ArticleCritical care explorations2020
Design for Implementation of a System-Level ICU Pandemic Surge Staffing Plan.
Article in Critical care explorations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 41 citations in OpenAlex.
- Examining adaptive models of care implemented in hospital ICUs during the COVID-19 pandemic: a qualitative study.BMJ open quality · 2023Article
- Flow-Sizing Critical Care Resources.Critical care medicine · 2023Article
- The hand-brain-heart connection: ICU nurses' experience of managing patient safety during COVID-19.Nursing in critical care · 2022Article
- Caring for the Critically Ill Patient with COVID-19.Clinics in chest medicine · 2022Review
- A learning health system approach to the COVID-19 pandemic: System-wide changes in clinical practice and 30-day mortality among hospitalized patients.Learning health systems · 2022Article
- Coping with complexity in the COVID pandemic: An exploratory study of intensive care units.Human factors and ergonomics in manufacturing · 2022Article
- Considerations for acute care staffing during a pandemic.Best practice & research. Clinical anaesthesiology · 2021Review
- Association Between Caseload Surge and COVID-19 Survival in 558 U.S. Hospitals, March to August 2020.Annals of internal medicine · 2021Article
- Description of a Multi-faceted COVID-19 Pandemic Physician Workforce Plan at a Multi-site Academic Health System.Journal of general internal medicine · 2021Article
- The Society of Critical Care Medicine at 50 Years: ICU Organization and Management.Critical care medicine · 2021Article
- Collaboration Between Tele-ICU Programs Has the Potential to Rapidly Increase the Availability of Critical Care Physicians-Our Experience Was During Coronavirus Disease 2019 Nomenclature.Critical care explorations · 2021Article
- Mechanical-Ventilation Supply and Options for the COVID-19 Pandemic. Leveraging All Available Resources for a Limited Resource in a Crisis.Annals of the American Thoracic Society · 2021Review
- Infection Prevention and Control for ICU during COVID-19 Pandemic: Position Paper of the Indian Society of Critical Care Medicine.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Review
- The effect of a tiered provider staffing model on patient outcomes during the coronavirus disease 2019 pandemic: A single-center observational study.International journal of critical illness and injury scienceArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
methodsWe 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.
resultsThe 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.
conclusionsThe 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.
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