Rationing critical care-what happens to patients who are not admitted?

P Frisho-Lima, G Gurman, A Schapira, A Porath - Theoretical Surgery, 1994 - cris.bgu.ac.il
To determine the outcome of patients who are denied ICU admission because of limited
resources, we conducted a prospective, nonintervention, cohort survey in a 710-adult bed …

Intensive care unit physician staffing: financial modeling of the Leapfrog standard

PJ Pronovost, DM Needham, H Waters… - Critical care …, 2004 - journals.lww.com
Objective: To evaluate from a hospital's perspective the costs and savings, over a 1-yr
period, of implementing The Leapfrog Group's Intensive Care Unit Physician Staffing (IPS) …

The association between ICU level of care and mortality in the Netherlands

GH Kluge, S Brinkman, G van Berkel… - Intensive care …, 2015 - Springer
Purpose The relationship between the number of patients admitted to an intensive care unit
(ICU) volume and mortality is currently the subject of debate. After implementation of a …

Intensive care unit physician staffing: financial modeling of the Leapfrog standard

PJ Pronovost, DM Needham, H Waters… - Critical care …, 2006 - journals.lww.com
Objective: To evaluate from a hospital's perspective the costs and savings, over a 1-yr
period, of implementing The Leapfrog Group's Intensive Care Unit Physician Staffing (IPS) …

Higher ICU capacity strain is associated with increased acute mortality in closed ICUs

ME Wilcox, DA Harrison, A Patel… - Critical Care …, 2020 - journals.lww.com
Objectives: To determine whether patients admitted to an ICU during times of strain, when
compared with its own norm (ie accommodating a greater number of patients, higher acuity …

Are intensivists safe?

GD Rubenfeld, DC Angus - Annals of internal medicine, 2008 - acpjournals.org
In this issue, Levy and colleagues explore the effects of ICU physician staffing models on
mortality. Their findings not only refute the claim that intensivist-staffed ICUs improve …

The volume-outcome relationship in critically ill patients in relation to the ICU-to-hospital bed ratio

Y Sasabuchi, H Yasunaga, H Matsui… - Critical Care …, 2015 - journals.lww.com
Objectives: A volume-outcome relationship in ICU patients has been suggested in recent
studies. However, it is unclear whether the ICU-to-hospital bed ratio affects the volume …

Hospitalists and intensivists in the medical ICU: a prospective observational study comparing mortality and length of stay between two staffing models

KR Wise, VA Akopov, BR Williams Jr… - Journal of hospital …, 2012 - Wiley Online Library
BACKGROUND: A shortage of critical care specialists or intensivists, coupled with
expanding United States critical care needs, mandates identification of alternate qualified …

The impact of mortality on total costs within the ICU

AA Kramer, JF Dasta, SL Kane-Gill - Critical care medicine, 2017 - journals.lww.com
Objectives: The high cost of critical care has engendered research into identifying influential
factors. However, existing studies have not considered patient vital status at ICU discharge …

Physician staffing models and patient safety in the ICU

O Gajic, B Afessa - Chest, 2009 - Elsevier
Despite the manpower shortage to care for the critically ill, the number of ICU beds has been
rising for the last 2 decades. The ICU intensivist physician staffing model is still in flux in this …