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The Impact of Nighttime Intensivists on Medical Intensive Care Unit Infection-Related Indicators

Published online by Cambridge University Press:  14 December 2015

Abhaya Trivedi ,
Kathleen M. McMullen ,
Hilary M. Babcock  and
Marin H. Kollef
Abhaya Trivedi
Affiliation:
Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St. Louis, Missouri
Kathleen M. McMullen
Affiliation:
Division of Infection Prevention, Barnes-Jewish Hospital, St. Louis, Missouri
Hilary M. Babcock
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri.
Marin H. Kollef*
Affiliation:
Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St. Louis, Missouri
*
Address correspondence to Marin Kollef, MD; Division of Pulmonary and Critical Care Medicine; Washington University School of Medicine, 4523 Clayton Avenue, Campus Box 8052, St. Louis, MO 63110 ([email protected]).
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Abstract

In 2013, a before-and-after intervention study was conducted to evaluate the effect 24-hour intensivist coverage on length of stay and rates of catheter-associated urinary tract infection, central-line associated blood stream infection, and ventilator-associated events. Intensivist coverage for 24 hours did not decrease length of stay or result in a decrease in any specific infection rate.

Infect. Control Hosp. Epidemiol. 2016;37(3):352–354

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 3 , March 2016 , pp. 352 - 354
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Levy, MM. Intensivists at night: putting resources in the right place. Crit Care 2013;17:1008.Google Scholar
2. Wallace, DJ, Angus, DC, Barnato, AE, Kramer, AA, Kahn, JM. Nighttime intensivist staffing and mortality among critically ill patients. N Engl J Med 2012;366:2093–2101.Google Scholar
3. Kerlin, MP, Small, DS, Cooney, E, et al. A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med 2013;368:2201–2209.Google Scholar
4. Kerlin, MP, Harhay, MO, Kahn, JM, Halpern, SD. Nighttime intensivist staffing, mortality, and limits on life support: a retrospective cohort study. Chest 2015;147:951–958.Google Scholar
5. Garland, A, Roberts, D, Graff, L. Twenty-four-hour intensivist presence: a pilot study of effects on intensive care unit patients, families, doctors, and nurses. Am J Respir Crit Care Med 2012;185:738–743.Google Scholar
6. Kahn, JM, Hall, JB. More doctors to the rescue in the intensive care unit: a cautionary note. Am J Respir Crit Care Med 2010;181:1160–1161.Google Scholar
7. Lindell, KO, Chlan, LL, Hoffman, LA. Nursing perspectives on 24/7 intensivist coverage. Am J Respir Crit Care Med 2010;182:1338–1340.CrossRefGoogle ScholarPubMed
8. 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;36:36–44.Google Scholar
9. Fakih, MG, Krein, SL, Edson, B, Watson, SR, Battles, JB, Saint, S. Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm. Am J Infect Control 2014;42:S223–S229.Google Scholar
10. Klompas, M, Anderson, D, Trick, W, et al. The preventability of ventilator-associated events. The CDC Prevention Epicenters Wake Up and Breathe Collaborative. Am J Respir Crit Care Med 2015;191:292–301.Google Scholar