The effect of multidisciplinary care teams on intensive care unit mortality.
Kim MM, Barnato AE, Angus DC, Fleisher LF, Kahn JM. Arch Intern Med. 2010;170:369-376.
Efforts to improve the care of complex patients in intensive care units (ICUs) focus on many factors, including unit-based initiatives. This retrospective study evaluated the relationship between daily multidisciplinary rounds and 30-day mortality. Investigators discovered that the presence of daily rounds was associated with lower mortality among medical ICU patients. In addition, the survival benefits observed with intensivist staffing were in part explained by the presence of multidisciplinary care models. A related commentary [see link below] discusses this study's findings and the concept of health engineering as a systems science to study how we optimize staffing and patient outcomes in the ICU.
PubMed citation
Available at
http://archinte.ama-assn.org/cgi/content/abstract/170/4/369
Related commentary [include full-text]
http://archinte.ama-assn.org/cgi/content/extract/170/4/319
open here, please:
AHRQ Patient Safety Network
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