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Sunday, January 25, 2015

More Nurses May Mean Fewer Deaths in ICU

There are so many other factors which affect quality of care as well, such as: adherence to evidence-based guidelines, hospital-specific practices, level of staff expertise, and community standards. Having a charge nurse who does not have (or has limited) direct patient care obligations may be a beneficial factor as this person serves as a real-time quality control officer keeping the big picture view at all times and orchestrating care at the bedside. Closed units where an admitting intensivist is in charge likely benefits through clarity of roles. With open units, nurses and other clinicians don't have clarity regarding who will write orders, who is to respond to results and whom to notify in event of abnormal occurrence. On the community side, higher socioeconomic status and educational level may favorably affect hospital outcomes.

from Rajesh Harrykissoon, MD http://ift.tt/1uue9bw

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