BACKGROUND Accreditation Council on Graduate Medical Education (ACGME) duty hour restrictions have led to the widespread implementation of non-house staff services in academic medical centers, yet little is known about the quality and efficiency of patient care on such services. OBJECTIVE To evaluate the quality and efficiency of patient care on a physician assistant/hospitalist service compa...

Objective The objective of this study was to examine the effect the provision of information about the physical and technological environment of the intensive care unit (ICU) had on whether patients felt discomfort during their ICU experience. Design and Setting The study used a quasi‐experimental design. Patients were selected through convenience sampling at a university hospital in Erzurum, T...

Background. In March 2014, CDC reported a national decrease in central line-associated bloodstream infections (CLABSIs) in ICU patients. Similar reductions have not yet been reported in non-ICU settings. At Boston Medical Center (BMC), sickle cell (SS) and hemodialysis (HD) patients with unique medical, socioeconomic, and behavioral challenges are at high risk of developing CLABSIs in nonICU se...

OBJECTIVE This pilot study was designed to identify which contextual factors facilitate/hinder the implementation of the awakening, breathing, coordination, delirium, and early mobility (ABCDE) bundle for guidance in future studies. DESIGN The sources of data for this study included document review, planned site visits (including interviews and observations), a brief online contextual factors...

BACKGROUND Accurate cost estimate and a profit and loss analysis are necessary for health care practice. We performed an actual financial analysis for an intensive care unit (ICU) of a university hospital in Japan, and tried to discuss the health care policy and resource allocation decisions that have an impact on critical intensive care. METHODS The costs were estimated by a department level...

OBJECTIVE To determine the national distribution of intensive care unit (ICU)/high care (HC) beds and the implications for ICU bed availability in the envisaged national health insurance (NHI) scheme. METHODS A descriptive, non-interventional, observational study design was used. A desk-top audit of all public and private sector ICUs, including ICU/HC beds, in South Africa was undertaken for ...

HYPOTHESIS During terrorist-related multiple-casualty events (TMCEs), the role of the surgeon expands beyond providing traditional trauma care. DESIGN Survey and expert opinion poll. SETTING Interviews (structured, open/closed questions) conducted in 14 Israeli hospitals. PARTICIPANTS Sixty hospital physicians selected for their experience in TMCEs. MAIN OUTCOME MEASURES Identification ...

Background Chest X-rays (CXRs) are traditionally obtained daily in all patients on invasive mechanical ventilation (IMV) in the intensive care unit (ICU). We sought to reduce overutilisation of CXRs obtained in the ICU, using a multifaceted intervention to eliminate automated daily studies. Methods We first educated ICU staff about the low diagnostic yield of automated daily CXRs, then remove...