In-house, overnight physician staffing: A cross-sectional survey of Canadian adult and pediatric intensive care units

Critical Care Medicine

Volumn 34, Issue 6, 2006, Pages 1674-1678

  Parshuram, Christopher S ^a,e   Kirpalani, Haresh ^b   Mehta, Sangeeta ^c   Granton, John ^d   Cook, Deborah ^b  

^a HOSPITAL FOR SICK CHILDREN RESEARCH INSTITUTE   (Canada)

^b MCMASTER UNIVERSITY   (Canada)

^c MOUNT SINAI HOSPITAL   (Canada)

^d UNIVERSITY OF TORONTO   (Canada)

^e ONTARIO MINISTRY OF HEALTH AND LONG TERM CARE   (Canada)

Author keywords

Critically ill patients; Hospital funding; Model of care

Indexed keywords

ADULT; CANADA; CONTROLLED STUDY; DATA ANALYSIS; DEMOGRAPHY; FATIGUE; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MEDICAL ERROR; MEDICAL STAFF; OUTCOME ASSESSMENT; PHYSICIAN; POSTGRADUATE EDUCATION; PRACTICE GUIDELINE; PRIORITY JOURNAL; RESIDENT; REVIEW; SHIFT WORKER; TRAINING; WORKLOAD;

EID: 33744523346     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000218808.13189.E7     Document Type: Article

References (25)

1. Hamielec C: About the Canadian Intensive Care Foundation. Available at: http://www.cicf.ca/about.shtml. Accessed November 15, 2004, and December 12, 2004
2. Jacobs P, Noseworthy TW: National estimates of intensive care utilization and costs: Canada and the United States. Crit Care Med 1990; 18:1282-1286
3. Halpern NA, Bettes L, Greenstein R: Federal and nationwide intensive care units and healthcare costs: 1986-1992. Crit Care Med 1994; 22:2001-2007
4. Norris C, Jacobs P, Rapoport J, et al: ICU and non-ICU cost per day. Can J Anaesth 1995; 42:192-196
5. Esteban A, Anzueto A, Frutos F, et al: Characteristics and outcomes in adult patients receiving mechanical ventilation: A 28-day international study. JAMA 2002; 287:345-355
6. Pronovost PJ, Angus DC, Dorman T, et al: Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. JAMA 2002; 288:2151-2162
7. National Quality Forum. Patient Safety: A Time for Leaps, Washington, DC, The National Quality Forum, 2003, http://www.qualityforum.org/ txsafeexecsumm+order6-8-03PUBLIC.pdf; Accessed April 10, 2006
8. Haupt MT, Bekes CE, Brilli RJ, et al: Guidelines on critical care services and personnel: Recommendations based on a system of categorization of three levels of care. Crit Care Med 2003; 31:2677-2683
9. Lee SK, Lee DS, Andrews WL, et al: Higher mortality rates among inborn infants admitted to neonatal intensive care units at night. J Pediatr 2003; 143:592-597
10. Bell CM, Redelmeier DA: Mortality among patients admitted to hospitals on weekends as compared with weekdays. N Engl J Med 2001; 345:663-668
11. Pollack MM, Cuerdon TC, Getson PR: Pediatric intensive care units: Results of a national survey. Crit Care Med 1993; 21:607-614
12. Nipshagen MD, Polderman KH, DeVictor D, et al: Pediatric intensive care: Result of a European survey. Intensive Care Med 2002; 28:1797-1803
13. Groeger JS, Strosberg MA, Halpern NA, et al: Descriptive analysis of critical care units in the United States. Crit Care Med 1992; 20:846-863
14. Gay PC, Dellinger RP, Shelhamer JH, et al: The practice of critical care medicine. A national survey report. ACCP Council on Critical Care. Chest 1993; 104:271-278
15. Tenner PA, Dibrell H, Taylor RP: Improved survival with hospitalists in a pediatric intensive care unit. Crit Care Med 2003; 31:847-852
16. Scully H, Tyrell L: Task Force on Physician Supply in Canada. Available at: http://www.cpsbc.bc.ca/physician/publications/supply.pdf. Accessed April 10, 2006
17. Angus DC, Kelley MA, Schmilz RJ, et al: Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: Can we meet the requirements of an aging population? JAMA 2000; 284:2762-2770
18. Canadian Labour and Business Centre Canadian Policy Research Networks: Canada's Physician Workforce Occupational Human Resources Data Assessment and Trends Analysis. A Physician Human Resource Strategy for Canada. http://www.physicianhr.ca/reports/OccHR-Report-e.pdf; Accessed April 10, 2006
19. Parshuram CS, Dhanani S, Kirsh JA, et al: Fellowship training, workload, fatigue and physical stress: A prospective observational study. Can Med Assoc J 2004; 170:965-970
20. Dawson D, Reid K: Fatigue, alcohol and performance impairment. Nature 1997; 388:235
21. Gaba DM, Howard SK: Patient safety: Fatigue among clinicians and the safety of patients. N Engl J Med 2002; 347:1249-1255
22. Barth B, Hendey GW, Soliz T: Errors in postcall medication orders. Acad Emerg Med 2001; 8:468-469
23. Landrigan CP, Rothschild JM, Cronin JW, et al: Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med 2004; 351:1838-1848
24. Laine C, Goldman L, Soukup JR, et al: The impact of a regulation restricting medical house staff working hours on the quality of patient care. JAMA 1993; 269:374-378
25. Petersen LA, Brennan TA, O'Neil AC, et al: Does housestaff discontinuity of care increase the risk for preventable adverse events? Ann Intern Med 1994; 121:866-872