ArticleMayo Clinic proceedings. Innovations, quality & outcomes2026
A Multifunction Neurosciences Intensive Care Unit Lumbar Puncture Service Improves Efficiency and Delivers Significant Cost Savings.
Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To enhance the multifunctional efficacy and cost efficiency of lumbar puncture (LP) services for optimal patient outcomes. Patients and Methods: In January 2023, the neurosciences intensive care unit (NeuroICU) created a day team (Team 2) to offload time-sensitive tasks from the 24-hour service team (Team 1). We hypothesized that a multifunction service would improve operational efficiency and generate meaningful cost savings. We performed a single-center, retrospective review of Team 2 activities from January 21, 2023, to April 21, 2025, at Jacksonville campus of Mayo Clinic Florida, encompassing 400 consult encounters across 7 multifunction service domains. We determined cost savings using a time-driven, activity-based costing method, which estimated bed-day savings using a $2500/day cost and average 2-day hospital length-of-stay reduction with earlier intervention. Results: During the study period, a total 200 LPs were performed, creating an estimated cost savings of $1 million. Team 2 completed around 100 LPs/year vs 23/year with the previous model, reducing length of stay by 2 days per LP (∼$5000/patient; ∼$500,000/year). This led to earlier postoperative discharges, as early as the day of the LP in some cases. These collective functions similarly streamlined care pathways, fostering bed availability, and led to earlier discharge of patients needing LP consult and those in the primary postoperative NeuroICU using an early discharge process. Conclusion: A multifunctional NeuroICU day team yielded measurable throughput gains and substantial direct cost savings, as well as added team operational resilience.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.