Issn Print: 0090-3493
Publication Date: 2006/12/01
IMPACT OF INTENSIVIST-DIRECTED CARE MODEL ON PEDIATRIC INTENSIVE CARE UNIT MORTALITY.: 456
Sunsiree Santana; Felicita Gotay; Ricardo L Garcia; Alicia Fernandez-Sein
Excerpt
Improved patient outcome has been linked to timely and appropriate physician interventions. In response to the higher level of expertise needed to care for critically ill children and based on studies which demonstrate that having a full-time intensivist in charge of the pediatric intensive care unit (PICU) improves patient care and efficiency, the Society of Critical Care Medicine and the American Academy of Pediatrics recommended that a pediatric intensivist be available 24 hours per day for level I and II units.1 Since 1997 this modality of care was established in Puerto Rico. The pediatric intensivist determines and offers daily care, and is available 24 hours for consultation. A pediatric hospital-ist remains in-house to deliver immediate care.