The MICU is full: One hospital's experience with an overflow triage policy

Joint Commission Journal on Quality and Patient Safety

Volumn 37, Issue 10, 2011, Pages 456-460

  Sidlow, Robert ^a,b   Aggarwal, Vikas ^a  

^a JACOBI MEDICAL CENTER   (United States)

^b ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; EMERGENCY HEALTH SERVICE; FEMALE; HOSPITAL BED CAPACITY; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; INFORMATION SYSTEM; INTENSIVE CARE UNIT; LENGTH OF STAY; MALE; MIDDLE AGED; MORTALITY; ORGANIZATION AND MANAGEMENT; RETROSPECTIVE STUDY; SAFETY; SOCIOECONOMICS; STATISTICS; TEACHING HOSPITAL; TREATMENT OUTCOME;

ADULT; AGED; FEMALE; HOSPITAL BED CAPACITY, 500 AND OVER; HOSPITAL MORTALITY; HOSPITALS, TEACHING; HUMANS; INFORMATION SYSTEMS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT READMISSION; RETROSPECTIVE STUDIES; SAFETY MANAGEMENT; SEVERITY OF ILLNESS INDEX; SOCIOECONOMIC FACTORS; TREATMENT OUTCOME; TRIAGE;

EID: 80053268780     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1553-7250(11)37058-4     Document Type: Article

References (18)

1. Kellermann A.L.: Crisis in the emergency department. N Engl J Med 355:1300-1303, Sep. 28, 2006.
2. Nasraway S.A., et al.: Guidelines on admission and discharge for adult intermediate care units. American College of Critical Care Medicine of the Society of Critical Care Medicine. Crit Care Med 26:607-610, Mar. 1998.
3. Wold T., et al.: Impact of patient location on ICU patient out-come: Is boarding patients bad? Crit Care Med 33(Abstract suppl.):A84, Dec. 2005 .
4. Pronovost P., et al.: An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 355:2725-2732, Dec. 28, 2006. Erratum in: N Engl J Med 356:2660, Jun. 21, 2007. (Pubitemid 46021509)
5. Evans B.: Best-practice protocols: VAP prevention. Nurs Manage 36:10-16, Dec. 2006.
6. Task Force on Guidelines, Society of Critical Care Medicine: Guidelines for ICU Admission, Discharge, and Triage. Society of Critical Care Medicine, 1999. http://learnicu.org/Docs/Guidelines/AdmissionDischargeTriage.pdf (accessed Aug. 29, 2011).
7. American Thoracic Society Bioethics Task Force: Fair allocation of intensive care unit resources. Am J Respir Crit Care Med 156(4 pt. 1):1282-1301, Oct. 1997. Erratum in: Am J Respir Crit Care 157:671, Feb. 1998.
8. Southern W.N., et al.: Hospitalist care and length of stay in patients requiring complex discharge planning and close clinical monitoring. Arch Intern Med 167:1869-1874, Sep. 24, 2007. (Pubitemid 47481482)
9. Humphries K.H., et al.: Co-morbidity data in outcomes research: Are clinical data derived from administrative databases a reliable alternative to chart review? J Clin Epidemiol 53:343-349, Apr. 2000. (Pubitemid 30216472)
10. Multz A.S., et al.: A "closed" medical intensive care unit (MICU) improves resource utilization when compared with an "open" MICU. Am J Respir Crit Care Med 157(5 pt. 1):1468-1473, May 1998.
11. Pronovost P.J., et al.: Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. JAMA 288:2151-2162, Nov. 6, 2002. (Pubitemid 35276516)
12. Wild C., Narath M.: Evaluating and planning ICUs: Methods and approaches to differentiate between need and demand. Health Policy 71:289-301, Mar. 2005. (Pubitemid 40203402)
13. Ewart G.W., et al.: The critical care medicine crisis: A call for federal action: A white paper from the critical care professional societies. Chest 125: 1518-1521, Apr. 2004. (Pubitemid 38501372)
14. Goble A.J., Sloman G., Robinson J.S.: Mortality reduction in a coronary care unit. Br Med J (5494)1:1005-1009, Apr. 1966.
15. Cairns J.A., et al.: Coronary care unit utilization in Hamilton, Ontario, a city of 375, 000 people. Can J Cardiol 4:25-32, Jan.-Feb. 1988. (Pubitemid 18069754)
16. Quinn T., et al.: Redefining the coronary care unit: An observational study of patients admitted to hospital in England and Wales in 2003. QJM 98:797-802, Nov. 2005. (Pubitemid 41631330)
17. Truog R.D., et al., for the Task Force on Values, Ethics, and Rationing in Critical Care (VERICC): Rationing in the intensive care unit. Crit Care Med 34:958-963, Apr. 2006.
18. Kalb P.E., Miller D.H.: Utilization strategies for intensive care units. JAMA 261:2389-2395, Apr. 28, 1989. (Pubitemid 19101422)