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April 1, 2018Methodist DeBakey Cardiovascular JournalOpen Access

24/7 in-house intensivist staffing in high-acuity, high-volume centers provides benefits that outweigh the costs, despite high staffing costs and physician shortages.

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Why the study?

Does 24/7 in-house intensivist staffing improve patient outcomes and economic benefits in the ICU?

Population

Patients in the Intensive Care Unit (ICU)

Comparison

24/7 in-house intensivist staffing vs Non-24/7 or non-intensivist staffing models

Design

Review

Key result

24/7 in-house intensivist staffing in high-acuity, high-volume centers provides benefits that outweigh the costs, despite high staffing costs and physician shortages.

Authors

FMFaisal MasudTLTina Yaqing Cai LamSFSahar Fatima

Discussion

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Overview

Supports 24/7 intensivist models in high-volume ICUs; leaves open need for prospective trials before wider adoption.

Structured PICO

Does 24/7 in-house intensivist staffing improve patient outcomes and economic benefits in the ICU?

P
Population
Patients in the Intensive Care Unit (ICU)
E
Exposure
24/7 in-house intensivist staffing
C
Comparator
Non-24/7 or non-intensivist staffing models
O
Outcome
Patient outcomes (length of stay, complications, mortality) and economic benefits

This review highlights that 24/7 in-house intensivist staffing provides economic and clinical benefits, particularly in high-acuity, high-volume centers.

Limitations

  • Not intended to be a comprehensive review of all controversies surrounding continuous ICU staffing

Cite This Study

Masud et al. (2018) conducted a review in Intensive care. 24/7 in-house intensivist staffing was evaluated. 24/7 in-house intensivist staffing in high-acuity, high-volume centers provides benefits that outweigh the costs, despite high staffing costs and physician shortages.

synapsesocial.com/papers/6a1eccb0bf2a5d44faaf564bhttps://doi.org/10.14797/mdcj-14-2-134
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1B104-08 24/7 Intensivist Staffing Compared With Conventional ICU Models: A Meta-analysis of Mortality and Resource Outcomes2026
  2. 2Physician staffing pattern in intensive care units: Have we cracked the code?2012 · 22 citations
  3. 3Models of Critical Care Delivery: Physician Staffing in the ICU2001 · 5 citations
  4. 4Intensive care unit staffing and quality of care: challenges in times of an intensivist shortage2014 · 9 citations
  5. 5Twenty-four hour presence of physicians in the ICU.2001 · 58 citations