Is there an epidemic of burnout and post-traumatic stress in critical care clinicians? [J].
Curtis, J. Randall ;
Puntillo, Kathleen .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2007, 175 (07) :634-636
[9]   Intensive cave unit physician staffing is associated with decreased length of stay, hospital cost, and complications after esophageal resection [J].
Dimick, JB ;
Pronovost, PJ ;
Heitmiller, RF ;
Lipsett, PA .
CRITICAL CARE MEDICINE, 2001, 29 (04) :753-758
[10]   Team model: Advocating for the optimal method of care delivery in the intensive care unit [J].
Durbin, CG .
CRITICAL CARE MEDICINE, 2006, 34 (03) :S12-S17