Nurse Practitioner and Physician Assistant-led Cardiovascular Surgery Postoperative Intensive Care Unit Staffing Model.
J Intensive Care Med
; : 8850666241268458, 2024 Aug 02.
Article
em En
| MEDLINE
| ID: mdl-39094588
ABSTRACT
OBJECTIVES:
To determine whether a nurse practitioner and physician assistant (NP/PA)-led rapid staffing. Model in the cardiac surgical intensive care unit (ICU) can optimize resource utilization without compromising safety or increasing hospital length of stay (LoS).DESIGN:
Retrospective observational cohort study comparing before-and-after implementation of an NP/PA-led rapid recovery pathway.SETTING:
A large tertiary referral academic cardiac surgery ICU.PARTICIPANTS:
There were 116 patients in the prerapid recovery cohort and 153 in the postimplementation rapid recovery phase.INTERVENTIONS:
Low-risk cardiac surgery patients were selected for postoperative care by an NP/PA-led ICU staffing model. MEASUREMENTS AND MAINRESULTS:
Mean hospital LoS in the prerapid recovery cohort was 5.7 days compared to 5.2 days in the rapid recovery pathway cohort (P = .02). Thirty-day hospital readmission in the prerapid recovery pathway cohort was 7.8% compared with 2.0% in the rapid recovery cohort (P = .04). The ICU readmission rate for prerapid recovery cohort was 4.3%, while the rapid recovery percentage was 2.0% (P = .30).CONCLUSIONS:
Overall, implementation of an NP/PA-led postcardiac surgical ICU team (rapid recovery pathway) was associated with similar ICU LoS, hospital LoS, ICU readmission rates, 30-day readmission rates, and no significant signal of increased adverse events or safety concerns.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article