Impact of nonphysician staffing on outcomes in a medical ICU

Chest

Volumn 139, Issue 6, 2011, Pages 1347-1353

  Gershengorn, Hayley B ^a   Wunsch, Hannah ^a   Wahab, Romina ^a   Leaf, David ^a   Brodie, Daniel ^a   Li, Guohua ^a   Factor, Phillip ^a  

^a NEW YORK PRESBYTERIAN HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CONTROLLED STUDY; FEMALE; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL PERSONNEL; HOSPITAL PHYSICIAN; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; NURSE PRACTITIONER; PHYSICIAN ASSISTANT; PRIORITY JOURNAL; RESIDENT; RETROSPECTIVE STUDY;

EID: 79958729376     PISSN: 00123692     EISSN: 19313543     Source Type: Journal    
DOI: 10.1378/chest.10-2648     Document Type: Article

References (36)

1. Haupt MT, Bekes CE, Brilli RJ, et al; Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine. Guidelines on critical care services and personnel: Recommendations based on a system of categorization of three levels of care. Crit Care Med. 2003;31(11):2677-2683. (Pubitemid 37452849)
2. ICU physician staffing factsheet. The LeapFrog Group Web site. http://www.leapfroggroup.org/media/file/FactSheet-IPS.pdf. Accessed December 17, 2009.
3. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J Jr; Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). 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(21):2762-2770.
4. The ACGME's approach to limit resident duty hours 2007-08: a summary of achievements for the fifth year under the common requirements, 2007-2008. Accreditation Council for Graduate Medical Education Web site. http://www.acgme.org/acWebsite/dutyHours/dh-achievesum0708.pdf. Accessed November 18, 2009.
5. Iglehart JK. Revisiting duty-hour limits - IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-2635.
6. Heisler M. Hospitalists and intensivists: partners in caring for the critically ill - the time has come. J Hosp Med. 2010;5(1):1-3.
7. D'Agostino R, Halpern NA. Acute care nurse practitioners in oncologic critical care: the memorial Sloan-Kettering cancer center experience. Crit Care Clin. 2010;26(1):207-217.
8. Resnick AS, Todd BA, Mullen JL, Morris JB. How do surgical residents and non-physician practitioners play together in the sandbox? Curr Surg. 2006;63(2):155-164. (Pubitemid 43323649)
9. Stahlfeld KR, Robinson JM, Burton EC. What do physician extenders in a general surgery residency really do? J Surg Educ. 2008;65(5):354-358.
10. Christmas AB, Reynolds J, Hodges S, et al. Physician extenders impact trauma systems. J Trauma. 2005;58(5):917-920. (Pubitemid 40776892)
11. Oswanski MF, Sharma OP, Raj SS. Comparative review of use of physician assistants in a level I trauma center. Am Surg. 2004;70(3):272-279.
12. Victorino GP, Organ CH Jr. Physician assistant influence on surgery residents. Arch Surg. 2003;138(9):971-975.
13. Lundberg S, Wali S, Thomas P, Cope D. Attaining resident duty hours compliance: the acute care nurse practitioners program at Olive View-UCLA Medical Center. Acad Med. 2006;81(12):1021-1025. (Pubitemid 44818819)
14. DeNicola L, Kleid D, Brink L, et al. Use of pediatric physician extenders in pediatric and neonatal intensive care units. Crit Care Med. 1994;22(11):1856-1864. (Pubitemid 24346043)
15. Cramer CL, Orlowski JP, DeNicola LK. Pediatric intensivist extenders in the pediatric ICU. Pediatr Clin North Am. 2008;55(3):687-708. (Pubitemid 351697547)
16. Kleinpell RM, Ely EW, Grabenkort R. Nurse practitioners and physician assistants in the intensive care unit: an evidence-based review. Crit Care Med. 2008;36(10):2888-2897.
17. Dubaybo BA, Samson MK, Carlson RW. The role of physician-assistants in critical care units. Chest. 1991;99(1):89-91.
18. Higgins TL, Teres D, Copes WS, Nathanson BH, Stark M, Kramer AA. Assessing contemporary intensive care unit outcome: an updated Mortality Probability Admission Model (MPM0-III). Crit Care Med. 2007;35(3):827-835. (Pubitemid 46407798)
19. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. 2002;288(17):2151-2162. (Pubitemid 35276516)
20. Halpern NA, Pastores SM. Critical care medicine in the United States 2000-2005: an analysis of bed numbers, occupancy rates, payer mix, and costs. Crit Care Med. 2010;38(1):65-71.
21. Angus DC, Shorr AF, White A, Dremsizov TT, Schmitz RJ, Kelley MA; Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med. 2006;34(4):1016-1024.
22. Carzoli RP, Martinez-Cruz M, Cuevas LL, Murphy S, Chiu T. Comparison of neonatal nurse practitioners, physician assistants, and residents in the neonatal intensive care unit. Arch Pediatr Adolesc Med. 1994;148(12):1271-1276. (Pubitemid 24375635)
23. Mitchell-DiCenso A, Guyatt G, Marrin M, et al. A controlled trial of nurse practitioners in neonatal intensive care. Pediatrics. 1996;98(6 pt 1):1143-1148. (Pubitemid 26399280)
24. Hoffman L, Tasota F, Zullo T, Scharfenberg C, Donahoe MP. Outcomes of care managed by an acute care nurse practitioner/attending physician team in a subacute medical intensive care unit. Am J Crit Care 2005;14(2):121-130.
25. Hoffman LA, Miller TH, Zullo TG, Donahoe MP. Comparison of 2 models for managing tracheotomized patients in a subacute medical intensive care unit. Respir Care. 2006;51(11):1230-1236.
26. Hoffman LA, Tasota FJ, Scharfenberg C, Zullo TG, Donahoe MP. Management of patients in the intensive care unit: comparison via work sampling analysis of an acute care nurse practitioner and physicians in training. Am J Crit Care. 2003;12(5):436-443.
27. Zimmerman JE, Kramer AA, McNair DS, Malila FM. Acute Physiology and Chronic Health Evaluation (APACHE) IV: hospital mortality assessment for today's critically ill patients. Crit Care Med. 2006;34(5):1297-1310.
28. Moran JL, Bristow P, Solomon PJ, George C, Hart GK; Australian and New Zealand Intensive Care Society Database Management Committee (ADMC). Mortality and length-of-stay outcomes, 1993-2003, in the binational Australian and New Zealand intensive care adult patient database. Crit Care Med. 2008;36(1):46-61.
29. Kahn JM, Hall JB. More doctors to the rescue in the intensive care unit: a cautionary note. Am J Respir Crit Care Med. 2010;181(11):1160-1161.
30. Gajic O, Afessa B, Hanson AC, et al. Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital. Crit Care Med. 2008;36(1):36-44.
31. Blunt MC, Burchett KR. Out-of-hours consultant cover and case-mix-adjusted mortality in intensive care. Lancet. 2000;356(9231):735-736. (Pubitemid 30663245)
32. Arabi Y, Alshimemeri A, Taher S. Weekend and weeknight admissions have the same outcome of weekday admissions to an intensive care unit with onsite intensivist coverage. Crit Care Med. 2006;34(3):605-611.
33. Wunsch H, Mapstone J, Brady T, Hanks R, Rowan K. Hospital mortality associated with day and time of admission to intensive care units. Intensive Care Med. 2004;30(5):895-901. (Pubitemid 38639483)
34. Luyt CE, Combes A, Aegerter P, et al. Mortality among patients admitted to intensive care units during weekday day shifts compared with "off" hours. Crit Care Med. 2007;35(1):3-11.
35. Laupland KB, Shahpori R, Kirkpatrick AW, Stelfox HT. Hospital mortality among adults admitted to and discharged from intensive care on weekends and evenings. J Crit Care. 2008;23(3):317-324.
36. Morales IJ, Peters SG, Afessa B. Hospital mortality rate and length of stay in patients admitted at night to the intensive care unit. Crit Care Med. 2003;31(3):858-863. (Pubitemid 36379596)