Bed Usage in the Pediatric Intensive Care Unit 6.15.10

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Leonard Davis Institute of Health Economics

Author: Evan Fieldston

Health & Medicine

Bed Usage in the Pediatric Intensive Care Unit Evan Fieldston, MD, MBA, MSHP 1,2,3,4 , Christian Terwiesch, PhD 4 , Mark Helfaer, MD 1,2 , Richard Lin, MD 1,2 , Annette Bollig, RN, MSN 2 , Paula Agosto, RN, MHA, CCRN, 2 Judy Verger, RN, PhD, CRNP, CCRN 2,4,5 , Patricia Hubbs, RN, MBA, CCRN 2 , Heidi Martin, RN 2 , Joshua Metlay, MD, PhD 1,3,4 1 Robert Wood Johnson Foundation Clinical Scholars, University of Pennsylvania School of Medicine, Philadelphia, PA, 2 The Children's Hospital of Philadelphia, Philadelphia, PA, 3 Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 4 The Wharton School, University of Pennsylvania, Philadelphia, PA 5 University of Pennsylvania School of Nursing, Philadelphia, PA The authors have no conflicts of interest to disclose; no off-label or unapproved uses of drugs are included. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Figure 2: Summary of Activities Figure 1: Recording Instrument Table 1: Distribution of Activities Funded by a Working Group Grant from the Leonard Davis Institute of Health Economics at the University of Pennsylvania ,[object Object],[object Object],Background ,[object Object],[object Object],Objectives ,[object Object],[object Object],[object Object],Methods ,[object Object],[object Object],[object Object],[object Object],Conclusion Results Activity Total hrs Total % Ventilated patient 8995 45% Critical care NOS 3013 15% Neurosurgery, ICU level 1531 8% Empty, unassigned 1524 8% Continuous Infusion 936 5% Waiting floor bed assignment 919 5% Arterial line 508 3% High-flow nasal cannula 475 2% Environmental services 319 2% Post-ventilation (up to 12 hrs) 226 1% In operating room 224 1% Neurosurgery, post-ICU level 181 1% Unclear reason for ICU 169 1% Procedure underway 134 1% 35 other activities (<99 hrs) 1006 5% ,[object Object],[object Object],[object Object],[object Object],Implications

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