Coronary Care Unit design, staffing and organization

Organization of a coronary care unit in a general hospital.

Hospital staffing, organization, and quality of care: Cross-national findings.

OBJECTIVE To examine the effects of nurse staffing and organizational support for nursing care on nurses' dissatisfaction with their jobs, nurse burnout, and nurse reports of quality of patient care in an international sample of hospitals. DESIGN Multisite cross-sectional survey SETTING Adult acute-care hospitals in the U.S. (Pennsylvania), Canada (Ontario and British Columbia), England and...

Intensive care unit staffing and quality of care: challenges in times of an intensivist shortage

Demand for critical care is growing, partly in response to an aging population with an increased prevalence of critical illnesses and to advances in higherrisk medical therapies.(1,2) In addition to an increase in the sheer numbers of intensive care unit (ICU) beds,(3) the responsibilities of critical care specialists (“intensivists”) now extend outside of the ICU, as they act as members of med...

From Coronary Care Units to Cardiac Intensive Care Units: Recommendations for Organizational, Staffing, and Educational Transformation.

Medical care in Canadian cardiac units has changed considerably over the past 3 decades in response to an increasingly complex and diverse patient population admitted with acute cardiac pathology. To maintain the highest level of care for these patients, there is a pressing need to evolve traditional coronary care units into contemporary cardiac intensive care units. In this article we aim to h...

Benefits of High-Intensity Intensive Care Unit Physician Staffing under the Affordable Care Act

The Affordable Care Act signed into law by President Obama, with its value-based purchasing program, is designed to link payment to quality processes and outcomes. Treatment of critically ill patients represents nearly 1% of the gross domestic product and 25% of a typical hospital budget. Data suggest that high-intensity staffing patterns in the intensive care unit (ICU) are associated with cos...