About: Design for Implementation of a System-Level ICU Pandemic Surge Staffing Plan

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Design for Implementation of a System-Level ICU Pandemic Surge Staffing Plan
Creator	Baldisseri, Marie Bishop, Jonathan Harris, Gavin Orsino, Antoinette Sackrowitz, Rachel Reynolds, Pa-C, Benjamin
Source	Medline; PMC
abstract	BACKGROUND: The current coronavirus disease 2019 pandemic is causing significant strain on ICUs worldwide. Initial and subsequent regional surges are expected to persist for months and potentially beyond. As a result of this, as well as the fact that ICU provider staffing throughout the United States currently operate at or near capacity, the risk for severe and augmented disruption in delivery of care is very real. Thus, there is a pressing need for proactive planning for ICU staffing augmentation, which can be implemented in response to a local surge in ICU volumes. METHODS: We provide a description of the design, dissemination, and implementation of an ICU surge provider staffing algorithm, focusing on physicians, advanced practice providers, and certified registered nurse anesthetists at a system-wide level. RESULTS: The protocol was designed and implemented by the University of Pittsburgh Medical Center’s Integrated ICU Service Center and was rolled out to the entire health system, a 40-hospital system spanning Pennsylvania, New York, and Maryland. Surge staffing models were developed using this framework to assure that local needs were balanced with system resource supply, with rapid enhancement and expansion of tele-ICU capabilities. CONCLUSIONS: The ICU pandemic surge staffing algorithm, using a tiered-provider strategy, was able to be used by hospitals ranging from rural community to tertiary/quaternary academic medical centers and adapted to meet specific needs rapidly. The concepts and general steps described herein may serve as a framework for hospital and other hospital systems to maintain staffing preparedness in the face of any form of acute patient volume surge.
has issue date	2020-06-15(xsd:dateTime)
bibo:doi	10.1097/cce.0000000000000136
bibo:pmid	32695999
has license	cc-by-nc-nd
sha1sum (hex)	cbe75b4408aceab02a9165b367d0355afceef54f
schema:url	https://doi.org/10.1097/cce.0000000000000136
resource representing a document's title	Design for Implementation of a System-Level ICU Pandemic Surge Staffing Plan
has PubMed Central identifier	PMC7314315
has PubMed identifier	32695999
schema:publication	Crit Care Explor
resource representing a document's body	covid:cbe75b4408aceab02a9165b367d0355afceef54f#body_text
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