A high-volume trauma intensive care unit can be successfully staffed by advanced practitioners at night

Matsushima, Kazuhide; Inaba, Kenji; Skiada, Dimitra; Esparza, M. A. Pla; Cho, Jayun; Lee, Tim; Strumwasser, Aaron; Magee, Gregory A.; Grabo, Daniel; Lam, Lydia; Benjamin, Elizabeth; Belzberg, Howard; Δημητριάδης, Δημήτριος

doi:10.1016/j.jcrc.2016.01.024

Cited by 7 publications

(9 citation statements)

References 30 publications

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“…Additionally, we were unable to compare family demographics between respondents and non-respondents. Despite this sampling limitation, the patient demographics and outcomes in the current study were comparable with those from previous studies in our TSICU 19 20. Although conducting telephone or mail surveys might have been alternative methods, we thought that it would not be feasible to conduct those kinds of surveys due to patient characteristics at our institution 3 5.…”

Section: Discussionsupporting

confidence: 62%

Family satisfaction in the trauma and surgical intensive care unit: another important quality measure

Maxim

Álvarez

Hojberg

et al. 2019

Trauma Surg Acute Care Open

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BackgroundA growing body of research has explored patient satisfaction as one of the healthcare quality measures. To date, scarce data are available regarding family experience in the trauma and surgical intensive care unit (TSICU). The purpose of this study was to describe and analyze the results of a family satisfaction survey in the TSICU.MethodsFamily members of patients at a level 1 trauma center were invited to participate in this study after 72 hours of intensive care unit stay. Participants completed a modified version of the Family Satisfaction in the Intensive Care Unit questionnaire, a validated survey measuring family satisfaction with care and decision-making. Data collection spanned from April 2016 to July 2017. Patient characteristics were compiled from the medical record. Quantitative analysis was performed using a 5-point Likert score, converted to a scale of 0 (poor) to 100 (excellent).ResultsThe overall response rate was 78.6%. Of the 103 family members for 88 patients, most were young (median age: 41 years) and female (75%). Language fluency was 44.6% English-only, 31.7% Spanish-only, and 23.8% bilingual. Mean summary family satisfaction scores (±SD) were 80.6±26.4 for satisfaction with care, 79.3±27.1 for satisfaction with decision-making, and 80.1±26.7 for total satisfaction. Respondents were less satisfied with the frequency of communication with physicians (70.7±27.4) and language translation (73.2±31.2).DiscussionOverall family satisfaction with the care provided to patients in the TSICU is high, although opportunities for improvement were noted in the frequency of communication between physicians and family and language translation services. Further quality improvement projects are warranted.Level of evidenceCare management study: level V.

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Section: Discussionsupporting

confidence: 62%

Family satisfaction in the trauma and surgical intensive care unit: another important quality measure

Maxim

Álvarez

Hojberg

et al. 2019

Trauma Surg Acute Care Open

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“…A number of studies compared APP care to resident and/or fellows or house staff (24, 25, 27, 28, 30, 32, 34, 42, 45, 59–66), and demonstrated similar outcomes. Several of these studies also identified significant differences in aspects of care provided by APPs including decreased length of stay (LOS) (24, 31, 32, 39, 45), improved physician and nursing satisfaction (28, 31, 53), higher rates of discharge destinations to home (32), decreased ED time to transfer to ICU (55), decreased costs of care related to laboratory test use (67), decreased 14 day readmission rates (45), increased discharges by noon (39), decreased costs of care for heart failure patients (49), and indirect economic and patient care impacts such as increasing ED throughput, decreasing time to the operating room, operative time, and decreasing complications (48).…”

Section: Resultsmentioning

confidence: 99%

“…In a review of night coverage by APPs for 289 patients over an 8-month period in a trauma ICU, no differences were found between APP coverage 7 pm to 7 am Sunday to Wednesday compared with resident physician coverage Thursday to Saturday on a number of outcomes (34). Both teams were supervised by an on-call trauma fellow and attending surgeon in house.…”

Section: Resultsmentioning

confidence: 99%

Nurse Practitioners and Physician Assistants in Acute and Critical Care: A Concise Review of the Literature and Data 2008–2018

Kleinpell

Grabenkort

Kapu

et al. 2019

Critical Care Medicine

131

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“…Recently, Matsushima et al . reported similar transfusion ratio in trauma patients requiring massive transfusion at night between advanced practitioners and resident physicians .…”

Section: Discussionmentioning

confidence: 63%

Day or overnight transfusion in critically ill patients: does it matter?

et al. 2018

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A high-volume trauma intensive care unit can be successfully staffed by advanced practitioners at night

Cited by 7 publications

References 30 publications

Family satisfaction in the trauma and surgical intensive care unit: another important quality measure

Family satisfaction in the trauma and surgical intensive care unit: another important quality measure

Nurse Practitioners and Physician Assistants in Acute and Critical Care: A Concise Review of the Literature and Data 2008–2018

Day or overnight transfusion in critically ill patients: does it matter?

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