Impact of 24-Hour In-House Intensivists on a Dedicated Cardiac Surgery Intensive Care Unit

Kumar, Kanwal; Zarychanski, Ryan; Bell, Dean D.; Manji, Rizwan A.; Zivot, Joel; Menkis, Alan H.; Arora, Rakesh C.

doi:10.1016/j.athoracsur.2009.04.070

Cited by 75 publications

(42 citation statements)

References 29 publications

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“…However, results of the present study are in contrast with Taylor, Helling, Gagic, Dimick, Kumar, Rahmani, and Gholamipoor [35][36][37][38][39][40][41]. and colleagues has reported that hospitals that implemented a resident EMS had a significantly shorter LOS.…”

Section: Discussioncontrasting

confidence: 56%

Does Intradisciplinary Conflict Influence to Outcomes of Emergency Medicine Residency Program? A Mixed Methods Study

Maleki

Mousavi

Anjomshoa

et al. 2017

BEAT

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Objective: To explore impact of emergency medicine residency program on patient waiting times in emergency department (ED) and determine the associated factors. Methods: A two-phased sequential exploratory mixed-methods approach was used. The first phase was comprised of retrospective before-after design of ED encounters for a 3-month period, six months before and six months after the introduction of an emergency medicine residency program in an Iranian teaching hospital. The second phase included semi-structured interviews with five individuals which purposively selected to participate in qualitative design. Quantitative data were analysed descriptively and qualitative data were analysed using an iterative framework approach. Results: The most patients were admitted to the hospital in night shift, both before and after the resident EMS. No statistically significant differences were found among all of the waiting times during the two time periods except for the average time interval between admission and physician start time (p<0.0001), which increased (instead of reducing), and the average time interval between physician start time and first treatment measure (p<0.0001), which decreased during the year the residents began. The interviewees revealed the intradisciplinary conflicts and interferences existing between ED and other specialist departments, are main important factor to delayed processing of patients visits. Conclusion: This study has shown that intradisciplinary conflict would affect the outcomes of emergency medicine residency program and ED process. These new findings enhance the understanding of the nature of conflicts and will persuade policy makers that design a set of clinical practice guidelines to clarify the duties and responsibilities of parties involved in ED.

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Section: Discussioncontrasting

confidence: 56%

Does Intradisciplinary Conflict Influence to Outcomes of Emergency Medicine Residency Program? A Mixed Methods Study

Maleki

Mousavi

Anjomshoa

et al. 2017

BEAT

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“…At least 4 observational studies report that introduction of 24-hour in-hospital intensivist coverage of the ICU was associated with lower mortality, 88 -90 fewer complications, and reduced hospital length of stay. 91,92 Although nocturnal intensivist coverage has been associated with shorter hospital length of stay and lower overall cost for the sickest patients, this may not necessarily be the case for less severely ill patients. 93 Some experts have argued that 24/7 (24 hours per day, 7 days per week) intensivist staffing itself does not reduce mortality or length of stay.…”

Section: Twenty-four-hour In-house Intensivist Coveragementioning

confidence: 99%

Evolution of Critical Care Cardiology: Transformation of the Cardiovascular Intensive Care Unit and the Emerging Need for New Medical Staffing and Training Models

Morrow¹,

Fang²,

Fintel³

et al. 2012

Circulation

252

186

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“…The fundamental elements of good surgical care include fluid and judicious use of blood / blood products, management of cardiac output and ensuring adequate tissue perfusion, control of temperature, good analgesia, nutrition and respiratory support. 8,12,13,26,27 All these aspect can be effectively and timely be managed in Surgical HDU. Critical care have a role in bridging the critical care gap that exists in management of serious surgical patients in wards.…”

Section: Discussionmentioning

confidence: 99%

High Dependency Unit; Impact of Care on Outcome of Surgical Patients an Experience of Surgical Unit of District Teaching Hospital.

Jahan¹

2017

TPMJ

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ABSTRACT… Objectives: To study the impact of "High Dependency Unit" care on outcome of surgical patients. Study Design: Descriptive, Prospective. Setting: Surgical Department of Aziz Bhatti Shaheed (Teaching) Hospital. Nawaz Sharif medical College, University of the Gujrat. Study Period: January 1 st to December 31th 2016. Results: A total of 275 patients of all age groups from surgical and allied specialities requiring dedicated continues monitoring were admitted in High Dependency Unit (HDU) of the surgical department. Out of 275 patients 165 were admitted through emergency room after some surgical operation, whereas 115 patients are from those who were electively operated and shifted in HDU for management and monitoring due to some anaesthesia related complications or comorbidities. Conclusion: The High Dependency Unit care promotes efficient and effective care by increasing the flexibility of patient triage, utilizing resources efficiently, and providing cost effective timely care to serious surgical patient admitted in surgical wards. Key words:Intensive Care, Postop Care, Recovery, Critical Illness, HDU Mortality. Article Citation: Jahan S, Aziz S, Ateeq M, Asif M. High dependency unit; impact of care on outcome of surgical patients an experience of surgical unit of district teaching hospital

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Impact of 24-Hour In-House Intensivists on a Dedicated Cardiac Surgery Intensive Care Unit

Cited by 75 publications

References 29 publications

Does Intradisciplinary Conflict Influence to Outcomes of Emergency Medicine Residency Program? A Mixed Methods Study

Does Intradisciplinary Conflict Influence to Outcomes of Emergency Medicine Residency Program? A Mixed Methods Study

Evolution of Critical Care Cardiology: Transformation of the Cardiovascular Intensive Care Unit and the Emerging Need for New Medical Staffing and Training Models

High Dependency Unit; Impact of Care on Outcome of Surgical Patients an Experience of Surgical Unit of District Teaching Hospital.

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