美国的ICU工作人员数量
Hayley B Gershengorn1, Allan Garland2, Deena K Costa3
1Division of Pulmonary, Critical Care, and Sleep Medicine, University of Miami Miller School of Medicine, Miami, FL; Division of Critical Care Medicine, Albert Einstein College of Medicine, Bronx, NY.
美国成人重症监护室现在通常有重症治疗师,呼吸治疗师和临床药剂师. 对于通风患者的护士人员比例通常为1:2,尽管团队组成各不相同.
科学领域:
- 临界护理医学 临界护理医学
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国重症监护室 (ICU) 医生人员的全国估计已经过时 (25年),并且没有捕捉到跨专业团队的动态.
- 目前的ICU人员配置模式和各种医疗保健专业人员的角色没有得到很好的描述.
研究的目的:
- 确定美国成年重症监护病房 (ICU) 的现有人员组成.
- 评估成人ICU中跨专业团队的可用性和角色.
主要方法:
- 对成年ICU临床医生进行了横截面调查,针对护士和医生领导.
- 数据从2022年5月到2023年2月收集,使用美国医院协会 (AHA) 数据库和专业组织.
- 调查数据与AHA数据库中的医院特征联系在一起,以生成加权的国家估计.
主要成果:
- 该研究包括596名成年ICU,集中治疗师 (85.1%全国),正在培训的医生 (51.6%) 和高级实践提供者 (72.1%) 的高可用性.
- 呼吸系统治疗师 (98.5%) 和临床药剂师 (86.9%) 广泛使用.
- 在机械通风患者中,护士对患者的比例为1:2在86.4%的ICU中.
结论:
- 在过去的25年里,美国成年人重症监护室的重症监护员的存在显著增加.
- 关键的跨专业团队成员,包括重症治疗师,呼吸治疗师和临床药剂师,通常可用.
- 虽然通风患者的护士人员比例通常为1:2,但整体团队组成和工作量表现出变化.
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