2025
Improved Ventilator Weaning and Decannulation Outcomes with Enhanced Staffing Model
Carney H, Chichra A, Schneider N, Fogerty R, Kazmi T. Improved Ventilator Weaning and Decannulation Outcomes with Enhanced Staffing Model. Hospital Topics 2025, ahead-of-print: 1-7. PMID: 39945331, DOI: 10.1080/00185868.2025.2464129.Peer-Reviewed Original ResearchAdvanced practice providersStaffing modelsProvider continuityMechanical ventilation weaningInpatient settingContinuity of careVentilator weaningDecannulation rateStepdown unitGroup of physiciansPractice providersMethods:</b> DataInpatient stayStaffingDecannulation protocolProvidersTracheostomy decannulationDecannulation outcomeDecannulationPatientsVentilationCarePhysiciansPositive effectSetsWho is coming in? Evaluation of physician performance within multi-physician emergency departments
Sangal R, Teresi R, Dashevsky M, Ulrich A, Tarabar A, Parwani V, Van Tonder R, King M, Venkatesh A. Who is coming in? Evaluation of physician performance within multi-physician emergency departments. The American Journal Of Emergency Medicine 2025, 90: 9-15. PMID: 39793122, DOI: 10.1016/j.ajem.2025.01.003.Peer-Reviewed Original ResearchPhysician performancePhysician behaviorAdmission ratesEvaluation of physician performanceED operational efficiencyAttending teamPhysician ordersED throughputStaffing modelsED visitsED revisitsCo-attendanceLinear regression modelsAverage attendancePatient LOSEmergency departmentPatient lengthPhysician workPatients treated per hourPhysiciansAttendanceImaging testsImaging utilizationRegression modelsPatient data
2024
Clinician Staffing and Quality of Care in US Health Centers
Sun Q, Forman H, Stern L, Oldfield B. Clinician Staffing and Quality of Care in US Health Centers. JAMA Network Open 2024, 7: e2440140. PMID: 39436649, PMCID: PMC11581487, DOI: 10.1001/jamanetworkopen.2024.40140.Peer-Reviewed Original ResearchConceptsAdvanced practice registered nursesUniform Data SystemQuality of careUS health centersHealth centersCancer screeningCross-sectional studyStaffing modelsBody mass indexAssociated with higher performanceHIV testingAssociated with quality of carePrimary care safety netHealth Resources and Services Administration's Uniform Data SystemQuality-of-care metricsPreventive health assessmentsPractice registered nursesBreast cancer screeningClinical quality metricsCommunity-specific needsCervical cancer screeningPositive associationNonlinear positive associationAssociated with qualityFull-time equivalent
2022
Staffing models in the cardiac intensive care unit
Quien M, Thomas A, Ludmir J, Miller PE. Staffing models in the cardiac intensive care unit. Current Opinion In Critical Care 2022, 28: 453-459. PMID: 35757936, DOI: 10.1097/mcc.0000000000000958.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsCardiac intensive care unitIntensive care unitCare unitContemporary cardiac intensive care unitsModern cardiac intensive care unitMechanical circulatory supportSick patient populationFuture multicenter studiesStaffing modelsPreponderance of dataShock teamRespiratory failureIll patientsCirculatory supportMulticenter studyCardiac arrestPatient populationCardiac intensivistsIll populationMortalityRecent evidenceIntensivistsPatientsRecent dataPopulation
2021
Simulating approaches to emergency department pandemic physician staffing during COVID-19.
Sangal RB, Venkatesh AK, Kinsman J, Dashevsky M, Scofi JE, Ulrich A. Simulating approaches to emergency department pandemic physician staffing during COVID-19. American Journal Of Disaster Medicine 2021, 16: 85-93. PMID: 34392521, DOI: 10.5055/ajdm.2021.0391.Peer-Reviewed Original ResearchConceptsEmergency departmentInfection rateStaffing modelsPercent infection rateCohort modelHigher infection rateInfectious disease outbreaksEmergency physiciansED staffAvailable physiciansThree-teamWeek 5Health systemEM physiciansPhysiciansAdequate staffingImmunityPhysician attritionCOVID-19CohortDisease outbreaksPandemicPandemic disasterWeeksThe Electrophysiology Laboratory: Anesthetic Considerations and Staffing Models
Siegrist KK, Fernandez Robles C, Kertai MD, Oprea AD. The Electrophysiology Laboratory: Anesthetic Considerations and Staffing Models. Journal Of Cardiothoracic And Vascular Anesthesia 2021, 35: 2775-2783. PMID: 33773891, DOI: 10.1053/j.jvca.2021.02.050.Peer-Reviewed Original ResearchTransition From an Open to Closed Staffing Model in the Cardiac Intensive Care Unit Improves Clinical Outcomes
Miller PE, Chouairi F, Thomas A, Kunitomo Y, Aslam F, Canavan ME, Murphy C, Daggula K, Metkus T, Vallabhajosyula S, Carnicelli A, Katz JN, Desai NR, Ahmad T, Velazquez EJ, Brennan J. Transition From an Open to Closed Staffing Model in the Cardiac Intensive Care Unit Improves Clinical Outcomes. Journal Of The American Heart Association 2021, 10: e018182. PMID: 33412899, PMCID: PMC7955420, DOI: 10.1161/jaha.120.018182.Peer-Reviewed Original ResearchConceptsCardiac intensive care unitIntensive care unitHospital mortalityCare unitCICU mortalityClinical outcomesModern cardiac intensive care unitSurgical intensive care unitTotal hospital chargesSeverity of illnessMultivariable logistic regressionCICU lengthMultivariable adjustmentRespiratory insufficiencyPrimary outcomeUnique admissionsHospital chargesCardiac arrestSubgroup analysisImproved outcomesMortalityLogistic regressionAdmissionClosed unitStaffing models
2020
National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic
Abulebda K, Ahmed RA, Auerbach MA, Bona AM, Falvo LE, Hughes PG, Gross IT, Sarmiento EJ, Barach PR. National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic. World Journal Of Critical Care Medicine 2020, 9: 74-87. PMID: 33384950, PMCID: PMC7754533, DOI: 10.5492/wjccm.v9.i5.74.Peer-Reviewed Original ResearchPersonal protective equipmentCOVID-19 patientsChildren's HospitalClinical practiceCOVID-19 dedicated unitsAdult COVID-19 patientsPediatric intensive care unitHealth worker protectionPediatric healthcare systemIntensive care unitPediatric critical careTraining modalitiesStaffing modelsPreferred training modalitiesCoronavirus disease (COVID-19) pandemicPICU unitPediatric patientsCare unitPICU careAirway managementPediatric hospitalCritical careCOVID-19 practicesCurrent modalitiesPatients
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