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Pro/Con debate: should 24/7 in-house intensivist coverage be implemented?

Arabi Y.

Crit Care. 2008;12(3):216. Epub 2008 Jun 5. Review.

PMID: 18557996 [PubMed - indexed for MEDLINE]

Weekend and weeknight admissions have the same outcome of weekday admissions to an intensive care unit with onsite intensivist coverage.

Arabi Y, Alshimemeri A, Taher S.

Crit Care Med. 2006 Mar;34(3):605-11.

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Twenty-four hour presence of physicians in the ICU.

Burchardi H, Moerer O.

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Improved survival with hospitalists in a pediatric intensive care unit.

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What do surgery residents do on their call nights?

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An intensivist all day, keeps the bad outcomes away.

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Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital.

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Academic radiologists' on-call and late-evening duties.

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10:

Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: an alternative paradigm for intensivist staffing.

Breslow MJ, Rosenfeld BA, Doerfler M, Burke G, Yates G, Stone DJ, Tomaszewicz P, Hochman R, Plocher DW.

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11:

Team care: beyond open and closed intensive care units.

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12:

In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.

Parshuram CS, Kirpalani H, Mehta S, Granton J, Cook D; for the Canadian Critical Care Trials Group.

Crit Care Med. 2006 Jun;34(6):1674-8.

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13:

Do intensivists in ICU improve outcome?

Fuchs RJ, Berenholtz SM, Dorman T.

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14:

Emerging trends in ICU management and staffing.

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15:

Who should care for intensive care unit patients?

Gutsche JT, Kohl BA.

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16:

Hospital mortality rate and length of stay in patients admitted at night to the intensive care unit.

Morales IJ, Peters SG, Afessa B.

Crit Care Med. 2003 Mar;31(3):858-63.

PMID: 12626997 [PubMed - indexed for MEDLINE]

17:

New pay arrangements for working unsocial hours.

Brown B.

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Closed-format intensive care: time to act now.

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Intensive care unit physician staffing: seven days a week, 24 hours a day.

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