• Healthc Q · Jan 2015

    Extramural Pilot Project: Designated On-Call Intensivist in Tertiary Care Centre Improves Access to Critical Care Consultation/Referral and Resources.

    • Michael D Sharpe, Carrie Jeffreys, Claudio Martin, Michael Barrett, Fran Priestap, Michelle Pierce, and Judy Kojlak.
    • Member of Critical Care Western and the Departments of Anesthesia and Perioperative Medicine and Medicine in the Schulich School of Medicine and Dentistry, at the University of Western Ontario, and is a full time intensivist at the London Health Sciences Centre- University Hospital; and is the Critical Care Lead for the South West Local Health Integration Network.
    • Healthc Q. 2015 Jan 1; 18 (2): 46-9.

    AbstractTimely consultation with an intensivist will promote early and appropriate management of critically ill patients. We determined whether implementing a call roster of intensivists who did not have on-call responsibilities in an intensive care unit (ICU) and who received referrals from community physicians would improve access to critical care services. This program created efficiencies to critical care services by: timely access to consultation with an intensivist (<10 minutes) and/or subspecialist, timely referral to an appropriate institution (<30 minutes) and optimal resource utilization by determining the availability of ICU beds at non-tertiary care hospitals capable of providing the care needs of the patient, thus relieving pressure on the neighbouring tertiary/quaternary care centre.

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