Rebecca L Hascall1, R Serene Perkins, Lauren Kmiecik, Priya R Gupta, Carolyn F Shelak, Shaban Demirel, Mark T Buchholz. 1. Rebecca L. Hascall is a student in the PA program at Stony Brook (N.Y.) University. R. Serene Perkins is director of surgical and clinical research at Legacy Health System in Portland, Ore. Lauren Kmiecik is a clinical research coordinator III at Legacy Health System. Priya R. Gupta is a medical student at Western University of Health Sciences College of Osteopathic Medicine in Lebanon, Ore. Carolyn F. Shelak is medical director of the pediatric intensive care unit, a pediatric intensivist, and chair of the pediatric medicine department at Randall Children's Hospital at Legacy Emanuel in Portland, Ore. Shaban Demirel is a senior clinical outcomes research scientist at Legacy Health System, an associate scientist at Legacy Health's Devers Eye Institute, an adjunct professor at Washington State University, and director of Legacy Health's Devers Visual Field Reading Center. Mark T. Buchholz is chair of the section of pediatric critical care at Randall Children's Hospital in Portland, Ore. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract
OBJECTIVE: We investigated the proportion of encounters that were interrupted during family-centered rounds in the pediatric intensive care unit (PICU) to determine whether the use of a physician assistant (PA) significantly affected the proportion of interrupted encounters. METHODS: We evaluated 2,657 rounding encounters in our 24-bed regional referral unit. The duration of each rounding encounter and total rounding duration were recorded. The presence or absence of a PA during each rounding encounter, the occurrence of an interruption, and other potential predictors of interruptions were recorded. RESULTS: The presence of a PA during PICU rounds was significantly associated (P < .001) with a 35.4% lower likelihood of an interruption. CONCLUSIONS: Family-centered rounds in the PICU are less likely to be interrupted when a PA is present. PAs help physicians and improve rounding efficiency by safely and effectively handling certain interruptions.
OBJECTIVE: We investigated the proportion of encounters that were interrupted during family-centered rounds in the pediatric intensive care unit (PICU) to determine whether the use of a physician assistant (PA) significantly affected the proportion of interrupted encounters. METHODS: We evaluated 2,657 rounding encounters in our 24-bed regional referral unit. The duration of each rounding encounter and total rounding duration were recorded. The presence or absence of a PA during each rounding encounter, the occurrence of an interruption, and other potential predictors of interruptions were recorded. RESULTS: The presence of a PA during PICU rounds was significantly associated (P < .001) with a 35.4% lower likelihood of an interruption. CONCLUSIONS: Family-centered rounds in the PICU are less likely to be interrupted when a PA is present. PAs help physicians and improve rounding efficiency by safely and effectively handling certain interruptions.
Authors: Ruth M Kleinpell; W Robert Grabenkort; April N Kapu; Roy Constantine; Corinna Sicoutris Journal: Crit Care Med Date: 2019-10 Impact factor: 7.598