Erschienen in:
01.12.2013 | Letter
Night-time intensivists - waste of resources or failure of process optimization?
verfasst von:
Jukka Takala
Erschienen in:
Critical Care
|
Ausgabe 6/2013
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Excerpt
Dr Levy [
1] commented on the study of Kerlin and colleagues [
2] on the relevance, or futility, of night-time intensivists. Kerlin and colleagues compared in-hospital night-time intensivist presence with night-time phone consultations by daytime intensivists (control) with regard to ICU length of stay, hospital mortality, and readmission rate. Randomized 7 day blocks of night-time intensivist presence versus control had no effect. Previously, Dr Levy found no association between high-intensity daytime staffing and mortality, and no benefit of night-time intensivists in high-intensity ICUs in a retrospective study [
3]. Dr Levy suggests that 'it is time…to redirect the resources proposed for night-time intensivists elsewhere'. Conclusions on night-time intensivists, based on these two studies [
2,
3] may be misleading and premature. …
