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Physician extenders impact trauma systems.

A Britton Christmas¹, Jennifer Reynolds, Samantha Hodges

¹Department of Surgery, University of Louisville, Louisville, Kentucky 40292, USA.

The Journal of Trauma

|May 28, 2005

Summary

This summary is machine-generated.

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Integrating physician extenders into trauma services reduced hospital stays and ensured compliance with resident work hour limits. This strategy improved patient flow without negatively impacting patient outcomes or costs.

Area of Science:

Trauma Surgery
Healthcare Management
Graduate Medical Education

Background:

Revised surgical resident work hours necessitate new staffing models in teaching hospitals.
Health care extenders are being integrated into trauma services to manage workload.
This review assesses the effectiveness of physician extenders in trauma care.

Purpose of the Study:

Evaluate the impact of integrating nurse practitioners into a trauma service.
Determine if physician extenders meet work hour restriction goals.
Assess effects on hospital and patient outcomes.

Main Methods:

Prospective data collection over three years (pre-integration, during, post-integration).
Inclusion of two nurse practitioners in a teaching hospital's trauma service.

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Tracking admissions, lengths of stay (hospital, ICU, floor), mortality, cost, and resident work hours.

Main Results:

Statistically significant reductions in floor, ICU, and overall hospital lengths of stay.
No significant changes in patient mortality or direct cost per patient.
Achieved compliance with Accreditation Council for Graduate Medical Education work hour limitations, reducing average resident hours from 86 to 79 per week.

Conclusions:

Physician extenders can be effectively integrated into academic Level I trauma centers.
Integration positively impacts patient flow and resident work hours.
This model improves efficiency without compromising patient outcomes or hospital costs.